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Aminoaciduria is a protein metabolism disorder where excess amino acids are present in the urine. It occurs when more than 5% of filtered amino acids are excreted in the urine instead of being reabsorbed by the kidneys. Aminoaciduria can be caused by defects in renal reabsorption, increased amino acid levels in the blood overwhelming reabsorption capacity, or abnormal excretion of amino acid byproducts. Treatment depends on the underlying cause but may include dietary restrictions, increased fluid intake, or medications to help the kidneys clear excess amino acids.
1) Chemical kinetics describes relationships between reaction rates and concentrations of reactants and products. Enzyme kinetics follows Michaelis-Menten kinetics which describes reaction rates at varying substrate concentrations.
2) The Michaelis-Menten equation models reaction rates as substrate concentration increases, with an initial linear increase until reaching the maximum reaction rate (Vmax) at substrate saturation.
3) The Michaelis constant KM represents the substrate concentration at half Vmax and indicates an enzyme's affinity for its substrate. Lower KM means higher affinity.
Definition:
Many childhood conditions are caused by gene mutations that encode specific proteins. These mutations can result in the alteration of primary protein structure or the amount of protein synthesized.
The functional ability of protein, whether it is an enzyme, receptors, transport vehicle, membrane, or structural element, may be relatively or seriously compromised.
These hereditary biochemical disorders are collectively termed as ‘’Inborn errors of metabolism’’
Lactate dehydrogenase (LDH) is an enzyme that catalyzes the conversion of lactate to pyruvate. It exists as five isoenzymes (LDH-1 to LDH-5) that differ in their subunit composition and electric charge. The isoenzymes show varying tissue distribution, catalytic properties, and clinical significance. Elevated levels of specific isoenzymes can help identify the origin of tissue damage, as LDH-1 and LDH-2 indicate myocardial infarction while LDH-4 and LDH-5 signify liver damage. The LDH isoenzyme pattern also provides information about different cancer types.
This document summarizes key information about the metabolism of the branched chain amino acids valine, leucine, and isoleucine. It discusses that they are essential amino acids whose metabolism begins in muscle tissue. The first three reactions - transamination, oxidative decarboxylation, and dehydrogenation - are common to all three amino acids. Conditions like maple syrup urine disease and isovaleric acidemia occur due to defects in later steps of this metabolic pathway.
Enzyme kinetics is the study of enzyme-catalyzed reaction rates. The Michaelis-Menten equation relates reaction velocity to substrate concentration and kinetic parameters. It describes the hyperbolic relationship between velocity and substrate concentration. The equation can be linearized into the Lineweaver-Burk plot for easier analysis. Enzyme inhibition studies help understand reaction mechanisms and are important for drug development, as most drugs function by inhibiting specific enzymes.
Aminoaciduria is a protein metabolism disorder where excess amino acids are present in the urine. It occurs when more than 5% of filtered amino acids are excreted in the urine instead of being reabsorbed by the kidneys. Aminoaciduria can be caused by defects in renal reabsorption, increased amino acid levels in the blood overwhelming reabsorption capacity, or abnormal excretion of amino acid byproducts. Treatment depends on the underlying cause but may include dietary restrictions, increased fluid intake, or medications to help the kidneys clear excess amino acids.
1) Chemical kinetics describes relationships between reaction rates and concentrations of reactants and products. Enzyme kinetics follows Michaelis-Menten kinetics which describes reaction rates at varying substrate concentrations.
2) The Michaelis-Menten equation models reaction rates as substrate concentration increases, with an initial linear increase until reaching the maximum reaction rate (Vmax) at substrate saturation.
3) The Michaelis constant KM represents the substrate concentration at half Vmax and indicates an enzyme's affinity for its substrate. Lower KM means higher affinity.
Definition:
Many childhood conditions are caused by gene mutations that encode specific proteins. These mutations can result in the alteration of primary protein structure or the amount of protein synthesized.
The functional ability of protein, whether it is an enzyme, receptors, transport vehicle, membrane, or structural element, may be relatively or seriously compromised.
These hereditary biochemical disorders are collectively termed as ‘’Inborn errors of metabolism’’
Lactate dehydrogenase (LDH) is an enzyme that catalyzes the conversion of lactate to pyruvate. It exists as five isoenzymes (LDH-1 to LDH-5) that differ in their subunit composition and electric charge. The isoenzymes show varying tissue distribution, catalytic properties, and clinical significance. Elevated levels of specific isoenzymes can help identify the origin of tissue damage, as LDH-1 and LDH-2 indicate myocardial infarction while LDH-4 and LDH-5 signify liver damage. The LDH isoenzyme pattern also provides information about different cancer types.
This document summarizes key information about the metabolism of the branched chain amino acids valine, leucine, and isoleucine. It discusses that they are essential amino acids whose metabolism begins in muscle tissue. The first three reactions - transamination, oxidative decarboxylation, and dehydrogenation - are common to all three amino acids. Conditions like maple syrup urine disease and isovaleric acidemia occur due to defects in later steps of this metabolic pathway.
Enzyme kinetics is the study of enzyme-catalyzed reaction rates. The Michaelis-Menten equation relates reaction velocity to substrate concentration and kinetic parameters. It describes the hyperbolic relationship between velocity and substrate concentration. The equation can be linearized into the Lineweaver-Burk plot for easier analysis. Enzyme inhibition studies help understand reaction mechanisms and are important for drug development, as most drugs function by inhibiting specific enzymes.
This document provides an overview of immunochemistry and the immune system. It discusses the innate and acquired immune responses, cells of the immune system including lymphocytes, antigens, immunogens, and the mechanisms of humoral and cell-mediated immunity. The key cells discussed are B lymphocytes and T lymphocytes, and their roles in the adaptive immune response through antibody production and activation of other immune cells.
1) Most molecules enter the citric acid cycle as acetyl-CoA. The cycle has three stages: acetyl-CoA production, acetyl-CoA oxidation, and electron transfer.
2) The cycle uses oxygen as the ultimate electron acceptor, completely oxidizes organic substrates to CO2 and H2O, and conserves energy as ATP. Reactions occur in the mitochondrial matrix.
3) Key steps include the condensation of acetyl-CoA and oxaloacetate to form citrate, and a series of oxidation and decarboxylation reactions that generate NADH and FADH2 and regenerate oxaloacetate, completing the cycle.
The citric acid cycle is a series of chemical reactions in the mitochondria that breaks down acetyl groups from carbohydrates, fats, and proteins to produce carbon dioxide, ATP, and reduced coenzymes like NADH and FADH2. It begins with the reaction between acetyl-CoA and oxaloacetate to form citrate, and involves several intermediates that are oxidized and decarboxylated while coenzymes like NAD+ and FAD are reduced. This aerobic process occurs in most tissues but is most significant in the liver, and impairment can lead to hyperammonemia and loss of consciousness. Key vitamins like riboflavin, niacin, th
Plasma enzymes can be either plasma-derived or cell-derived. Lactate dehydrogenase (LDH) and creatine phosphokinase (CPK) are examples of enzymes that exist as multiple isoenzyme forms with tissue-specific patterns. Measurement of isoenzyme levels can provide clinical information about tissue injury or disease. For example, elevated levels of specific LDH or CPK isoenzymes can indicate myocardial infarction, while others may signify muscle, liver, or cancerous diseases. Alkaline phosphatase also demonstrates isoenzyme patterns that are increased in conditions like liver obstruction or bone diseases.
This document summarizes the metabolism of the branched chain amino acids valine, leucine, and isoleucine. It describes how they are first transaminated to their corresponding keto acids, then undergo oxidative decarboxylation by alpha-keto acid dehydrogenase to form acyl-CoA thioesters. These are further dehydrogenated and enter different pathways, with valine being converted to propionyl-CoA and being glycogenic, leucine producing acetyl-CoA and acetoacetate and being ketogenic, and isoleucine undergoing both glycogenic and ketogenic fates. Defects in these pathways can cause diseases like maple syrup urine disease.
1. Enzymes can be inhibited through various mechanisms including competitive, non-competitive, uncompetitive, and allosteric inhibition. Competitive inhibitors compete with the substrate for the active site, increasing Km and leaving Vmax unchanged. Non-competitive inhibitors bind elsewhere, decreasing Vmax but not affecting Km.
2. Enzyme inhibition has clinical significance in drug action and toxicology. Competitive inhibitors like sulfonamides and methotrexate are used as drugs, while non-competitive inhibitors like cyanide and heavy metals can be toxic.
3. Allosteric inhibition involves effectors binding at sites other than the active site to induce a conformational change, decreasing Vmax
The term ‘complement’ refers to set of serum proteins that cooperate in both innate and adaptive immune system to eliminate blood tissue pathogens.
It was 1st identified as heat labile component of serum.
Major effectors of hormonal branch of immune system.
Paul Ehrlich in Berlin independently carried out similar experiments & coined the term COMPLEMENT, defining it as ‘’ the activity of blood serum that completes the action of antibody.’’
In later years it was revealed that the action of complement is basically the result of interaction of large & complex group of proteins.Most of the components of complement system are synthesized in liver by hepatocytes, epithelial cells of gastrointestinal & genitourinary tracts.
it consist up of 15% of globular proteins fraction in plasma & combined conc. Is about 3 mg/ml.
These are the glycoproteins distributed among blood plasma & cell membrane.After activation several components interact in regulated cascade to carry out no. of basic functions…..
Lysis if cells .( bacteria , virus)
Opsonization, that promote phagocytosis of particulate antigens.
Activation of inflammatory response.
Immune clearance.
Chemotaxis.
Lysis refers to the breaking down of the cells' membrane , by viral, enzymic, or osmotic mechanisms that compromise its integrity.
A fluid containing the contents of lysed cells is called a "lysate".
Cell lysis is used to break open cells to avoid shear forces that would denature or degrade sensitive proteins and DNA.
The document discusses several disorders of carbohydrate metabolism including galactosemia, hereditary fructose intolerance, lactose intolerance, hypoglycemia, and diabetes mellitus. Galactosemia is caused by a deficiency of enzymes needed to break down galactose and can cause liver damage, jaundice, and intellectual disability if untreated. Hereditary fructose intolerance is caused by a lack of the aldolase B enzyme needed to break down fructose and consumption of fructose can lead to liver failure. Lactose intolerance is caused by a lack of the lactase enzyme resulting in gastrointestinal issues upon consuming dairy. Hypoglycemia and diabetes mellitus are disorders characterized by low
Suicidal inhibition
These HIV protease inhibitors act by binding irreversibly to the active site of the viral protease enzyme, rendering it unable to function. This mechanism is known as suicidal inhibition.
The key aspects are:
- They bind irreversibly to the active site
- Rendering the enzyme unable to function
- This is considered suicidal inhibition
The other proposed inhibition types (competitive, non-competitive, uncompetitive) do not accurately describe this mechanism.
The document summarizes various tests used to study gastric acid secretion and analyze stomach contents. It describes how the stomach produces hydrochloric acid (HCl) via parietal cells and the role of hormones like gastrin in stimulating acid production. Different tests are outlined that involve collecting gastric juice via a tube or resin to measure acidity levels under basal and stimulated conditions and assess acid output and responses to foods, drugs, and diseases.
