QP CODE: 1025
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase - I (CBME) Degree Examination - 08-Mar-2022
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Time: Three Hours Max. Marks: 100 Marks
BIOCHEMISTRY - PAPER II (RS-4)
Q.P. CODE: 1025
(QP contains three pages)
Your answers should be specific to the questions asked
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Draw neat, labeled diagrams wherever necessary
LONG ESSAYS 2 x 10 = 20 Marks
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A child of two years presented with convulsions. He was taking normal feeds, But his mother observed mousy odour of child's urine. Urine ferric chloride test was positive. Plasma phenylalanine was found to be elevated. He was diagnosed to have phenyl Ketonuria
- What is the biochemical defect in phenyl Ketonuria?
- Describe the catabolism of phenylalanine
- Give the biochemical reasons for mousy odour in this case
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Describe protein biosynthesis in prokaryotes. Mention three inhibitors of protein biosynthesis
SHORT ESSAYS 8 x 5 = 40 Marks
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A 45 year old man presented with severe back pain and weakness. He had lost 7 kgs in last three months. He complained of loss of appetite and fatigue. X-ray showed punched out lesions. Urine is positive for Bence Jones protein
- Name the disorder in above case
- What are Bence Jones proteins?
- What is the electrophoretic pattern that is observed in this case?
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A known case of diabetes and hypertension on irregular treatment presented with swelling of both lower limbs and puffiness of face. He was diagnosed with chronic kidney disease (CKD)
- Mention two biochemical parameters altered in CKD.
- Explain the test to assess glomerular function of Kidney.
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What is Porphyria? Write the types of porphyria. Mention enzyme defect and clinical features of acute intermittent porphyria
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How are free radicals generated? Describe the free radical scavenging systems
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List the hormones which function with cAMP as second messenger. Describe the mechanism of action of steroid hormones
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Enumerate the reactions of purine salvage pathway. Name the disorders that is associated with this pathway and write its clinical features
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What are restriction endonucleases? Give two examples. Explain their role in Recombinant DNA technology
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What Is polymerase chain reaction (PCR)? Explain the steps in PCR. Write two applications of PCR
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SHORT ANSWERS
- List out the assays done for evaluation of thyroid function. Enumerate the laboratory findings in hyperthyroidism
- What is detoxification? Give two examples of detoxification by oxidative reaction
- What are reference intervals? List out two pre analytical variables
- What is Southern Blotting Technique? Mention its applications
- Name three nucleotides and write their biological importance
- What is innate and adaptive Immune response?
- Give three examples of tumour markers and write their clinical Importance
- Write the serum and urinary biochemical findings in hemolytic Jaundice
- What are oncogenes? What are the factors that activate oncogenes?
- What are essential amino acids? Give examples
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Multiple Choice Questions 10 x 1 = 10 Marks
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Heme is converted to bilirubin in
- Mitochondria
- Microsomes
- Golgi apparatus
- Plasma membrane
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Immunogobulin which crosses placenta is
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- IgG
- IgA
- IgM
- IgD
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The amino acid which do not allow formation of alpha helix is
- Glutamate
- Proline
- Tyrosine
- Histidine
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Histones are rich in
- Glutamic acid and aspartic acid
- Glycine and serine
- Methionine and cysteine
- Arginine and Histidine
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Which of the following is a termination codon?
- AAG
- CAG
- CAA
- UAG
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In which of the following phase of cell cycle DNA replication takes place
- G1
- G2
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Which of the following antioxidant enzyme Is selenium dependent?
- Glutathione peroxidase
- Glutathione reductase
- NADPH oxidase
- Catalase
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Which of the following compound used in the treatment of gout Is a competitive inhibitor of xanthine oxidase?
- Probenicid
- Allopurinol
- Colchicine
- Acetaminophen
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Normal serum level of albumin is
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- 1.5 to 2.5 gm/dl
- 3.5 to 5 gm/dl
- 6 to 7.5 gm/dl
- 9 to 1.1 g/dl
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End product of catabolism of protein is?
- Urea
- Uric acid
- Creatinine
- Orotic acid
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