PAPER CODE: MB2019102
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
WARANGAL, TELANGANA STATE ? 506 002
MBBS FIRST YEAR EXAMINATIONS: SEPTEMBER 2025
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BIOCHEMISTRY
PAPER ? II
Time: 3 Hours
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Max Marks: 100
Note: Answer all questions
Give Diagrammatic representation wherever necessary
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Multiple Choice Questions:--- Content provided by FirstRanker.com ---
10 X 1 = 101. Pulses are deficient in
a) Lysine
b) Threonine
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c) Methionine
d) Tryptophan
2. Which one of the following theories effectively explains the feature
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of immune response?
a) Selection theory
b) Germ line theory
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c) Template theoryd) Clonal selection theory
3. Chronic obstructive airway disease results in
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a) Respiratory acidosisb) Metabolic acidosis
c) Respiratory alkalosis
d) Metabolic alkalosis
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4. A hormone secreted from anterior pituitary is
a) Growth hormone
b) Vasopressin
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c) Oxytocin
d) Epinephrine
5. Molecules involved in immune response are
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a) MHC moleculesb) Cytokines
c) Chemokines
d) All the above
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6. Antioxidant enzymes are
a) Superoxide dismutase
b) Catalase
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(SOD)
c) Glutathione peroxidase
d) All the above
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7. Biotransformation takes place ina) Intestines
b) Lungs
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c) Skind) Liver
8. Serum acid phosphatase level increases in
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a) Carcinoma of Prostateb) Carcinoma of Lung
c) Carcinoma of Liver
d) Carcinoma of Oesophagus
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9. The predominant buffer system of plasma is the
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a) Albumin buffer
b) Bicarbonate buffer
c) Haemoglobin buffer
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d) Phosphate buffer10. The Peptide that protects RBC membrane is
a) Oxytocin
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b) Glutathionec) Vasopressin
d) Angiotensin
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Write an essay on the following:2 X 15 = 30
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11. Discuss the metabolism of Glycine. Give an account on biological importantcompounds synthesised from Glycine. Add a note on primary Hyperoxaluria.
(8+4+3)
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12. A 45-year-old obese lady presented to the causality with complaints of acuteright upper abdominal pain, mild fever, loss of appetite and generalized
itching. On further questioning, she gave history of frothy, clay coloured stool
and high coloured urine.
a) What is the probable diagnosis?
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b) Mention the laboratory tests you advise to confirm the diagnosis?c) Describe the normal bilirubin metabolism.
d) How do you relate the high coloured urine, itching and clay-coloured
stools with altered metabolic pathway of bilirubin in this condition.
(1+2+6+6)
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Write a short essay on the following:7 X 6 = 42
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13. Describe the Oncogenes and their role in Cancer with examples.14. Discuss the Renal mechanisms involved in regulation of blood pH.
15. Recombinant DNA technology and its applications.
16. What are your perspectives on lifelong learning by Physician?
17. Discuss the structure of normal Haemoglobin. Add a note on haemoglobin
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derivatives.18. What is Transamination and its significance? List two Transaminases.
19. Structure and functions of t-RNA.
Write briefly on the following:
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6 X 3 = 18
20. DNA polymerase.
21. Alkaptonuria.
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22. What is the normal anion gap? State its importance.23. Phase II detoxification.
24. Point mutation.
25. Porphyria Cutanea tarda.
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