B cell Activation by T Independent & T Dependent Antigens-Dr C R MeeraMeera C R
During humoral immune response, Ab production is brought about by B lymphocytes. Based on the ability to induce Ab formation, antigens can be classified into T independent and T dependent antigens. Some antigens can directly induce the B cells to produce the Abs and are called T Independent Ans. However, some Ans require the help of T lymohocytes for the production of Abs from B cells. These Ans are called T Dependent Ans.
1. The document discusses enzyme kinetics and the factors that affect it, including concentration of enzyme and substrate, temperature, pH, product concentration, and activators.
2. It also covers enzyme inhibition, describing reversible inhibition as competitive or non-competitive, and irreversible inhibition.
3. Key concepts explained are Michaelis-Menten kinetics, the Michaelis constant Km, Lineweaver-Burk plots, and the effects of various factors on the reaction rate.
ENZYME INHIBITION & FACTORS AFFECTING THE VELOCITY OF ENZYME ACTIONYESANNA
This document discusses several key factors that affect enzyme activity:
1. Enzyme and substrate concentration - Reaction rate increases with increasing concentrations of enzyme and substrate up to a maximum.
2. Temperature and pH - Enzymes have optimal temperatures and pH levels for activity. Outside these ranges, activity decreases.
3. Inhibitors and activators - Substances that bind enzymes can inhibit or activate their activity, altering reaction rates. Common types of inhibitors are competitive, non-competitive, and uncompetitive.
This document discusses enzymes, coenzymes, and cofactors. It covers the classification, structure, and function of enzymes. Key points include:
1. Enzymes are proteins that act as catalysts and increase the rate of biochemical reactions without being consumed.
2. Coenzymes and cofactors are non-protein molecules required for enzymatic activity. Coenzymes include NAD+, FAD, and ATP.
3. Enzymes can be classified based on their catalytic action, such as oxidoreductases, transferases, hydrolases, lyases, isomerases, and ligases.
This document discusses creatine kinase (CK), an enzyme that plays an important role in energy metabolism. It has three isoenzymes - CK-MM found mainly in skeletal muscle, CK-MB found in heart muscle, and CK-BB found primarily in brain and smooth muscles. CK levels are measured to diagnose conditions like heart attack, muscle damage, and brain injury. An elevated CK level suggests muscle or tissue damage, with each isoenzyme rising in response to damage in its specific tissues. The test is also used to monitor muscle diseases and can be affected by exercise, medications, toxins, and other clinical factors.
Protein which are major component of our diet have amino acid as their precursor and also act as important energy source. Any imbalance in the metabolism of these amino acid cause disorders
This presentation deals with basics of enzyme kinetics and introduction to various plots which aid in understanding the mechanism of inhibition of enzymes.
This document summarizes the metabolism of branched chain amino acids (BCAAs) - valine, isoleucine, and leucine. It discusses that the initial reactions in BCAA catabolism are common, involving transamination, oxidative decarboxylation, and dehydrogenation to form acyl-CoA derivatives. It then explains that the subsequent catabolism of each BCAA differs and leads to the formation of acetyl-CoA and succinyl-CoA. One key point is that defects in BCAA catabolism can cause metabolic disorders like maple syrup urine disease, where the branch chain keto acid dehydrogenase enzyme is deficient.
This document discusses enzymes that are used as therapeutic agents. It describes the properties of enzymes including their catalytic and heat-sensitive nature. Therapeutic enzymes can be used to treat various diseases safely when used with other therapies. Examples of therapeutic enzymes from animal, plant and microbial sources are provided, including streptokinase, urokinase, nattokinase and pancreatic enzymes. The mechanisms and advantages of using enzymes therapeutically are also summarized.
The complement system is a group of serum proteins that participate in the innate and adaptive immune response. It is activated via three pathways: the classical, alternative, and lectin pathways. The complement system helps destroy invading microorganisms through the membrane attack complex, which forms pores in target cells leading to cell lysis. It also contributes to inflammation, opsonization of pathogens for phagocytosis, viral neutralization, and clearance of immune complexes.
This document provides information about a book titled "Review of Surgery for Students" written by Dr. Krishna Adit Agarwal and Dr. Avantika Singh. It includes a preface, acknowledgements, list of contributing authors and descriptions of the authors. The book is aimed at providing concise and high-yield information to undergraduate medical students preparing for surgery exams in India and abroad. It features a point-wise approach to topics based on the Indian exam pattern. Only essential line diagrams are included to help students achieve higher scores. The authors consulted standard surgery textbooks and online resources in preparing this review book. Being the first edition, errors may exist and feedback is welcome. The goal is to help students retain information and
This document provides an overview of immunochemistry and the immune system. It discusses the innate and acquired immune responses, cells of the immune system including lymphocytes, antigens, immunogens, and the mechanisms of humoral and cell-mediated immunity. The key cells discussed are B lymphocytes and T lymphocytes, and their roles in the adaptive immune response through antibody production and activation of other immune cells.
1) Most molecules enter the citric acid cycle as acetyl-CoA. The cycle has three stages: acetyl-CoA production, acetyl-CoA oxidation, and electron transfer.
2) The cycle uses oxygen as the ultimate electron acceptor, completely oxidizes organic substrates to CO2 and H2O, and conserves energy as ATP. Reactions occur in the mitochondrial matrix.
3) Key steps include the condensation of acetyl-CoA and oxaloacetate to form citrate, and a series of oxidation and decarboxylation reactions that generate NADH and FADH2 and regenerate oxaloacetate, completing the cycle.
The citric acid cycle is a series of chemical reactions in the mitochondria that breaks down acetyl groups from carbohydrates, fats, and proteins to produce carbon dioxide, ATP, and reduced coenzymes like NADH and FADH2. It begins with the reaction between acetyl-CoA and oxaloacetate to form citrate, and involves several intermediates that are oxidized and decarboxylated while coenzymes like NAD+ and FAD are reduced. This aerobic process occurs in most tissues but is most significant in the liver, and impairment can lead to hyperammonemia and loss of consciousness. Key vitamins like riboflavin, niacin, th
Plasma enzymes can be either plasma-derived or cell-derived. Lactate dehydrogenase (LDH) and creatine phosphokinase (CPK) are examples of enzymes that exist as multiple isoenzyme forms with tissue-specific patterns. Measurement of isoenzyme levels can provide clinical information about tissue injury or disease. For example, elevated levels of specific LDH or CPK isoenzymes can indicate myocardial infarction, while others may signify muscle, liver, or cancerous diseases. Alkaline phosphatase also demonstrates isoenzyme patterns that are increased in conditions like liver obstruction or bone diseases.
This document summarizes the metabolism of the branched chain amino acids valine, leucine, and isoleucine. It describes how they are first transaminated to their corresponding keto acids, then undergo oxidative decarboxylation by alpha-keto acid dehydrogenase to form acyl-CoA thioesters. These are further dehydrogenated and enter different pathways, with valine being converted to propionyl-CoA and being glycogenic, leucine producing acetyl-CoA and acetoacetate and being ketogenic, and isoleucine undergoing both glycogenic and ketogenic fates. Defects in these pathways can cause diseases like maple syrup urine disease.
1. Enzymes can be inhibited through various mechanisms including competitive, non-competitive, uncompetitive, and allosteric inhibition. Competitive inhibitors compete with the substrate for the active site, increasing Km and leaving Vmax unchanged. Non-competitive inhibitors bind elsewhere, decreasing Vmax but not affecting Km.
2. Enzyme inhibition has clinical significance in drug action and toxicology. Competitive inhibitors like sulfonamides and methotrexate are used as drugs, while non-competitive inhibitors like cyanide and heavy metals can be toxic.
3. Allosteric inhibition involves effectors binding at sites other than the active site to induce a conformational change, decreasing Vmax
The term ‘complement’ refers to set of serum proteins that cooperate in both innate and adaptive immune system to eliminate blood tissue pathogens.
It was 1st identified as heat labile component of serum.
Major effectors of hormonal branch of immune system.
Paul Ehrlich in Berlin independently carried out similar experiments & coined the term COMPLEMENT, defining it as ‘’ the activity of blood serum that completes the action of antibody.’’
In later years it was revealed that the action of complement is basically the result of interaction of large & complex group of proteins.Most of the components of complement system are synthesized in liver by hepatocytes, epithelial cells of gastrointestinal & genitourinary tracts.
it consist up of 15% of globular proteins fraction in plasma & combined conc. Is about 3 mg/ml.
These are the glycoproteins distributed among blood plasma & cell membrane.After activation several components interact in regulated cascade to carry out no. of basic functions…..
Lysis if cells .( bacteria , virus)
Opsonization, that promote phagocytosis of particulate antigens.
Activation of inflammatory response.
Immune clearance.
Chemotaxis.
Lysis refers to the breaking down of the cells' membrane , by viral, enzymic, or osmotic mechanisms that compromise its integrity.
A fluid containing the contents of lysed cells is called a "lysate".
Cell lysis is used to break open cells to avoid shear forces that would denature or degrade sensitive proteins and DNA.
The document discusses several disorders of carbohydrate metabolism including galactosemia, hereditary fructose intolerance, lactose intolerance, hypoglycemia, and diabetes mellitus. Galactosemia is caused by a deficiency of enzymes needed to break down galactose and can cause liver damage, jaundice, and intellectual disability if untreated. Hereditary fructose intolerance is caused by a lack of the aldolase B enzyme needed to break down fructose and consumption of fructose can lead to liver failure. Lactose intolerance is caused by a lack of the lactase enzyme resulting in gastrointestinal issues upon consuming dairy. Hypoglycemia and diabetes mellitus are disorders characterized by low
Suicidal inhibition
These HIV protease inhibitors act by binding irreversibly to the active site of the viral protease enzyme, rendering it unable to function. This mechanism is known as suicidal inhibition.
The key aspects are:
- They bind irreversibly to the active site
- Rendering the enzyme unable to function
- This is considered suicidal inhibition
The other proposed inhibition types (competitive, non-competitive, uncompetitive) do not accurately describe this mechanism.
The document summarizes various tests used to study gastric acid secretion and analyze stomach contents. It describes how the stomach produces hydrochloric acid (HCl) via parietal cells and the role of hormones like gastrin in stimulating acid production. Different tests are outlined that involve collecting gastric juice via a tube or resin to measure acidity levels under basal and stimulated conditions and assess acid output and responses to foods, drugs, and diseases.
B cell Activation by T Independent & T Dependent Antigens-Dr C R MeeraMeera C R
During humoral immune response, Ab production is brought about by B lymphocytes. Based on the ability to induce Ab formation, antigens can be classified into T independent and T dependent antigens. Some antigens can directly induce the B cells to produce the Abs and are called T Independent Ans. However, some Ans require the help of T lymohocytes for the production of Abs from B cells. These Ans are called T Dependent Ans.
1. The document discusses enzyme kinetics and the factors that affect it, including concentration of enzyme and substrate, temperature, pH, product concentration, and activators.
2. It also covers enzyme inhibition, describing reversible inhibition as competitive or non-competitive, and irreversible inhibition.
3. Key concepts explained are Michaelis-Menten kinetics, the Michaelis constant Km, Lineweaver-Burk plots, and the effects of various factors on the reaction rate.
ENZYME INHIBITION & FACTORS AFFECTING THE VELOCITY OF ENZYME ACTIONYESANNA
This document discusses several key factors that affect enzyme activity:
1. Enzyme and substrate concentration - Reaction rate increases with increasing concentrations of enzyme and substrate up to a maximum.
