K 4105
First Year MBBS Examination
I MBBS Biochemistry Paper 1
Time: 3 hours
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Max Marks: 50Instructions: 1. Answer to the points. 2. Figure
to the right indicates marks. 3. Use separate
answer books for each section. 4. Draw
diagrams wherever necessary. 5. Write legibly.
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Section 11. Give an account of: (any two) (10)
a) Atherosclerosis and significance of high
density lipoprotein (A. 228, 222)(C. 326, 320)
b) Glycogen storage diseases (A. 144) (C.269)
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c) Discuss how enzymes is classified? Write anaccount of various factors affecting enzyme
activity
2. Write Short notes on (any three) (9)
a) Enzyme inhibition (A. 63) (C.92)
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b) Classification of lipidsc) Disaccharides
d) Functions of cholesterol
e) Porphyrias (A. 328) (C.212)
3. Write Short notes on (any two) (6)
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a) Renal function test (A. 370) (C. 459)b) Metabolic acidosis (A. 402) (C.481)
c) Composition of urine
Section 2
4. Give an account on (any two) (10)
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a) Conjugation reaction in Detoxification and itsimportance (A. 525) (C. 640)
b) Glycogenolysis and its regulation (A. 140)
(C.265)
c) Oxidation of odd-chain fatty acids,
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mentioning the role of Vit-B125. A. Write Short notes on (any three) (9)
a) Carcinogens
b) Regulation of fatty acid synthesis
c) Importance of bile salts in digestion and
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absorption of fatsd) Clinical importance of HMP shunt
e) Health hazard of water pollution
6. Read the following case and answer the
questions in two or threee lines only.: Any
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six of the following: A middle aged
businessman aged 42 years was brought to
(6)
Dharpur civil hospital in semicomatoses patient
was a known case of NIDDM. He did not take
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antidiabetogenic drug for last 20-25 days.Ophthalmic checkup revealed cataract in both
cycs. Lab Report of blood sample taken at the
time of admission Random plasma glucose -
>45 mgs% 31cod ph->7.30, urine sugar ->
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++++ Ketone Bodies detected in urine sample ofpatient
a) Mention the likely cause of low blood ph in
this patient
b) Name ketone Bodies excreted in patient's
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urinec) Mention 2-3 differences between NIDDM and
IDDM
d) Mention the reason for polyuria in this patient
e) Why glucose level was elevated in this
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patient?
f) What is glycosylated Hb? Why it is often
estimated in patients of Diabetes Mellitus
g) Mention the name of hormone that brings
down blood glucose level in human being
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h) lodine deficiency leads to Goitre***