QP CODE: 1024
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase-I (CBME) Degree Examination - 04-May-2023
Time: Three Hours
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Max. Marks: 100 Marks
BIOCHEMISTRY- PAPER I (RS-4)
QP Code: 1024
(QP contains two pages)
Your answers should be specific to the questions asked
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Draw neat labeled diagrams wherever necessary
LONG ESSAYS 2x10=20 Marks
- A 10-year-old boy was admitted to a hospital with a diagnosis of malaria. He was started on primaquine and antipyretics. Within one day he was found to have developed hemolytic anemia.
- Name the pathway affected in the above case and write the enzyme defect in the pathway.
- Name the compounds formed in this pathway and write their importance.
- What is the relation between primaquine and hemolytic anemia?
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- Describe cholesterol biosynthesis up to the formation of mevalonate. Explain the regulation of cholesterol biosynthesis. Mention two causes of Hypercholesterolemia.
SHORT ESSAYS 8x5=40 Marks
- An 8-year-old girl presented with difficulty in vision during night time. Vitamin A deficiency was suspected following examination.
- Write the provitamin form of Vitamin A
- Explain Wald's visual cycle
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- A 20-year-old pregnant woman presented with history of fatigue. Her peripheral blood smear showed microcytic hypochromic anemia.
- Which mineral deficiency leads to this type of anemia?
- Explain the absorption, transport and storage of this mineral.
- Describe the role of dietary fibre in nutrition.
- State chemiosmotic theory and illustrate the process of oxidative phosphorylation.
- Define metabolic acidosis. Enumerate the causes for metabolic acidosis. Write the compensatory mechanism in metabolic acidosis.
- Describe the role of any five plasma enzymes in the diagnosis of disease.
- Explain niacin under the following headings:
- Dietary sources
- Co-enzyme forms
- Deficiency manifestation
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- Explain the metabolic changes in starvation.
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SHORT ANSWERS 10x3=30 Marks
- Write the composition and functions of collagen.
- Define Km. Explain its importance with an example.
- Name three phospholipids and write their biological importance.
- Name three mucopolysaccharides and write their functions.
- Name three functions of the vitamin whose deficiency causes scurvy.
- Mention two causes of hypokalemia. Write biological reference interval for serum potassium.
- Enumerate the biomarkers used in the diagnosis of myocardial infarction (MI). Which biomarker is considered specific for MI and why?
- Mention the role of carnitine in β-oxidation.
- Write biological importance of selenium.
- Define active transport. Give two examples for active transport.
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Multiple Choice Questions 10x1=10 Marks
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- i) All the following lipids are present in the cell membranes EXCEPT
- Lecithin
- Cholesterol
- Sphingomyelin
- Triacylglycerol
- ii) Which of the following derivative of monosaccharide is used to reduce raised intra-cranial pressure?
- Sorbitol
- Dulcitol
- Ribitol
- Mannitol
- iii) Enzymes which are synthesized in an inactive form are called
- Apoenzyme
- Proenzymes
- Coenzyme
- Isozyme
- iv) The product of glycolysis in erythrocytes is
- Lactate
- Pyruvate
- Urate
- Acetate
- v) The vitamin that acts as a coenzyme for transketolase activity is
- Pyridoxine
- Thiamine
- Biotin
- Folate
- 22i) Normal biological reference interval for serum sodium is
- 96-105 meq/L
- 116-135 meq/L
- 136-145 meq/L
- 156-165 meq/L
- 22 ii) Number of calories given by one gram of carbohydrate is
- 2
- 4
- 9
- 22iii) Nitrogenous base ethanolamine is present in
- Phosphatidyl inositol
- Plasmalogen
- Cephalin
- Lecithin
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- 22iv) The ratio of bicarbonate to carbonic acid in bicarbonate buffer system is
- 20:1
- 10:1
- 4:1
- 1:1
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- 22 v) Which of the following does not increase the absorption of calcium?
- Vitamin D
- Absence of bile salts
- Basic amino acids
- Acidity
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