2. Temperature and pH - Enzymes have optimal temperatures and pH levels for activity. Outside these ranges, activity decreases.
3. Inhibitors and activators - Substances that bind enzymes can inhibit or activate their activity, altering reaction rates. Common types of inhibitors are competitive, non-competitive, and uncompetitive.
This document discusses enzymes, coenzymes, and cofactors. It covers the classification, structure, and function of enzymes. Key points include:
1. Enzymes are proteins that act as catalysts and increase the rate of biochemical reactions without being consumed.
2. Coenzymes and cofactors are non-protein molecules required for enzymatic activity. Coenzymes include NAD+, FAD, and ATP.
3. Enzymes can be classified based on their catalytic action, such as oxidoreductases, transferases, hydrolases, lyases, isomerases, and ligases.
This document discusses creatine kinase (CK), an enzyme that plays an important role in energy metabolism. It has three isoenzymes - CK-MM found mainly in skeletal muscle, CK-MB found in heart muscle, and CK-BB found primarily in brain and smooth muscles. CK levels are measured to diagnose conditions like heart attack, muscle damage, and brain injury. An elevated CK level suggests muscle or tissue damage, with each isoenzyme rising in response to damage in its specific tissues. The test is also used to monitor muscle diseases and can be affected by exercise, medications, toxins, and other clinical factors.
Protein which are major component of our diet have amino acid as their precursor and also act as important energy source. Any imbalance in the metabolism of these amino acid cause disorders
This presentation deals with basics of enzyme kinetics and introduction to various plots which aid in understanding the mechanism of inhibition of enzymes.
This document summarizes the metabolism of branched chain amino acids (BCAAs) - valine, isoleucine, and leucine. It discusses that the initial reactions in BCAA catabolism are common, involving transamination, oxidative decarboxylation, and dehydrogenation to form acyl-CoA derivatives. It then explains that the subsequent catabolism of each BCAA differs and leads to the formation of acetyl-CoA and succinyl-CoA. One key point is that defects in BCAA catabolism can cause metabolic disorders like maple syrup urine disease, where the branch chain keto acid dehydrogenase enzyme is deficient.
This document discusses enzymes that are used as therapeutic agents. It describes the properties of enzymes including their catalytic and heat-sensitive nature. Therapeutic enzymes can be used to treat various diseases safely when used with other therapies. Examples of therapeutic enzymes from animal, plant and microbial sources are provided, including streptokinase, urokinase, nattokinase and pancreatic enzymes. The mechanisms and advantages of using enzymes therapeutically are also summarized.
The complement system is a group of serum proteins that participate in the innate and adaptive immune response. It is activated via three pathways: the classical, alternative, and lectin pathways. The complement system helps destroy invading microorganisms through the membrane attack complex, which forms pores in target cells leading to cell lysis. It also contributes to inflammation, opsonization of pathogens for phagocytosis, viral neutralization, and clearance of immune complexes.
This document provides information about a book titled "Review of Surgery for Students" written by Dr. Krishna Adit Agarwal and Dr. Avantika Singh. It includes a preface, acknowledgements, list of contributing authors and descriptions of the authors. The book is aimed at providing concise and high-yield information to undergraduate medical students preparing for surgery exams in India and abroad. It features a point-wise approach to topics based on the Indian exam pattern. Only essential line diagrams are included to help students achieve higher scores. The authors consulted standard surgery textbooks and online resources in preparing this review book. Being the first edition, errors may exist and feedback is welcome. The goal is to help students retain information and
This document provides an introduction to research methodology in health care. It outlines different types of research including basic and applied research as well as quantitative and qualitative research. The importance of research is discussed in improving health at both individual and population levels. Challenges to conducting research are also mentioned. Key aspects of research methodology covered include clearly defining the problem, objectives, and methods as well as building on existing data through a systematic process with the aim of generating new knowledge.
Question Bank Preparation Procedure and Planvirengeeta
The document provides guidance on preparing a question bank or questionnaire. It discusses the purposes of question bank preparation, such as improving teaching and evaluation. It provides suggestions for constructing questionnaires, including determining what to ask, wording questions clearly, and pretesting the questionnaire. Various types of questions are also described, such as open-ended, closed-ended, rating scale, and multiple choice questions. Guidelines are given for formulating the questionnaire and ensuring valid responses.
The world, as we know, has changed. It has become imperative for the governments, employers, workers' organizations, and the global community to adopt workforce protection measures in the fight against COVID-19. These organizations should strengthen capacities to protect health workers and emergency responders, providing them with Occupational Health Services, thus ensuring occupational health and safety. Health workers are at the front line of the COVID-19 outbreak response and hence exposed to hazards that put them at a high risk of infection. Hazards include pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence.
As the crisis is set to deepen in the coming months, the absence of adequate protection measures has further amplified the fear of COVID-19 infection and hence put a huge strain on the mental health and psychosocial aspects of health workers. All these have resulted in high rates of absenteeism/absconding and depletion of the Health Workforce. What best practices could safeguard the most precision resource against the COVID-19 outbreak – the healthcare workers? How can we build resilience and boost morale among our health workers?
Here's the webinar "Caring for Caregivers – COVID-19 Crisis and Best Practices for Healthcare Organizations" hosted by QurHealth, a division of GMI, a Chennai-based Health-tech, Research and Innovation Center for Ventech Solutions, USA. QurHealth’s Family Health Book Suite goFHB is a clinical data digitalization & management solution for healthcare organizations that enables them to send patient health records over myFHB application to their patients. Our last three webinars saw 400+ registrations and 250+ delegates participating and promoting active discussion on industry-specific subjects. The upcoming webinar with Healthcare experts will focus on “Caring for Caregivers” addressing the queries and doubts in the minds of healthcare workers and organizations on best practices for healthcare organizations against the COVID-19 crisis.
Focus Groups With Diverse High School Students Used For Program EvaluationClayton State University
The document describes using focus groups to evaluate a pre-nursing program for diverse high school students. Six focus groups with 42 students uncovered 5 themes: benefits of the academic program, understanding nursing roles, seeing nursing as a career, program barriers, and developing life skills. The evaluation found the program improved academics and transition to college. Focus groups provided useful qualitative data to guide program improvements.
33. MICRO BIOLOGY.pdf MEDICAL SCIENCE RESEARCH & DEVELOPMENTSLits IT
This document provides an overview of the development of an operational manual for implementing an updated MBBS curriculum in Bangladesh. It acknowledges those involved in developing the manual, including various directors, deans, and faculty members from medical colleges. It explains that the operational manual will help guide teaching, learning, assessment, and ensure uniform implementation of the new curriculum. The document lists contributors and provides context on the need to periodically review and update curricula to meet changing needs.
33. MICRO BIOLOGY.pdf MEDICAL SCIENCE RESEARCH & DEVELOPMENTLits IT
This document provides an overview of the development of an operational manual for implementing an updated MBBS curriculum in Bangladesh. It acknowledges those involved in developing the manual, including various directors, deans, and faculty members from medical colleges. It explains that the operational manual will help ensure uniform, effective, and smooth implementation of the curriculum across all medical colleges. The document outlines the background and rationale for creating the manual to guide teaching, learning, and assessment according to the new curriculum. It then lists the contributors who helped develop the operational manual.
The document discusses career research on becoming a pediatrician. It outlines the job description, working conditions, wages, career path, education and training requirements to become a pediatrician. The career path involves obtaining a bachelor's degree followed by a doctorate degree, which takes approximately 11 years. Two post-secondary institutions are discussed: University of Maryland, Baltimore County for a biology undergraduate degree and Georgetown University School of Medicine for medical school. The career choice remains pediatrician after evaluating required education and training.
Dr. Raju Nair is a reproductive medicine consultant at Matha Assisted Reproductive Centre in Matha Hospital, Kottayam, Kerala. He has an MS, DNB, and fellowship in reproductive medicine from CMC Vellore. He is a member of several professional societies and has published original articles and papers. The document discusses when, how, and where one should pursue training in reproductive medicine. It notes that training is best done after completing obstetrics and gynecology, and recommends obtaining a university degree through programs like DM in reproductive medicine to ensure a structured education. The location of training is important to evaluate the qualifications of the teaching faculty.
The document outlines an introduction to evidence-based medicine (EBM) presented by Judy Tarselli. It begins with an overview of EBM, defining it as the conscientious use of current best evidence in patient care decisions. The presentation then covers the basic steps of EBM, which include forming a clear clinical question, finding the best evidence to answer it, critically appraising the evidence, applying useful evidence in practice, and evaluating the process. It emphasizes that a good clinical question is patient-focused, problem-oriented, and answerable through current literature. The document provides examples to illustrate the key points about EBM.
Clinical education and Best Practices -RB-PNC workshop.pptxssuserc09597
This document discusses best practices in clinical teaching for nursing students. It outlines the goals of clinical teaching as increasing students' knowledge and skills, refining their practice, promoting clinical independence, and preparing them for positive patient outcomes. Effective clinical teaching requires a positive clinical environment, a competent clinical facilitator, and focus on students' learning. Best practices from the perspectives of facilitators and students include interpersonal skills, personality traits like approachability and patience, and ensuring competency in the clinical area. The document recommends various clinical teaching strategies and emphasizes that educator competence and professional development are essential for optimal clinical education.
This document contains the CV of Muhammad Omar Shamim. It summarizes his contact information, educational background, work experience, research projects, publications, and additional credentials. Some key details include:
- He has an M-Phil in Physiology from Dow University of Health Sciences and an MBBS from Hamdard College of Medicine & Dentistry.
- His current position is Assistant Professor in the Department of Physiology at Islam Medical & Dental College, Sialkot.
- His research interests include metabolic variables, testosterone levels, and gestational diabetes. He has published 5 articles and presented abstracts at conferences.
1) The document discusses the difference between studying for exams versus studying to gain medical knowledge to become a doctor.
2) It emphasizes that the true purpose of medical school is to acquire relevant medical knowledge, not just to pass exams, and that gaining knowledge first will lead to exam success.
3) The author advises students to study a variety of topics each day, organize their knowledge well, read widely, and keep their goal of becoming a knowledgeable doctor, not just grades.
· Reflect on the teaching principles and practices discussed durin.docxalinainglis
· Reflect on the teaching principles and practices discussed during the course.
A primary role of nursing faculty is to develop safe and quality learning environments and activities that allow students to achieve a robust, engaging, and productive learning experience. To enhance student learning, it is crucial for faculty to plan carefully with students and administrators in a shared governance approach.
***classroom assessment techniques as formative evaluation tools and procedures and analyze how nursing faculty can use the techniques to improve teaching and learning.
****Regardless of the practice environment, the most important criterion for selecting clinical experiences is that each learning experience or activity relates logically to the desired learning outcome. Furthermore, each learning experience and practice activity should be an integral part of the course and align with the course and program outcomes. Finally, it is crucial that the clinical instructor, students, and nursing staff understand the goals and objectives of each clinical activity.
***Forces and trends related to curriculum and instruction in nursing education will continue, but regardless of the resulting views and changes brought about by the forces and trends, curriculum designs must be responsive to the needs of a dynamically changing healthcare system. Therefore, the hallmark of today’s nursing curricula is flexibility.
***To avoid some of the difficulties or problems that occur with clinical teaching, nursing faculty should: By all means, NEVER, NEVER, NEVER teach by humiliation.
