First Year MBBS Examination
I MBBS BIOCHEMISTRY PAPERI
Date: 14-03-2022
Time:
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3 hours Max Marks: 100Instructions: INSTRUCTIONS: Attempt al questions in both sections:
(Use separate answer book for each section)
Section 1
1. Fill in the blanks: (6)
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a. The ammonium ions excreted into urine are derived from__________
b. Accumulation__________in the lens of the eye causes cataracts
in type 2 diabetes mellitus.
c. In the biosynthesis of cholesterol, the rate-limiting enzyme is
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__________d. The first pentose formed in HMP shunt is __________
e. __________ enzyme typically elevated in alcoholism.
2. Choose the correct option in the following multiple choice questions:
(4)
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a. All of the following amino acids contribute to purine synthesisEXCEPT;
a) Glutamine
b) Glycine
c) Aspartate
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d) Cysteineb. Gamma-Glutamyl cysteinyl glycine is otherwise known as;
a) Oxytocin
b) Bradykinin
c) Glutathione
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d) Angiotensinc. Which of the following is the key regulator enzyme of heme
synthesis?
a) Porphobilinogen deaminase
b) PBG Synthase
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c) Uroporphyrinogen III Synthased) ALA Synthase
d. The amino acid which is associated with atherosclerosis is,
a) Lysine
b) Alanine
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c) Cysteined) Homocysteine
3. A 35-year-old woman visited OPD with complaints of excessive
menstrual bleeding. She also complained of lethargy, giddiness,
excessive tiredness, and (15) breathlessness on walking. Since the
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past few months, her physical performance had significantlydecreased. She was a pure diagnosis of iron deficiency vegetarian.
Based on the clinical history and blood reports, anaemia was made
and treatment started with ferrous sulphate and vitamin C.
a. What are the dietary sources of iron? Give daily requirements of
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iron (RDA) for adults?b. What are the causes of iron deficiency anaemia?
c. Why vitamin C is given to this patient? Explain the role of Vitamin
C in iron metabolism.
d. Why iron metabolism is called as one-way metabolism?
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e. What is the biochemical role (functions) of Iron. Give twoexamples of iron-containing enzymes?
4. Write short notes on: (10)
a. Significance of NADPH.
b. Renal mechanism for acid base regulation.
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c. Regulation of Blood calcium level.d. Complications of diabetes mellitus (A.654)
e. Ketogenesis and ketolysis. (A.295)
5. Explain briefly (Any three): (15)
a. Alcohol Metabolism.
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b. Difference between hemoglobin and Myoglobin.
c. Phenylketonuria (A.352)
d. Clinical importance of competitive enzyme inhibition.
Section 2
1. Beta oxidation of Long-Chain Saturated fatty acid (Palmitic acid -
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16c) and explain energy production from it. (20)2. Explain Why (Any fivc): (10)
a. Blood buffers act quickly but not permanently. (A.476)
b. Primaquine administration in G6PD deficient patients can
precipitate Hemolytic anaemia.
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c. For estimation of blood sugar, blood is collected in a fluoridebulb/vial.
d. Hyaluronidase is called as spreading factor.
e. A single intramuscular dose of Vitamin K is given to all newborns.
f. Deficiency of Lipoprotein lipase results in Hypertriglyceridemia.
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3. Explain briefly (Any four): (20)a. Cori's cycle.
b. Lung surfactant and respiratory distress syndrome.
c. Fatty liver - definition and causes.
d. Pellagra.
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e. Wilson's disease.***