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- Aug 10, 2006
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can any one solve these:
01. In galactosemia, accumulation of which compound in the lens of the eye causes cataract formation?
A. UDP-glucose
B. UDP-galactose
C. Galactose 1-phosphate
D. Galacturonic acid
E. Galactitol
02. Inadequate intestinal absorption of vitamin B12 might lead to a deficiency in which enzyme in fatty acid oxidation?
A. methylmalonyl-CoA mutase
B. L-3-hydroxyacyl-CoA dehydrogenase
C. Thiolase
D. enoyl-CoA hydratase
E. acyl-CoA dehydrogenase
03. All of the following are characteristic of cystic fibrosis EXCEPT:
A. increased clogging of pancreatic ducts.
B. decreased fertility in males.
C. decreased NaCl levels in sweat.
D. increased viscosity of lung airway secretions.
E. decreased intestinal secretion.
04. Patients with hereditary orotic aciduria are treated by feeding them uridine, which is converted to UMP and other missing pyrimidine nucleotides. This also corrects the over production of orotic acid because:
A. the de novo pathway is no longer blocked.
B. carbamoyl phosphate synthetase II is inhibited.
C. dihydroorotate can not be further oxidized.
D. the blockage occurs after the committed step.
E. purine nucleotide synthesis effectively competes for excess PRPP.
05. The conjugation of bilirubin
A. is impaired in Dubin-Johnson syndrome
B. occurs in the Kupfer cells of the liver
C. is inhibited by rifampicin
D. is catalysed by a glucuronyl transferase
E. is increased by valproate
06. Following conditions are associated with hyperuriaemia EXCEPT:
A. Down's syndrome
B. Starvation
C. Xanthinuria
D. Psoriasis
E. type I glycogen storage disease (Von Gierke's disease)
07. A 5-month-old male presents with seizures and delayed development. Upon newborn screen he was detected to have hyperphenylalaninemia and is on a phenylalanine-restricted, synthetic diet. The most likely cause for his current symptoms is a
A. defect in tetrahydrofolate reductase.
B. defect in dihydropteridine reductase.
C. tyrosine deficiency.
D. tryptophan deficiency.
E. defect in phenylalanine hydroxylase.
08. A serum sodium value of 115 mEq/liter may be associated with all of the following conditions EXCEPT:
A. Inappropriate antidiuretic hormone
B. Liver disease
C. Addison's disease
D. Water deprivation
09. The discontinuous nature of DNA synthesis:
A. Leads to the formation of Okazaki fragments
B. Means that both 3'->5' and 5'->3' polymerases are used
C. Requires that DNA polymerase III dissociate frequently from the template on both strands of a replication fork
D. Is necessary because synthesis is bidirectional from the initiation point
E. Means that synthesis occurs on the second strand of DNA only after synthesis of the first strand is completed
10. The deformation of an erythrocyte that occurs as this cell flows through a capillary is due to
A. a calcium-mediated phase transition of specific phospholipid classes
B. extensive changes in phospholipid asymmetry in the membrane
C. interactions between integral and peripheral membrane proteins
D. a loss of proteins that are anchored to the membrane by lipids
11. The rationale for treating pre-term neonates with surfactant preparations is to
A. stimulate synthesis of dipalmitoylphosphatidylcholine.
B. increase secretion of tubular myelin.
C. accelerate the phagocytic activity of alveolar macrophages.
D. regulate protein trafficking in the Golgi complex.
E. supplement decreased levels of monolayer lipids and proteins.
12. Ammonia is toxic to the central nervous system. One explanation for this toxicity is that reactions using ammonia in the brain deplete the TCA cycle of intermediates. Which following pair of enzymes catalyze these reactions?
A. Glutamate dehydrogenase and glutamine synthetase.
B. Glutathione synthetase and y-glutamyl transpeptidase.
C. Branched chain amino acid transaminase and branched chain keto acid dehydrogenase.
D. Glutaminase and glutamine synthetase.
E. Glutamate dehydrogenase and glutaminase.
13. following statements about chlorides are true EXCEPT:
A. serum chloride level is reduced in diarrhea
B. it is essential for bile formation
C. salivary amylase is activated by chlorides
D. it is involved in regulation of acid base balance
E. it is necessary for formation of gastric juice
14. If after drinking some milk a child develops a stomach ache and diarrhea, it might have:
A. diverticulosis or diverticulitis.
B. a total absence of the Kreb's cycle in all cells.
C. galactosemia.
D. lactose intolerance.
15. Concerning Leptin, all of follwing are true EXCEPT:
A. deficiency is associated with obesity
B. concentrations are positively correlated with body mass index
C. concentrations are usually higher in females than males
D. is a signal produced by adipose tissue
E. acts on the hypothalamus
16. A patient who is suffering from severe liver damage would be expected to show which of thefollowing clinical findings?