What stood out as important to you over the past 8 weeks? I was able to differentiate between the processes of teaching and the processes of learning. ***I was able to see what type of learner (AUDITORY)and educator (FACILITATOR) I am based on the personal questioners presented during class
**. Analyze developmental, legal, and risk management aspects of student misconduct and learning, and discuss steps faculty can take to minimize disruptive student conduct and maintain a well-managed learning environment. *****Most interesting for me this semester was the nurse educator interview, I will attach it. ****
CLASS PRESSENTED VARIETY OF VIDEOS SCNERARIOS ABOUT HOW TO HANDLE A CLASSROOM WITH CULTURE DIFFERENCES, BEHAVIOR MANAGEMENT, CLASS PLANNING, STUDENT-FACULTY RELATIONSHIP
*****Most Challenging Assignment were doing a course Syllabus and a Teaching Plan*** Instructor and peer response/feedback helped
INTERVIEW WAS DURING WEEK 4
Introduction
The interview was done to an experienced nurse educator who explained about the different trends present in nursing education that she has been able to observe and experience during her career in education. The interview was carried on a face to face conversation for the purpose of being able to get first-hand information which is more genuine (Herrman, 2015). The name of the interviewee is Mary Leaky who is an experienced nurse educator.
A Phenomenological Research to Assess the View Point of Undergraduates Regard...ijtsrd
The present study has been conducted to know the view point of participant regarding the consumption of favorable snacks to reduce the stress level during examination in LN Nursing College Bhopal. In order to achieve the objectives phenomenological research design with qualitative approach was adopted. The sample size was 25. The method of data collection was open ended view point questions, result shows that the participant had favorable opinion regarding consumption of favorable snacks during university examination. Dr. Jubin Varghese | Dr. Saniya Susan Issac "A Phenomenological Research to Assess the View Point of Undergraduates Regarding the Consumption of Favorite Snacks during University Examination" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd43712.pdf Paper URL: https://www.ijtsrd.commedicine/nursing/43712/a-phenomenological-research-to-assess-the-view-point-of-undergraduates-regarding-the-consumption-of-favorite-snacks-during-university-examination/dr-jubin-varghese
This document provides a review of the anatomy of the eye including:
- The dimensions and structures of the eyeball including the cornea, sclera, crystalline lens, iris, ciliary body, vitreous, retina, and visual pathway.
- Details on the layers of the cornea, thickness and curvature of the lens, structures of the iris and ciliary body, composition of the vitreous, layers of the retina including the macula and fovea, and the first three orders of visual sensation neurons.
- Key anatomical features highlighted include the dimensions, thickness, refractive index and power of various ocular structures, as well as the circulation and nourishment of the retina.
This document provides a review of the anatomy of the eye including:
- The dimensions and structures of the eyeball including the cornea, sclera, crystalline lens, iris, ciliary body, vitreous, retina, and visual pathway.
- Details on the layers of the cornea, thickness and curvature of the lens, structures of the iris and ciliary body, composition of the vitreous, layers of the retina including the macula and fovea, and the first three orders of visual sensation neurons.
- Key anatomical features highlighted include the dimensions, thickness, refractive powers, and structures of the various parts of the eye.
This document provides information about a biochemistry textbook titled "Biochemistry Passing MBBS Series" by Karthikeyan Pethusamy. The key details include that it is a concise, colorful, and conceptually illustrated textbook following the Competency-Based Medical Education curriculum. It contains over 500 diagrams, tables, and quick revision points. The purchase of the book provides 365 days of free access to a companion Android app with additional learning features. The author's social media pages and YouTube channel are also provided for further learning resources.
Learning objectives:
Role of cytoskeleton & molecular motors
Differentiate the three types of cytoskeletal elements
Drugs acting on cytoskeletal elements and their uses
Pathological basis of disorders associated with cytoskeletal elements
Interaction between cytoskeleton and molecular motor proteins
Case discussion is an effective way to instil biochemistry into the minds of young medical students. Here, Dr Karthikeyan discusses vitamins. Don\t forget to watch the YouTube video inside
This document provides information on career options and pathways for medical researchers after completing MBBS. It outlines options for higher education such as MD, MS, DM, MCh programs as well as other options like MMST, UPSC, direct PhD programs. It also describes programs like the ICMR MD/MS-PhD program that provides financial support for 5 years to pursue a PhD after MD/MS. Funding agencies that support medical research like ICMR, DST, DBT, CSIR, and Wellcome Trust are listed. The career ladder from MBBS to senior faculty roles is depicted. Fellowship programs for post-doctoral research, early career grants, and senior research positions are described. Approaches
In this high-yield review, you will learn about the biochemical role of tetrahydrobiopterin and the related clinical condition Segawa Syndrome.
People with some forms of phenylketonuria take tetrahydrobiopterin supplement (BH4 supplement). We will learn the biochemical basis of that also.
Do not forget to watch the YouTube video.
This diagram shows the sources and fates of pyruvate in cellular metabolism. Pyruvate is produced from glucose through glycolysis and can be converted to lactic acid by lactic acid dehydrogenase (LDH) or transported into the mitochondria where it is decarboxylated to acetyl-CoA by the pyruvate dehydrogenase (PDH) complex to enter the citric acid cycle or carboxylated to oxaloacetate by pyruvate carboxylase. Pyruvate can also be reversibly interconverted with alanine and malate.
Carnitine is beta hydroxy-gamma-trimethyl ammonium butyrate.
It is synthesized from lysine and methionine in the liver and kidney.
Carnitine deficiency leads to hypoglycemia, Why?
Explained in the video.
Pelvic Inflammatory Disease (PID) is an infection of the female upper genital tract caused by bacteria like Neisseria gonorrhoeae and Chlamydia trachomatis. It is treated with antibiotics targeting the primary pathogens. Treatment regimens depend on disease severity, with mild to moderate disease treated with oral antibiotics as outpatients. More severe disease requires hospitalization and intravenous antibiotics. Without treatment, PID can lead to long-term complications like infertility, ectopic pregnancy, and chronic pelvic pain.
This document provides information on different types of blood collection tubes including their purposes and contents. It discusses EDTA tubes which are used for complete blood counts and DNA isolation, citrate tubes which contain citrate and are used for prothrombin time tests, heparin tubes coated with heparin for karyotyping, gel tubes which separate plasma or serum from cells, plain red vials which separate serum after clot formation, and grey glucose vials containing sodium fluoride and potassium oxalate to prevent glucose consumption during processing. It emphasizes the importance of inverting tubes to mix anticoagulants and lists the recommended order of blood draw.
Acyclovir is an antiviral drug used mainly for herpes zoster infection.
Acyclovir is selectively acted upon by the viral thymidine kinase.
The enzyme phosphorylates acyclovir to a monophosphate.
The acyclovir monophosphate (acyclo-GMP) is subsequently converted to acyclovir triphosphate (acyclo- GTP) by human enzymes.
Acyclo-GTP persists is a potent inhibitor viral DNA polymerase compared to human DNA polymerases. Thus, viral replication is selectively inhibited in the infected cells.
Lecture on Alcohol metabolism by Dr. Karthikeyan Pethusamy, M.D, DNB.
Feel free to download the ppt and use for the educational purpose.
Don't forget to watch the YouTube video.
Ribozymes are RNA molecules with catalytic activity, such as self-splicing introns that catalyze their own excision from pre-mRNA or RNase P that is involved in tRNA processing. Examples of ribozymes discussed include self-splicing introns, snRNAs that catalyze splicing, RNase P, and therapeutic ribozymes like angiozyme and herzyme. The ribosome is also identified as a ribozyme due to its peptidyl transferase activity.
Dr. Karthikeyan Pethusamy MD DNB (Biochemistry) explains the genetic code for the undergraduate students. Don't miss the YouTube video attached. The video is made with the same power point file.
This is a powerpoint file of a practical class taken by Dr. Karthikeyan Pethsuamay for the first year MBBS students of AIIMS, New Delhi. Feel free to download and use for educational purposes. Happy learning and teaching!
Don't forget to watch the YouTube video.
This is a powerpoint file of an MBBS practical class taken by Dr. Karthikeyan Pethusamy at All India Institute of Medical Sciences - NewDelhi.
Disclaimer: The views expressed here are of the author only not of the institution.
Levels of organisation of DNA explains how 2 meters long DNA is compacted into chromatin. Useful self-assessment questions are given in the slides. If you want to know the answer, you can ask in comments.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
1. ALTISVORTEXAim4AIIMSBiochemistry
chemistry
ALTIS VORTEX
4AIIMSAim
Dr. Karthikeyan Pethusamy
Bio
800+ One-liners for quick review
445 Chapter-wise review questions
with adequate explanations.
Comprehensive, up-to-date and
easy-to-understand information
References and updates from
th
Harper 30th ed, Harrison 19 ed
Section on Image based questions
Ashikh Seethy
Senior Resident and
PhD Scholar
AIIMS-Delhi
Amar Preet Kaur
Senior Resident and
PhD Scholar
AIIMS-Delhi
Reviewers
Dr. Karthikeyan Pethusamy had completed his MBBS
with three distinctions and a gold
medal in medicine from Kanyakumari Government
Medical College. He did his
M.D. Biochemistry from Maulana Azad
Medical College, New Delhi. Currently,
he is a senior resident and PhD scholar at AIIMS, New Delhi.
About the author
Author's facebook page: Biochemistry with Karthi
3. Published By :
Altis Vortex
(Books & Publications)
C - 146, Gautam Nagar, Green Park
New Delhi - 110049
Ph : 011-26567270
Email : info@altisvortex.com
Website : www.altisvortex.com
Rights
All rights will be reserved by Publisher. No part of this book may be used or
reproduced in any manner whatsoever without the Written permission from
publisher.
Disclaimer : Every effort has been taken in compiling/editing of the concerned
data/information given in this book in various section, Also the questions in
this book are memory based so it is possible to remain some mistake due to
human error if so kindly compare the data with the government publication,
journals and notification.
Dr. Karthikeyan Pethusamy is a temporary employee of Department of
Biochemistry,AIIMS,NewDelhi.Anyviewsexpressedhereindonotnecessarily
represent the views of AIIMS, New Delhi.
EDITION: First (2017)
BOOK CODE : 0845
ISBN: 978-81-931706-9-4
4. PREFACE
Dear Reader,
This book is entirely a result of my passion for learning and teaching. So, this book is
definitely going to make your exam preparation an easy and enjoyable experience.
Standard textbooks are written with the purpose of giving a complete and detailed
knowledge of a subject but it’s quite impossible for anyone to revise that thoroughly
on a day before the exam. I felt this during my own exams, while helping students
preparing for their exams and during so many other moments. The present book is
primarily aimed to fulfill this need.
I went through various entrance exam questions and then assembled these questions
into one-liners and topic-wise review questions for an ease of revision. The answers
are written in the way I teach my students i.e. addressing their relevant doubts. These
were sourced from the standard textbooks. I strongly believe that this book is going to
be very helpful for a quick revision for the different entrance exams i.e. PGMEE, first
professional MBBS exams and other exams like CSIR-UGC-NET as well.
The content of the book has undergone a very rigorous quality control process as even
a single mistake in the book can drastically affect the student’s rank in entrance exam.
