Paper Code-010301
M.B.B.S. 1st professional Annual University Examination
Biochemistry
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PAPER-I
Time: 3 Hours
Maximum Marks: 100
Note:
The candidates must limit their answers to the answer book (30 Pages) issued to them.
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No supplementary/Continuation answer sheet shall be provided
Attempt all questions sequentially.
Attempt Part-A & Part-B in separate answer books and Part-C in OMR sheet. Illustrate your answers with suitable diagrams, graphs and flow charts.
OMR sheets shall be collected 20 minutes after starting of examination.
Section A Total-40 Marks
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Q1. A 52-year-old male admitted in hospital emergency centre with chest pain which he describes as a pressure behind his breastbone that spreads to the left side of the neck along with nausea and sweating. 1+5+4=10 Marks
- a) What is the most likely diagnosis?
- b) What are the different cardiac biomarkers to be estimated on an emergency basis?
- c) What are the investigations advised and the normal range of the performed parameters.
Q2. Short Notes: 4x5=20 Marks
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- a) Fluid mosaic model
- b) Isoelectric pH
- c) Von Gierk's Disease
- d) Mucopolysaccharides
Q3. Short Answer Questions : 5x2=10 Marks
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- a) What are the major actions of insulin?
- b) What is Principle of Benedict's test?
- c) Why is mitochondria called the powerhouse of cell?
- d) What are the functions of lysosomes?
- e) What is the difference between glucokinase and hexokinase?
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Section B Total Marks-40
Q1. A man of 45 who is slightly overweight and has a sedentary job had a health check up and was told that his lipid profile was abnormal. 2+4+4=10 Marks
- a) What are the parameters included in lipid profile?
- b) What are the complications of hypercholesterolemia?
- c) What are the life style modifications suggested?
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Q2. Short Notes: 4x5=20 Marks
- a) Role of Carnitine in Fatty Acid Oxidation
- b) Biological actions of prostaglandins.
- c) Lesch-Nyhan syndrome.
- d) Phenylketonuria.
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Q3. Short Answer Questions: 5x2=10 Marks
- a) Explain the functions of Glutathione in the body.
- b) Clinically important transaminases.
- c) What is the mechanism of methotrexate?
- d) What is the significance of Lp(a)?
- e) What is Homocystinuria?
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Section-C 1x20=20 Marks
Q1. What is the function of Golgi complex?
- a. Drug metabolism
- b. Glucose transportation
- c. Glycosylation of proteins
- d. Electron transport chain
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Q2. All of the following are sulfur containing amino acids, except:
- a. Cysteine
- b. Methionine
- c. Homocysteine
- d. Threonine
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Q3. Which is a nonreducing sugar?
- a. Maltose
- b. Sucrose
- c. Lactose
- d. Isomaltose
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Q4. Which of the following is characteristic of untreated diabetes regardless of type?
- a. Hyperglycemia
- b. Ketoacidosis
- c. Obesity
- d. Low Hba1c
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Q5. Which of the following is a storage form of energy?
- a. Glycogen
- b. Glycerol
- c. AMP
- d. Lactate
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Q6. The key enzyme in fatty acid synthesis is :
- a. Acetyl-CoA carboxylase
- b. Beta hydroxyacyl dehydratase
- c. Enoyl reductase
- d. Acetyl transacylase
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Q7. Phagocytosis involves :
- a. Respiratory burst
- b. Lipid peroxidation
- c. Alpha oxidation
- d. Endosmosis
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Q8. Fluidity of membranes depends on:
- a. Nature of fatty acids
- b. Concentration of proteins
- c. Membrane pumps
- d. Glycosylation of proteins
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Q9. The main apoprotein present in the LDL is:
- a. A and D
- b. B-100
- c. E2 and C
- d. B-48
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Q10. Normal serum Creatinine level is:
- a. 0.2-0.4 mg/dL
- b. 0.3-0.6 mg/dL
- c. 0.7-1.4 mg/dL
- d. 1.4-2.8 mg/dL
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Q11. The chief product of catabolism of purines in human beings is:
- a. Urea
- b. Uric acid
- c. Hypoxanthine
- d. Beta aminoisobutyric
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Q12. Which tissue is most insulin sensitive?
- a. Brain
- b. Liver
- c. Adipose tissue
- d. Cardiac muscle
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Q13. Which amino acid will give rise to an inhibitory neurotransmitter?
- a. Histidine
- b. Glutamic acid
- c. Ornithine
- d. Tyrosine
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Q14. ETC is located in the:
- a. Outer mitochondrial membrane
- b. Inner mitochondrial membrane
- c. Mitochondrial matrix
- d. Nucleus
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Q15. Which of the electron carriers is soluble and mobile?
- a. CoQ
- b. Cytochrome c
- c. Cytochrome a
- d. Cytochrome b
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Q16. Serotonin is derived from which amino acid?
- a. Tyrosine
- b. Tryptophan
- c. Glutamic acid
- d. Histidine
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Q17. Absorbed triglycerides are transported in blood as:
- a. Cholecystitis
- b. Chylomicrons
- c. Globulin
- d. Ferritin
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Q18. The enzyme:
- a. Reduces the energy of activation
- b. Increases total energy of substance
- c. Increases the equilibrium constant
- d. Increases total energy of the product
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Q19. All are substrates for gluconeogenesis during starvation, except:
- a. Alanine
- b. Glycerol
- c. Glutamine
- d. Acetyl CoA
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Q20. The coenzyme which is not a derivative of B complex vitamin?
- a. FAD
- b. NAD
- c. TPP
- d. Carnitine
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