A. increased levels of bilirubin
B. decreased levels of bilirubin
C. increase levels of bilirubin diglucuronide
D. increased levels of urobilin and stercobilin
E. none of the above
17. Iron-protein complexes are important for all of the following EXCEPT
A. detoxification of drugs and other xenobiotics.
B. oxygen transport in muscle cells.
C. regulation of mRNA translation and stability.
D. electron transport in mitochondria.
E. storage of excess iron in the plasma.
18. Which of the following compounds is most toxic?
A. glycine
B. phenylpyruvate
C. phenylalanine
D. tyrosine
E. lysine
19. Which of the following antibiotics might allow the formation of a peptide dimer?
A. Erythromycin
B. Tetracycline
C. Chloramphenicol
D. Streptomycin
20. A patient with a PCO2 of 30 and a base deficit of +2 most likely has:
A. respiratory acidosis
B. respiratory alkalosis
C. metabolic acidosis
D. metabolic alkalosis
01. In galactosemia, accumulation of which compound in the lens of the eye causes cataract formation?
A. UDP-glucose
B. UDP-galactose
C. Galactose 1-phosphate
D. Galacturonic acid
E. Galactitol
02. Inadequate intestinal absorption of vitamin B12 might lead to a deficiency in which enzyme in fatty acid oxidation?
A. methylmalonyl-CoA mutase
B. L-3-hydroxyacyl-CoA dehydrogenase
C. Thiolase
D. enoyl-CoA hydratase
E. acyl-CoA dehydrogenase
03. All of the following are characteristic of cystic fibrosis EXCEPT:
A. increased clogging of pancreatic ducts.
B. decreased fertility in males.
C. decreased NaCl levels in sweat.
D. increased viscosity of lung airway secretions.
E. decreased intestinal secretion.
04. Patients with hereditary orotic aciduria are treated by feeding them uridine, which is converted to UMP and other missing pyrimidine nucleotides. This also corrects the over production of orotic acid because:
A. the de novo pathway is no longer blocked.
B. carbamoyl phosphate synthetase II is inhibited.
C. dihydroorotate can not be further oxidized.
D. the blockage occurs after the committed step.
E. purine nucleotide synthesis effectively competes for excess PRPP.
05. The conjugation of bilirubin
A. is impaired in Dubin-Johnson syndrome
B. occurs in the Kupfer cells of the liver
C. is inhibited by rifampicin
D. is catalysed by a glucuronyl transferase
E. is increased by valproate
06. Following conditions are associated with hyperuriaemia EXCEPT:
A. Down's syndrome
B. Starvation
C. Xanthinuria
D. Psoriasis
E. type I glycogen storage disease (Von Gierke's disease)
07. A 5-month-old male presents with seizures and delayed development. Upon newborn screen he was detected to have hyperphenylalaninemia and is on a phenylalanine-restricted, synthetic diet. The most likely cause for his current symptoms is a
A. defect in tetrahydrofolate reductase.
B. defect in dihydropteridine reductase.
C. tyrosine deficiency.
D. tryptophan deficiency.
E. defect in phenylalanine hydroxylase.
08. A serum sodium value of 115 mEq/liter may be associated with all of the following conditions EXCEPT:
A. Inappropriate antidiuretic hormone
B. Liver disease
C. Addison's disease
D. Water deprivation
09. The discontinuous nature of DNA synthesis:
A. Leads to the formation of Okazaki fragments
B. Means that both 3'->5' and 5'->3' polymerases are used
C. Requires that DNA polymerase III dissociate frequently from the template on both strands of a replication fork
D. Is necessary because synthesis is bidirectional from the initiation point
E. Means that synthesis occurs on the second strand of DNA only after synthesis of the first strand is completed
10. The deformation of an erythrocyte that occurs as this cell flows through a capillary is due to
A. a calcium-mediated phase transition of specific phospholipid classes
B. extensive changes in phospholipid asymmetry in the membrane
C. interactions between integral and peripheral membrane proteins
D. a loss of proteins that are anchored to the membrane by lipids
11. The rationale for treating pre-term neonates with surfactant preparations is to
A. stimulate synthesis of dipalmitoylphosphatidylcholine.
B. increase secretion of tubular myelin.
C. accelerate the phagocytic activity of alveolar macrophages.
D. regulate protein trafficking in the Golgi complex.
E. supplement decreased levels of monolayer lipids and proteins.
12. Ammonia is toxic to the central nervous system. One explanation for this toxicity is that reactions using ammonia in the brain deplete the TCA cycle of intermediates. Which following pair of enzymes catalyze these reactions?
A. Glutamate dehydrogenase and glutamine synthetase.
B. Glutathione synthetase and y-glutamyl transpeptidase.
C. Branched chain amino acid transaminase and branched chain keto acid dehydrogenase.
D. Glutaminase and glutamine synthetase.
E. Glutamate dehydrogenase and glutaminase.
13. following statements about chlorides are true EXCEPT:
A. serum chloride level is reduced in diarrhea
B. it is essential for bile formation
C. salivary amylase is activated by chlorides
D. it is involved in regulation of acid base balance
E. it is necessary for formation of gastric juice
14. If after drinking some milk a child develops a stomach ache and diarrhea, it might have:
A. diverticulosis or diverticulitis.
B. a total absence of the Kreb's cycle in all cells.
C. galactosemia.
D. lactose intolerance.
15. Concerning Leptin, all of follwing are true EXCEPT:
A. deficiency is associated with obesity
B. concentrations are positively correlated with body mass index
C. concentrations are usually higher in females than males
D. is a signal produced by adipose tissue
E. acts on the hypothalamus
16. A patient who is suffering from severe liver damage would be expected to show which of thefollowing clinical findings?
A. increased levels of bilirubin
B. decreased levels of bilirubin
C. increase levels of bilirubin diglucuronide
D. increased levels of urobilin and stercobilin
E. none of the above
17. Iron-protein complexes are important for all of the following EXCEPT
A. detoxification of drugs and other xenobiotics.
B. oxygen transport in muscle cells.
C. regulation of mRNA translation and stability.
D. electron transport in mitochondria.
E. storage of excess iron in the plasma.
18. Which of the following compounds is most toxic?
A. glycine
B. phenylpyruvate
C. phenylalanine
D. tyrosine
E. lysine
19. Which of the following antibiotics might allow the formation of a peptide dimer?
A. Erythromycin
B. Tetracycline
C. Chloramphenicol
D. Streptomycin
20. A patient with a PCO2 of 30 and a base deficit of +2 most likely has:
A. respiratory acidosis
B. respiratory alkalosis
C. metabolic acidosis
D. metabolic alkalosis