If you feel that any information is incorrect or incomplete, you are most welcome to
contact me through my Facebook page – Biochemistry with Karthi. Errors in the book,
if any will always be accessible to you through my Facebook page.
In this book, there are a few tricky questions which may not even come in exams. The
sole purpose of those questions is to kindle your interest and develop an interest in the
subject.
I commit to update the information in the book once in a year to include the latest
questions. If you are reading an old edition, you can always request me for updates of
the new edition. I will be happy to provide you.
Happy studying! Stay blessed!
Dr. Karthikeyan Pethusamy M.D. 03-03-2017
Senior Resident & PhD Scholar
Department of Biochemistry
AIIMS, New Delhi.
5. ACKNOWLEDGEMENT
Reviewers:
• Dr. Ashikh Seethy M.D., Senior resident & PhD scholar, AIIMS, Delhi.
• Dr. Amarpreet Kaur M.D., Senior resident & PhD scholar, AIIMS, Delhi.
Help in proof-reading:
• Mr. Akshay Munjal M.Sc, Biochemistry, AIIMS, Delhi
• Dr. Ankita Raj, M.D Biochemistry, AIIMS, Delhi
• Mr. Dhruv Das, M.Sc, Biochemistry, AIIMS, Delhi
• Dr. Diravyaseelan M, M.D Biochemistry, AIIMS, Delhi
• Miss. Indrani Mukherjee, Junior Research Fellow, AIIMS, Delhi
• Dr. Prajwal Aathreya M.D Biochemistry, AIIMS, Delhi
• Mr. Rahul Yadav, M.Sc, Biotechnology, AIIMS, Delhi
• Mr. Sunil Singh S, M.Sc, Biochemistry, AIIMS, Delhi
• Dr. Vijayalekshmi B, M.D Biochemistry, AIIMS, Delhi
• Dr. Pankhuri Dudani MBBS, MAMC, Delhi
• Dr. K. Kritika M.D., Senior resident, MAMC, Delhi
• Dr. Manjeet Goyal, VMMC, Delhi
My UG teachers of Biochemistry:
• Dr. Vijayalakshmi M.D.
• Dr. Lalita M.D.
My PG teachers of Biochemistry:
• Prof. Dr. Sarita Agarwal
• Prof. Dr. Alpana Saxena
• Late. Prof Dr. P.C. Ray
• Prof. Dr. S.K.Gupta
• Prof. Dr.T.K. Mishra
• Prof. Dr. P.Lali
• Prof. Dr. B.C. Koner
• Prof. Dr. Lal Chandra
6. • Prof. Dr.Smita Kaushik
My PhD mentor:
• Dr. Subhradip Karmakar, PhD, Assistant professor, AIIMS, Delhi
My seniors and friends who are my source of inspiration:
• Dr. Montosh Chakroborty – Assistant professor, Andaman & Nicobar Islands
Institute of Medical Sciences
• Dr. Radhey Natung M.D, Biochemistry
• Dr. Pinky Garg – Associate professor, North DMC Medical College & Hindu Rao
Hospital
• Dr. Maheshwari K – Assistant Professor, JIPMER, Karaikal,
• Dr. Dnyanesh Amle, Pt. J.N.M. Medical College, Raipur
• Dr.Sagar Dholaria, Assistant professor, R.D.Gardi medical college, Ujjain
• Dr. Selvakumar Kingslin, M.D., Anaesthetist, Thiraviyam Hospital, Nagercoil
• Dr. Thambi David, M.Ch., Pediatric surgeon, Kanyakumari government Medical
College
• Dr. Vineet Sehgal, Glaucoma Specialist, Sharp Eye Centre, Delhi
• Dr. Jhuma Das, Senior resident, MAMC, Delhi
• Dr. Ayush Jain, M.D (radio), Seth GS Medical College, Mumbai
Students who inspired me to come up with this book:
• Dr. Ashwin AJ, Third MBBS, Government Villupuram Medical College
• Dr. Naveen Kumar, Third MBBS, Stanley Medical College
• Dr. Rushikesh Ghongade, Final MBBS, IGGMC, Nagpur.
• Dr. Preeti Joon, Final MBBS, Grant Medical college, Mumbai.
• Dr. Abhishek V J, Malankara Orthodox Syrian Church Medical College, Ernakulam.
• Dr. Nirav Mungalpara, Baroda Medical College, Gujarat
All my batchmates and juniors from Kanyakumari government medical college
All my students in MAMC for their love and support. It was my fortune to teach
them.
To my parents and family
Altis Vortex team:
• Dr. Ajay Mohan
• Mr. Vinod Kumar
• Mr. Anit Rana
7. ABOUT THE AUTHOR
Dr. Karthikeyan Pethusamy had completed his MBBS with three
distinctions and a gold medal in medicine from Kanyakumari
Government Medical College, Nagercoil, Tamilnadu.
He took Biochemistry by choice. He was the first one to take
M.D. Biochemistry in All India Counseling 2012. He has joined
AIIMS as an SR and PhD scholar after completing his MD from
MAMC, New Delhi. He did his thesis under the mentorship of Dr.
Sarita Agarwal on the effect of gene polymorphisms in stroke.
Currently, he is studying the epigenetic changes in AML.
He is popular among his students for his clarity and student
friendly method of teaching. His grip on all subjects is firm, and
he brings it into the teaching of the subject of his choice-
Biochemistry. He is also engaged in teaching students in virtual
platforms like Whatsapp and Facebook. He has authored and
coauthored many exam-oriented Biochemistry books.
Besides Biochemistry, he loves nature. He has been riding bicycle
to commute around for the past 10 years and motivates others to
do the same. During his tenure as Green Care Secretary of
Kanyakumari Government Medical College, he was instrumental
in planting around 1000 trees in his vast college campus.
He is an active contributor to Tamil Wikipedia and Quora.
Writing scientific books in Tamil and starting an NGO that will
work for environmental conservation projects are his two dream
projects.
8. How to make the most of this book?
One-liners section is for the rapid-review before the exam. This will
be your elev-enth-hour-Samaritan. Don’t forget to go through this a day
before exam once you have gained adequate knowledge of
Biochemistry.
Assess yourself tables have been introduced to avoid the boredom that
may arise when you read one-liners continuously. Hide the right-side of
the table and try to answer.
Most-common, Most-abundant, Pioneer scientists in Biochemistry
and Biochemical tests are condensed information that I have made after
spending so many hours. Use these sections to save your time.
Solved AIIMS questions will show you how to approach a question in
any exam and how to rule-out the incorrect options logically. In some
questions, I have shown you how to derive the answer even if you don’t
know the answer.
YouTube video links are given for certain questions. This will take you
to my YouTube channel – Biochemistry with Karthi where I’ve upload
the exam-oriented videos. A word of caution: Don’t get distracted by
other videos on YouTube. You have an exam to excel.
Chapterwise review questions with explanations are quite important
to build your concepts. Once you have completed a chapter from a
textbook or after a class, try to solve the questions. If you don’t know
the answer, refer to the explanations and the textbook reference I’ve
mentioned. Questions are of high-standard and exam-oriented.
Biochemistry with Karthi Facebook page is a way to contact to me
and get to know the updates about the subject. I regularly post new and
interesting questions in the page.
To be honest, this book is primarily meant as a supplement. This
is not an all-in-one solution for Biochemistry. So, I strongly suggest
you to read any of the following textbooks.
Text books I personally suggest: (any one)
• Harper’s Illustrated Biochemistry – 30th edition
• Lippincott’s Illustrated Reviews: Biochemistry, 6th edition
• Textbook of Biochemistry 8th Edition by D M Vasudevan S
9. This is a sample e-copy of the book.
To get a printed book, kindly visit:
https://www.aim4aiims.in/pg/buy-product.php?id=73
Errata of the book can be accessed here:
https://www.facebook.com/notes/biochemistry-with-
karthi/errata-of-aim4aiims-biochemistry/294306637648890
10. CONTENTS
Last-Minute Revision
1. One-liners 1
2. The Most Common 48
3. The Most Abundant 52
4. Pioneers in Biochemistry 53
5. The First in History 55
6. Biochemical Tests 56
AIIMS Solved Questions
7. AIIMS May 2016 57
8. AIIMS Nov. 2015 69
Self-Assessment & Review questions with adequate explanations
9. Chemistry of Carbohydrates 90
10. Enzymology 98
11. Metabolism of Carbohydrates 109
12. Chemistry of Amino Acids & Proteins 129
13. Metabolism of Amino Acids 135
14. Heme Metabolism 151
15. Lipid Chemistry & Metabolism 159
16. Nucleotide Chemistry & Metabolism 175
17. Free Radicals and Antioxidants 186
18. Xenobiotics Metabolism 189
19. Molecular Biology 194
20. Immunology 229
21. Cytoskeleton and Muscle Biochemistry 243
22. Nutrition 248
23. Image Based Questions 252
24. Questions & Answers
24.1 Hemoglobin & Myoglobin 258
24.2 Cell membrane and Transport 260
12. One-Liners
Last Minute Revision
Physical Chemistry, Water & Electrolyte, Acid-base balance
• pH = - log10
[H+
] in moles/litre
• pH= pKa+ log10
Salt
Acid
[ ]
[ ]
(Henderson–Hasselbalch equation)
• Solvent property of water is because of its ability to make hydrogen bonds
with solutes.
• A buffer is most effective when the pH is equal to the pKa of the buffer, i.e.
[salt] = [acid] (full ionisation)
• Effective pH range of a buffer = pKa ± 1
• Bicarbonate buffer system (H2
CO3
/HCO3
-
) is 'open at both ends' since the
level of both the constituents of this buffer can be altered by the body.
• Glutamine is the source of NH3
in the kidney.
• Unequal distribution of diffusible ions between two compartments separated
by a semi-permeable membrane when a non-diffusible ion is present in one
of the compartments is due to Gibbs-Donnan-membrane equilibrium.
• Higher chloride concentration in Cerebrospinal fluid compared to plasma
can be explained by Gibbs-Donnan membrane equilibrium.
