First Year MBBS Examination
I MBBS Biochemistry Paper 2
Time: 3 hours
Max Marks: 50
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Date: 10-12-2019Instructions: 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 on any two (10)
a. Causes and deficiency manifestations of
Vitamin B12.
b. Repair mechanism of damaged DNA and
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associated disorders.c. Recombinant DNA Technology and its
applications.
2. Write Short Note on any three (9)
a. Phase I reactions of detoxification
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mechanism.
b. Use of Radio-isotopes in Medicine.
c. Gene Therapy.
d. Plasma proteins as diagnostic tools.
e. Lac operon.
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3. Read the following case and answer in two orthree lines: A 65 years old man presented
With back pain, loss of weight and
breathlessness. On examination he was (6)
anaemic. Investigations showed:Hb
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7gm/dL,Serum totalproteins:10.5gm/dL,albumin 3 gm/dl.scrum
urca 48 gm/dl, serum Creatinine 2.4mg/dL
serum protein electrophoresis showed M
band in gamma region. In urine, Bence
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dones Protein were present. Radiologicalexamination showed punched out lytic
lesions in lumbar vertebrae, ribs, pelvis
vertebrae, ribs and pelvis.
a. What is the likely diagnosis?
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b. Enlist any two other conditions in which A-G ratio is reversed.
c. What are Bence Jones Proteins?
d. What is the normal pattern of serum
proteins in electrophoresis?
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e. How are paraproteins (Mycloma Proteins)different from normal immunoglobulin
molecule?
f. How Bence Jones Proteins are detected in
urine?
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Section 21. Give an account on any two: (10)
a. Protein Energy Malnutrition (PEM).
b. Sources, absorption, transport, functions
and disorders of Calcium,
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c. Disorders of Aromatic Amino Acids.2. Write Short Note on any three (9)
a. Salvage pathway of purines and its
importance.
b. Biologically active nucleotides.
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c. Wald's Visual Cycle.d. Antioxidant Vitamins Rear
e. Glycemic Index
3. Comment and justify on any six of the
following: (6)
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a. Lead poisoning causes anemia.b. Replication is semi-conservative.
c. Hemolysed samples should not be used
for estimation of Potassium.
d. Puromycin results in production of
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incomplete proteins.e. Hyperammonemia is toxic.
f. Methotraxate is an anticancer drug.
g. Serum TIBC is increased in iron deficiency
anemia.
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h. Vitamin K is required for blood coagulationprocess.
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