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[MBBS 0323] MARCH 2023 Sub. Code : 6055
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M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)
FIRST YEAR — SUPPLEMENTARY (CBME)
PAPER I - BIOCHEMISTRY
O.P. Code: 526055
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Time: Three hours Maximum : 100 Marks (80 Theory +20MCQs)
Answer All Questions
I. Essay: (2x15=30)
- A 21-year-old woman who recently began taking birth control pills presents to the emergency room with cramping abdominal pain, anxiety, paranoia, and hallucinations. A surgical evaluation, including ultrasound and computed tomography scan, fails to demonstrate an acute abdominal process. An urinalysis reveals an increase in urine ALA and PBG.
- What is your probable diagnosis?
- Which enzyme deficiency leads to this condition?
- Explain in detail the metabolic pathway that is defective in this patient.
- What is the biochemical basis of the clinical features?
- Give reasons for the development of symptoms after taking birth control pills.
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- How are dietary lipids digested and absorbed? Explain how lipids are transported in plasma.
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II. Write short notes on: (10 x 5=50)
- Chemiosmotic theory of Oxidative Phosphorylation.
- Polyol pathway and its importance in the pathogenesis of complications of Diabetes Mellitus.
- Competitive inhibition of enzyme activity.
- A 10 year old boy had difficulty in vision at night. However his vision was quite normal during day time except when he entered a dimly lit room. On investigation, his plasma retinol levels were found to be low.
- Suggest the probable diagnosis. Which nutrient deficiency causes this disease?
- Enumerate any four functions of the nutrient.
- Write a note on Wald's visual cycle.
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- Biological value of Proteins.
- Enumerate the compounds derived from cholesterol and mention their biochemical functions.
- Why is Kreb’s cycle anabolic in nature?
- Role of insulin and glucagon in the regulation of glycogen metabolism.
- Glycogen Storage Disorders.
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