Normal pH range of blood 7.35–7.45
Normal pH range of urine 6.5-7
pKa of albumin 5.8
Critical acidifying capacity of kidney
i.e. limiting urinary pH
4.5
Major extracellular buffer Bicarbonate buffer
Major intracellular buffer Phosphate buffer
Major urinary buffer Phosphate buffer
Isocapneic buffering in endurance
training is due to
Increased CO2
but normal pCO2
13. The Most Common
Gene disorder worldwide Thalassemia
Enzyme deficiency (enzymopathy) G6PD (mostly asymptomatic)
Qualitative Hemoglobinopathy Sickle cell anemia
Mutation in cystic fibrosis
Δ F508 (Deletion of phenylalanine at
508th
position)
Viable chromosomal disorder Down syndrome (21 trisomy)
2nd
most common autosomal trisomy
resulting in live birth
Edward syndrome (18 trisomy)
Mutation in galactosemia in Cauca-
sian
Q188R (replacement of glutamine by
arginine)
Gene mutated in congenital adrenal
hyperplasia
CYP21A2 (21-α hydroxylase)
Gene mutated in congenital hearing
loss
Connexin 26
Mutation leading to permanent neo-
natal diabetes
KCNJ11 (ATP sensitive K+
channel)
Inherited urea-cycle defect OTC deficiency
SCID X-linked SCID
Saturated fatty acids present in the
cell
Palmitic acid (C16) and stearic acid
(C18)
Type of plasma membrane receptor GPCR (G-Protein Coupled receptor)
Type of prosthetic groups, cofactors
for enzymes
Metal ions
Covalent modification regulating en-
zyme activity
Phosphorylation-dephosphorylation
Fatty acid in natural fats Oleic acid
14. The Most Abundant
Amino acid in plasma Glutamine
Anterior pituitary hormone Growth hormone
Biological forms in the world Polysaccharides
Nucleoprotein Histone
Type of collagen in basement membrane Type IV
Type of collagen in the body Type I
Type of collagen in the cartilage (except
white fibro cartilage)
Type II
Type of collagen in the bone and white
fibrocartilage
Type I
Constituent of body Water
Free nucleotide in mammalian cells ATP
Glycoprotein in basement membrane Laminin
Glycosaminoglycan Chondroitin sulphate
Heteropolysaccharides in the body Glycosaminoglycan
Immunoglobulin IgG
Ketone body during ketosis β-hydroxy butyrate
Lipid in chylomicron Triacylglycerol
Membrane proteins of RBC
Glycophorin & Band 3 anionic
transporter
Osmotically active component of the plasma Sodium
Peripheral membrane protein of RBC Spectrin
Platelet receptors GPIIb-GPIIIa complex
Prokaryotic DNA polymerase DNA polymerase I
Protein in HDL
Apo A-I (70% of weight)
followed by Apo AII
Protein in the human body Collagens
Saturated fatty acid in circulation Palmitic acid
Sigma factor in E. coli Sigma 70
Stop signal for transcription termination RNA hairpin
Tocopherol in extrahepatic tissues α-tocopherol
15. Pioneers in Biochemistry
Alec Jeffreys DNA fingerprinting
Andrew Fire & Craig
Mello
siRNA
Arber, Smith & Na-
thans
Restriction enzymes
Arthur Kornberg DNA polymerase
Avery, Macleod &
McCarty
DNA is the information molecule/genetic
material
Barbara Mcclintock Transposons
Blobel Signal sequence hypothesis
Dorothy Hodgkin Protein crystallography
Frederick Sanger Sequencing of 1° structure of bovine insulin &
sequencing of nucleotides (He got Nobel prize
twice!)
Goldstein & Brown LDL receptor and its relation to familial hyper-
cholesterolemia
Griffith Transformation experiment
Jacob & Monad Operon model
James Lind Scurvy & citrus fruit trial in HMS Salisbury
Kary B Mullis Polymerase Chain Reaction
Kohler & Milstein Monoclonal antibodies by Hybridoma
technique
Linus Pauling & Robert
Corey
2o
structure of protein
16. The First in History
Genome to be sequenced Bacteriophage φX174
Genome that belongs to a free-living organ-
ism to be sequenced
H. Influenza
Sequence of human chromosome released Ch. 22
Protein to be sequenced (by sanger) ‘Bovine’ Insulin
Metabolic pathway discovered Glycolysis
Metabolic cycle discovered Urea Cycle
Disease treated by gene therapy ADA deficient SCID
Ribozyme discovered (by Cech) 26S rRNA
Molecular machine recognised Ribosome
17. Biochemical Tests
Test Detects
Gerhardt’s test, Rothera’s test Acetoacetate (ketone body)
Hay’s sulphur test Bile salts in urine
Fouchet’s test Bilirubin in urine (Qualitative test)
Ehrlich aldehyde test Urobilinogen
Vandenberg test Differentiates conjugated and
unconjugated bilirubin in serum
(Quantitative test)
Molisch test All carbohydrates
Benedict’s test All reducing substances (Reducing
sugar, Uric acid, Ascorbate etc.)
Barfoed’s test Monosaccharide
Seliwanoff’s test Fructose
Bial’s test Pentose sugars
Ninhydrin reaction Proteins with minimum of 2 peptide
bonds. (qualitative)
Biuret reaction Amino acids & proteins (Both Quali-
tative & quantitative)
Sakaguchi test Arginine
BCG dye binding method Albumin
Ferric chloride test Phenylketonuria, Tyrosinemia,
Alkaptonuria, MSUD
Alcian blue spot test Urinary glycosaminoglycans
Shake test (foam stability test) of
amniotic fluid
Fetal lung maturity assessment
Sulkowitch test Urinary Calcium
18. AIIMS May 2016
1. Which of the following is the second messenger for Nitric Oxide?
a. Ca2+
b. cAMP
c. cGMP d. Adenine
Ref : Harper 30th
ed., p.501; 660
Second messengers are diffusible, small molecules and are generated
intracellularly upon hormone (1st
messenger) binding to the membrane receptor.
They help in signal transduction from the receptor to the target.
First messenger 2nd
messenger Target of second messenger
Glucagon, Adrenaline cAMP Protein kinase A
NO, ANF (Atrial Na-
triuretic Factor)
cGMP Protein kinase G
Gastrin, ADH IP3
& Ca++
Protein Kinase C
Duration of action of second messenger is controlled by action of various reg-
ulating enzymes. For example, phosphodiesterase enzyme inactivates cAMP
by converting it to 5’AMP.
Significance of second messengers in hormonal action:
• Signal amplification: Second messengers amplify the signal produced
by first messengers
• Signal integration: 2nd
messengers can integrate information from
multiple independent upstream signals and there can be a cross-talk
between the second messenger pathways.
How to derive the answer?
Nitric Oxide & Natriuretic factors (ANP & BNP) are the only two first messen-
gers that use cGMP as the second messenger.
Option analysis:
Calcium is given to confuse those, who just had a glance on action of NO.
Extra Edge
19. ALA dehydratase forms porphobilinogen. As lead inhibits ALA dehydratase,
porphobilinogen level is not raised in urine in lead poisoning → option C is
AIIMS Nov. 2015
Topics asked in exam:
1. Heme biosynthesis
2. Plumboporphyria
3. Jaundice
4. Sickle cell Anemia – electrophoresis
5. Coenzyme role of Biotin
6. Coenzyme role of B12
7. Selenocysteine
8. Regulation of glycogen phosphorylase
9. Immune privileged site
10. Iron metabolism
11. Substrates for gluconeogenesis
12. Precipitation of proteins
13. Creatinine clearance
1. In lead poisoning which of the following is excreted in urine?
a. 𝛿 - ALA b. Urobilinogen
c. Porphobilinogen d. Glycine
Option analysis:
Glycine in urine:
• Glycinuria is an autosomal recessive disorder due to defective renal tubular
absorption of glycine.
• Associated with renal oxalate stones.
So, option D is ruled out.
Porphobilinogen in urine:
• ↑urinaryexcretionofporphobilinogenisseeninacuteintermittent porphyria
20. Chemistry of
Carbohydrates
1. Which of the following is not seen in human body?
a. L-fucose b. L-fructose
c. D-Glucose d. D- Fructose
2. All of the following are heteropolysaccharides, EXCEPT
a. Chitin b. Heparin
c. Hyaluronic acid d. Chondroitin sulfate
3. Which is the predominant monomeric unit of pectin?
a. Glucose b. Glucuronic acid
c. Galactose d. Galacturonic acid
4. Which of the following is a fructosan?
a. Pectin b. Chitin c. Inulin d. Glycogen
5. Which is the monomeric unit of lignin?
a. Glucose b. Fructose
c. Galactose d. Phenolic compound
6. Inositol is a
a. Nucleotide b. Polyhydroxy aldehyde
c. Polyhydroxy alcohol d. Polyhydroxy ketone
7. Sorbitol is a
a. Nitrate donor b. Polyhydroxy aldehyde
c. Polyhydroxy alcohol d. Polyhydroxy ketone
8. Correct statement about sucrose
a. Inert sugar
b. Reducing sugar
c. Made up of 13 carbons
d. α-D-glucopyranosyl-(1→2)-β-D-fructofuranoside
9. Alpha amylase acts on
a. α 1 → 4 bond b. α 1 → 6 bond
c. β 1→ 4 bond d. β 1 → 6 bond
10. Which of the following pentose sugar is present mainly in the heart
muscle?
a. Arabinose b. Lyxose
c. Xylose d. Xylulose
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21. Enzymology
1. All of the following are ribozymes, EXCEPT
a. snRNA b. rRNA
c. RNase H d. RNase P
2. All of the following are utilized by enzymes to reduce the activation
energy, EXCEPT
a. Entropy reduction
b. Desolvation of the active site
c. Conformational changes to the enzyme and substrate after interaction
d. Decrease in molecular collisions
3. The best measure of enzyme affinity is
a. Km b. Kd
c. Kcat d. Kcat/Km
4. The best measure of enzyme efficiency is:
a. Kcat b. Km
c. Km/Kcat d. Kcat/Km
5. All of the following forces are involved in Enzyme-Substrate complex
formation, EXCEPT
a. Covalent b. Electrostatic
c. Hydrogen d. Van der Waals
6. All of the following statements about enzymes are true EXCEPT:
a. Multienzyme complexes greatly reduce the rates of reactions
b. Isoenzymes differ in their amino acid sequence
c. Allosteric regulators usually do not bind to the active site of the enzyme
d. Transcriptional regulation is method of long term regulation of enzymatic
activity
7. Which of the following is the LEAST preferred method to separate
isoenzymes?
a. Agarose gel electrophoresis
b. Gel filtration chromatography
c. Ion-exchange chromatography
d. Affinity chromatography using the substrate as ligand
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22. Metabolism of
Carbohydrates
1. Which of the following is the flux generating enzyme of glycolysis?
a. Hexokinase b. Phosphofructokinase-1
c. Enolase d. Pyruvate kinase
2. Which of the following is the rate limiting enzyme of glycolysis?
a. Hexokinase b. Phosphofructokinase-1
c. Enolase d. Pyruvate kinase
e. Phosphofructokinase-1
3. All of the following are bifunctional enzymes, EXCEPT
a. Debranching enzyme b. PFK-1
c. PFK-2 d. Bisphospho glycerate mutase
4. Which of the following enzyme pair is involved in feedforward activation
of glycolysis?
a. Hexokinase & Enolase b. PFK-1 & Pyruvate kinase
c. PFK-1 & Enolase d. G3PDH & Pyruvate kinase
5. Which of the following enzymes is involved in both glycolysis and
gluconeogenesis?
a. Pyruvate kinase
b. Phosphofructokinase
c. Bisphospho glycerate kinase
d. Phosphoenolpyruvate carboxykinase
6. Which of the following enzymes is involved in both glycogen synthesis
and glycogenolysis?
a. Debranching enzyme
b. Debranching enzyme
c. Phosphohexose isomerase
d. Phosphoglucomutase
7. Which of the following is the negative homotropic allosteric modulator of
the enzyme PFK-1?
a. Citrate b. ATP
c. AMP d. ADP
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23. Chemistry of Amino
Acids & Proteins
1. Which of the following amino acids is optically inactive?
a. Alanine b. Histidine
c. Threonine d. Glycine
2. Aminoacyl t-RNA is not directly required for the synthesis of
a. Proline b. Lysine
c. Hydroxy lysine d. Methionine
3. Which of the following amino acid has the most basic and positively
charged side chain?
a. Arginine b. Histidine
c. Lysine d. Cysteine
4. Isoelectric pH of lysine is calculated by taking the average of
a. pK1
and PK2
b. pK2
and PK3
c. pK1
and PK3
d. pK1
, PK2
and pK3
5. Alanine is similar to serine in the same way that
a. Val is similar to Thr b. Phe is similar to Tyr
c. Phe is similar to Trp d. Ser is similar to Thr
6. All of the following are dietary essential amino acids, EXCEPT
a. Methionine b. Lysine
c. Alanine d. Leucine
7. Which amino acid can form disulphide bonds?
a. Methionine b. Cysteine
c. Glutamate d. Glycine
8. The peptide bond has all the following characteristics EXCEPT that it is:
a. A partial double bond b. Covalent in nature
c. Free to rotate d. Planar in nature
9. Abnormal folding of proteins is responsible for the following disease:
a. Sickle cell anemia b. Prion disease
c. Nephrotic syndrome d. Hepatitis A
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24. Metabolism of Amino
Acids
1. Which of the following is the storage form of proteins in human body?
a. Collagen b. Titin
c. Both d. None
2. To which of the following amino acids of target protein ubiquitin is
covalently added?
a. Glycine b. Valine c. Serine d. Lysine
3. What is the nature of bond between ubiquitin and the amino acid of the
target protein?
a. Glycosidic bond b. Hydrogen bond
c. Isopeptide bond d. Hydrophobic interaction
4. What is the minimum number of ubiquitin molecules that must be added
to a protein for its degradation in a proteasome?
a. 1 b. 3 c. 4 d. 6
5. Which of the following is NOT true about ubiquitin-proteasomal system?
a. Intracellular, short-lived regulatory proteins are degraded
b. Non-α peptide bond is formed by ubiquitin
c. Amino terminal Asp or Arg accelerate ubiquitination
d. ATP independent
6. Which of the following organ is the major source of alanine for liver in
between meals?
a. Muscle b. Brain
c. Kidney d. Adipocyte
7. In postprandial state, which of the following amino acid is extracted
predominantly by muscle, having been spared by the liver?
a. Alanine b. Valine
c. Glutamate d. Glutamine
8. Which is the only amino acid that undergoes significant amount of oxidative
deamination in the hepatic mitochondira?
a. Lysine b. Alanine
c. Threonine d. Glutamate
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25. Heme Metabolism
1. Acquired porphyria is due to
a. Hg b. Pb c. Cu d. Sn
2. Lead inhibits
a. ALA dehydratase b. Ferrochelatase
c. Both d. None
3. Which of the following inborn error of metabolism can cause porphyria
like features?
a. Phenylketonuria b. Tyrosinemia type I
c. Alkaptonuria d. Metachromatic leukodystrophy
4. Biochemical basis of precipitation of porphyria by barbiturates is
a. Repression of ALA synthase
b. Derepression of ALA synthase
c. Rerepression of ALA synthase
d. miRNA mediated
5. Choluric jaundice is/are
a. Hepatic b. Post hepatic c. Both d. Hemolytic
6. Delta bilirubin is ______ bilirubin _____ bound to albumin.
a. Conjugated, covalently
b. unconjugated, non-covalently
c. Conjugated, noncovalently
d. unconjugated, covalently
7. Heme synthesis pathway operates in
a. Cytoplasm b. Mitochondria
c. Both d. None
8. Most common porphyria is due to deficiency of
a. PBG deaminase b. Uroporphyrinogen decarboxylase
c. Ferrochelatase d. Coproporphyrinogen oxidase
9. Bilirubin binding capacity of high-affinity site of serum albumin is
a. 15 mg bilirubin/100 ml of plasma
b. 25 mg bilirubin/100 ml of plasma
c. 35 mg bilirubin/100 ml of plasma
d. 45 mg bilirubin/100 ml of plasma
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26. Lipid Chemistry and
Metabolism
1. Which of the following is a derived lipid?
a. Triacylglycerol b. Glycolipid
c. Lipoproteins d. Cholesterol
2. All of the following are prostanoids EXCEPT
a. Leukotrienes b. Prostaglandins
c. Prostacyclins d. Thromboxanes
3. All of the following are 18C unsaturated fatty acids except
a. Elaidic acid b. Linoleic acid
c. Oleic acid d. Stearic acid
4. All of the following are ω3
fatty acids EXCEPT
a. α-Linolenic acid b. Cervonic acid
c. γ-Linolenic acid d. Timnodonic acid
5. Which of the following is a tetraenoic acid?
a. Cervonic acid b. Timnodonic acid
c. Stearic acid d. Arachidonic acid
6. Arachidonic acid can be synthesised from
a. Linoleic acid b. α-Linolenic acid
c. Palmitic acid d. Stearic acid
7. Which of the following is NOT a membrane lipid?
a. Sphingomyelin b. Lecithin
c. Triacylglycerol d. Phosphatidylserine
8. Cephalin is
a. Phosphatidylethanolamine
b. Phosphatidylserine
c. Phosphatidylcholine
d. Phosphatidylglycerol
9. Which of the following phospholipid is found exclusively in mitochondrial
membrane?
a. Sphingomyelin
b. Phosphatidylethanolamine
c. Phosphatidylserine
d. Diphosphatidylglycerol
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27. Nucleotide Chemistry &
Metabolism
1. Which of the following base is not found in DNA?
a. deoxy adenine b. deoxy guanine
c. deoxy cytidine d. Uracil
2. Which of the following purine is the most oxidised?
a. Adenine b. Hypoxanthine
c. Xanthine d. Uric acid
3. In deoxy adenosine monophosphate, phosphate group is esterified to
a. 2’ OH of ribose b. 3’ OH of ribose
c. 5’ OH of ribose d. None of the above
4. All of the following are correct statements regarding sources of purine
ring, EXCEPT
a. C2 is form formyl THFA
b. C4
, C5
& C7
are from Glycine
c. C6
is from respiratory CO2
d. N3
and N9
are from amide nitrogen of glutamine
5. Which is the end product of purine catabolism in non-primate mammals?
a. Allantoin b. Ammonia
c. Urea d. Uric acid
6. Which of the following condition causes hyperuricemia due to both
increased production and decreased excretion?
a. PRPP Synthetase over activity
b. Glucose-6-phosphatase Deficiency
c. Xanthine oxidase deficiency
d. Renal failure
7. Precursor of AMP and GMP is
a. IMP b. OMP c. TMP d. UMP
8. Which of the following is the substrate for the enzyme ribonucleotide
reductase?
a. Nucleoside monophosphate b. Nucleoside diphosphate
c. Nucleoside triphosphate d. All of the above
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28. Free Radicals &
Antioxidants
1. All of the following are free radicals, EXCEPT
a. Superoxide b. Hydrogen peroxide
c. Hydroxyl radical d. Nitric oxide
2. All of the following are reactive oxygen species, EXCEPT
a. Superoxide b. Hydrogen peroxide
c. Hydroxyl radical d. Nitric oxide
3. Which of the following is produced when oxygen is reduced with 3
electrons?
a. Superoxide radical b. Hydrogen peroxide
c. Hydroxyl radical d. Water
4. The enzyme responsible for oxidative burst in neutrophils is
a. Catalase b. Myeloperoxidase
c. NADPH oxidase d. Superoxide dismutase
5. All of the following reactions are involved in generation of reactive oxygen
species within neutrophils for killing intracellular bacteria, EXCEPT
a. Superoxide dismutase reaction
b. Fenton’s reaction
c. NADPH oxidase reaction
d. Glutathione peroxidase reaction
6. All of the following are antioxidant enzymes, EXCEPT
a. Glutathione peroxidase
b. Glutathione reductase
c. Xanthine oxidase
d. Superoxide dismutase
7. Gene for which of the following antioxidant enzymes is mutated in Lou
Gehrig’s disease?
a. Superoxide dismutase b. Glutathione peroxidase
c. Glutathione reductase d. Catalase
8. Which one of the following is a chain-breaking antioxidant?
a. Glutathione peroxidase b. Selenium
c. Superoxide dismutase d. Catalase
9. Metal ion present in mitochondrial Superoxide dismutase is
a. Copper b. Iron
c. Manganese d. Molybdenum
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29. Xenobiotics
Metabolism
1. Select the TRUE statement about biotransformation reactions
a. Detoxify the foreign compounds
b. Can convert a procarcinogen to carcinogen
c. Liver is the major site of biotransformation reactions
d. All of the above
2. Which of the following organelle is predominantly involved in phase I
detoxification of xenobiotics?
a. Golgi apparatus
b. Lysosome
c. Smooth endoplasmic reticulum
d. Rough endoplasmic reticulum
3. All of the following are true about adrenodoxin, EXCEPT
a. Adrenodoxin is a protein
b. Adrenodoxin contains heme
c. Found in the mitochondria of adrenal gland
d. Involved in steroid synthesis
4. All of the following are phase I biotransformation reactions, EXCEPT
a. Epoxidation b. Hydroxylation
c. Sulfation d. O-dealkylation
5. Which of the following molecule acts as a donor for sulfation reactions?
a. Cysteine
b. Methionine
c. Phospho adenosine phospho sulfate
d. Taurine
6. 450 in CYP450 denotes
a. 45% of cytochrome CYP1000
b. 450th
member in the family
c. Molecular weight is 450 kilodalton
d. Absorption peak at 450 nm
7. TRUE about CYP450 is
a. Monooxygenase b. Mixed function oxidase
c. Hydroxylase d. All of the above
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30. Molecular Biology
1. Human diploid genome consists of
a. 2 billion base pairs
b. 3 billion base pairs
c. 5 billion base pairs
d. 6 billion base pairs
2. Estimated number of human genes
a. 20 to 25 thousand b. 50 thousand
c. 60 thousand d. 1 lakh
3. How many genes are encoded by the human mitochondrial genome?
a. 37 b. 47
c. 57 d. 67
4. Deamination of ‘methylated cytosine’ will produce
a. Uracil b. Thymine
c. Hypoxanthine d. Adenine
5. Double stranded RNA exists in
a. A - DNA like conformation
b. B - DNA like conformation
c. Z - DNA like conformation
d. None
6. In mitochondrial genome, UGA codes for
a. Methionine b. N-formyl methionine
c. Tryptophan d. None
7. DNA gyrase is
a. Eukaryotic DNA topoisomerase I
b. Eukaryotic DNA topoisomerase II
c. Prokaryotic DNA topoisomerase I
d. Prokaryotic DNA topoisomerase II
8. Which of the following DNA polymerase is the most processive?
a. DNA Polymerase I b. DNA Polymerase II
c. DNA Polymerase III d. None
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31. Immunology
Biochemical basis of immunology is very important for PGI exams. Explaining the
answers for each question is beyond the scope of this book. The following questions are
very important for various exams.
1. The most efficient antigen presenting cell is
a. Macrophage b. B-cell
c. Natural killer cell d. Dendritic cell
2. All of the following are components of mononuclear phagocyte system,
EXCEPT
a. Endothelial cells
b. Mesangial cells in kidney
c. Kupffer cells in liver
d. Medullary macrophages in liver
3. Immunologically privileged site is
a. Area postrema b. Seminiferous tubule
c. Loop of Henle d. Optic disc
4. All of the following hypersensitivity reactions are humoral mediated,
EXCEPT
a. Type I b. Type II
c. Type III d. Type IV
5. C in CRP stands for
a. Choline of Corynebacterium
b. Concanavalin A
c. Capsular polysaccharide of pneumococci
d. Capsular polysaccharide of Corynebacterium
6. All of the following are negative acute phase proteins EXCEPT
a. Transferrin b. Albumin
c. Haptoglobin d. Transthyretin
7. Product of adenosine deaminase is
a. Xanthine b. Hypoxanthine
c. Inosine d. Adenosine monophosphate
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32. Cytoskeleton and Muscle
Biochemistry
1. Which of the following is a microfilament?
a. Actin b. Vimentin
c. Keratin d. Desmin
2. All of the following are cytoskeletal motors, EXCEPT
a. Dynein b. Actin
c. Myosin d. Dynamin
3. Which component of cytoskeleton is defective in Kartagener’s syndrome?
a. Dynein b. Actin c. Myosin d. Dynamin
4. Which component of cytoskeleton is defective in epidermolysis bullosa
simplex?
a. Desmin b. Vimentin
c. Keratin d. Dynamin
5. Hutchinson-Gilford progeria syndrome is due to mutation of
a. Keratin A b. Keratin B
c. Lamin A d. Lamin B
6. Calcium binding motif present in calmodulin is known as
a. Rossman fold b. EF hand
c. Zinc finger d. Actin fold
7. Sarcomere is a segment between
a. H and I bands b. Two I bands
c. Two Z disk d. None
8. TRUE statement about A-band:
a. Consists only of thin filaments
b. Contains the entire length of a single thick filament
c. I-band is a component of A-band
s. None
9. A single calmodulin polypeptide canbind to a maximum of
a. 2 calcium b. 3 calcium
c. 4 calcium d. 5 calcium
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33. Nutrition
1. Calorific value of alcohol is
a. 4 Kcal/gm b. 5 Kcal/gm
c. 6 Kcal/gm d. 7 Kcal/gm
2. BMR is closely dependent on
a. Body surface area b. Lean body mass
c. BMI d. Height
3. Decreased BMR is seen in
a. Starvation b. Fever
c. Cold environment d. Cushing’s syndrome
4. Recommended Dietary allowance is calculated by
a. Estimated average intake + 2 Standard Deviation
b. Estimated average intake - 2 Standard Deviation
d. Estimated average intake ± 2 Standard Deviation
d. 2 X Estimated average intake
5. Steatorrhea is defined as stool fat exceeding
a. 7 gm per day b. 14 gm per day
c. 28 gm per day d. 32 gm per day
6. All of the following are components of Total Parenteral Nutrition, EXCEPT
a. Amino acids b. Fats c. Vitamins d. Fiber
7. Specific dynamic action is maximum for
a. Carbohydrates b. Proteins
c. Lipids d. Mixed diet
8. Which of the following fruit juice which helps in preventing urinary tract
infection?
a. Blueberry b. Cranberry c. Mulberry d. Raspberry
9.Whichofthefollowingphytochemicalisresponsibleforthecardioprotective
effects of red wine?
a. Sorbitol b. Resveratrol
c. Resorcinol d. Beta carotene
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34. Image Based
Questions
1. What is the nature of the inhibitor shown in this Lineweaver-Burk plot?
a. Competitive b. Non-competitive
c. Uncompetitive d. Allosteric
2. What is the nature of the inhibitor shown in this Lineweaver-Burk plot?
a. Competitive b. Non-competitive
c. Uncompetitive d. Allosteric
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35. Hemoglobin &
Myoglobin
1. Quaternary structure of Portland hemoglobin is
a. ζ2ϵ2 b. ζ2γ2
c. α2ϵ2 d. α2γ2
2. The shape of oxygen dissociation curve of myoglobin is
a. Parabola b. Hyperbola
c. Sigmoid d. Circular
3. Binding of carbon monoxide to iron of hemoglobin is unfavored because
of the steric hindrance provided by
a. Histidine E7 b. Histidine E8
c. Histidine F7 d. Histidine F8
4. How much oxygen can be carried by one deciliter of blood with 15 grams
of hemoglobin?
a. 7.5 mL of oxygen b. 15 mL of oxygen
c. 20 mL of oxygen d. 30 mL of oxygen
5. Increased oxygen affinity of fetal hemoglobin compared to HbA1 can be
explained by
a. α chain of fetal hemoglobin can’t bind to 2,3 BPG efficiently
b. α chain of fetal hemoglobin binds to 2,3 BPG more efficiently
c. γ chain of fetal hemoglobin binds to 2,3 BPG more efficiently
d. γ chain of fetal hemoglobin can’t bind to 2,3 BPG efficiently
6. Which of the following is the most common inherited single gene disorder
worldwide?
a. Thalassemia b. G6PD deficiency
c. Sickle cell anemia d. Pyruvate kinase deficiency
7. Cyanosis appears if reduced haemoglobin level is more than:
a. 5 g/dl b. 7 g/dl
c. 9 g/dl d. 10 g/dl
8. Carboxy hemoglobin is formed in the blood due to exposure to
a. CO b. CO2
c. O2
d. O3
Errata of the book can be accessed here:
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biochemistry/294306637648890
36. Cell Membrane and
Transport
1. All of the following are components of eukaryotic cell membrane, EXCEPT
a. Triglycerides b. Carbohydrates
c. Lecithin d. Cholesterol
2. Which of the following has the lowest membrane permeability coefficient?
a. Na+
b. K+ c. Glucose d. Urea
3. A lipid bilayer is permeable to:
a. Urea b. Potassium
c. Glucose d. Sodium
4. How many amino acids are present in a single transmembrane alpha helical
region of a transmembrane protein?
a. 20 b. 30 c. 40 d. 50
5. Hydropathy plot values are helpful in recognizing the membrane spanning
regions of a proteins. Which of the following value in hydropathy plot can
suggest that hydrophobic sequence is a transmembrane segment?
a. >20 kcal/mol b. < 20 kcal/mol
c. >10 kcal/mol d. <10 kcal/mol
6. Glucose transporters (GLUT) are integral membrane proteins that traverses
the lipid bilayer several times. How many membrane spanning alpha
helices are present in GLUT proteins?
a. 1 b. 7 c. 10 d. 12
7. Glucose-6-phosphatase is a marker of
a. Plasma membrane b. Endoplasmic reticulum
c. Golgi apparatus d. Mitochondria
8. All of the following are markers of plasma membrane, EXCEPT
a. 5′-Nucleotidase b. Adenylyl cyclase
c. Adenylyl kinase d. Na+-K+-ATPase
9. All of the following post translational modification helps in anchoring of
proteins to the membrane, EXCEPT
a. Glycation b. Glypiation
c. Isoprenylation d. Myristoylation
Errata of the book can be accessed here:
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biochemistry/294306637648890
37. PGI pattern questions for
practice
These questions are
exclusively given in this
ebook only.
38. PGI Pattern
1) Which of the following are post-translational modifications of
amino acyl residues of proteins?
a) Methylation
b) Formylation
c) Acetylation
d) Prenylation
e) Phosphorylation
2) Selenoproteins are
a) Selenoprotein P
b) Glutathione peroxidase
c) Glutathione reductase
d) Thioredoxin reductase
e) 5’ deiodinase
3) Hydrophobic amino acids are
a) Glycine
b) Alanine
c) Tyrosine
d) Asparagine
e) Proline
4) Non-protein amino acids are
a) L-Ornithine
b) L-Homocysteine
c) L- Diphthamide
d) L-Citrulline
e) L-Homo serine
5) Glutathione is made up of
a) Glycine
b) Lysine
c) Methionine
d) Cysteine
e) Glutamate
6) TRUE about molecular chaperones
a) Folding of all the proteins in the body require chaperones
39. b) Contain ATPase activity
c) Many of them are heat shock proteins
d) Bind to hydrophobic regions and prevent aggregation
e) Hsp 60 is a chaperonin
7) TRUE about prion proteins
a) PrPc is a glycoprotein rich in α helices
b) PrPc is a glycoprotein rich in beta sheets
c) PrPsc is rich in β sheet
d) PrPsc is rich in α helices
e) PrPsc acts as a template and is involved in the conversion of PrPc
to PrPsc
8) Select the TRUE statements
a) A linear tripeptide is linked by 3 peptide bonds
b) The C, N, O, and H atoms of a peptide bond are coplanar
c) Peptide bond is charged
d) Proline is a helix breaker
e) R group of tryptophan maximally absorbs light at 260 nm
9) Non-reducing sugars are
a) Glucose
b) Trehalose
c) Sucrose
d) Maltose
e) Galactose
10) Pentoses are
a) Arabinose
b) Xylose
c) Ribose
d) Xylulose
e) Erythrose
11) Carbohydrates found in glycoproteins are
a) N-Acetylglucosamine
b) N-acetylgalactosamine
c) Arabinose
d) L-Fucose
e) N-acetylneuraminic acid
40. 12) Gluconeogenic substrates are
a) Lactose
b) Lactate
c) Pyruvate
d) Glycerol
e) Propionyl-CoA
13) Vitamin cofactors for PDH complex are
a) B1
b) B2
c) B3
d) B5
e) B6
14) Causes of non-ketotic hypoglycemia are
a) Diabetes mellitus
b) CPT I deficiency
c) Ingestion of unripe fruit of akee
d) Insulinoma
e) Type I Glycogen storage disease
15) Coenzyme A is made up of
a) Pantothenate
b) β mercaptoethylamine
C) Phospho ADP
d) Cobalamine
e) Biotin
16) Select the TRUE statements
a) Hepatocytes lacks thiophorase
b) Hepatocytes lacks Glucose-6-phosphatase
c) Humans lack L-Gulonolactone oxidase
d) Myocyte lacks Glucose-6-phosphatase
e) Humans lack cellulase
17) Irreversible steps of glycolysis are
a) Phosphorylation of glucose by hexokinase
b) Reaction by aldolase
c) Reaction by pyruvate kinase
d) Reaction by phosphoglycerate mutase
41. e) Reaction by Phosphofructokinase
18) Enzymes catalysing substrate level phosphorylation reactions are
a) Pyruvate Kinase
b) Phosphofructo kinase
c) Phosphoglycerate kinase
d) Glycerol kinase
e) Succinate thiokinase
19) Key enzymes of Gluconeogenesis are
a) Phosphoenol pyruvate carboxykinase
b) Fructose 1, 6 bisphosphatase
c) Pyruvate carboxylase
d) Glucose-6-phosphatase
e) Pyruvate kinase
20) High energy phosphate compounds are
a) Carbamoyl phosphate
b) Creatine phosphate
c) Glycerol-3-phosphate
d) 1,3-Bisphosphoglycerate
e) Phosphoenolpyruvate
21) All of the following are features of untreated type I GSD, EXCEPT
a) Lactic acidosis
b) Hyperlipidemia
c) Hyperuricemia
d) Raised bleeding time
e) Hypoglycemia
22) All of the following are features of untreated Galactosemia,
EXCEPT
a) Hypoglycemia
b) E. coli sepsis
c) Mental retardation
d) Jaundice
e) Premature ovarian failure
23) In which of the following conditions, non-essential amino acids
become dietarily essential?
a) Alkaptonuria
42. b) Maple syrup urine disease
c) Phenylketonuria
d) Homocystinuria
e) Hyperargininaemia
24) Hippuric acid is produced from the reaction of
a) Phenylacetate
b) Glycine
c) Glutamate
d) Propionyl CoA
e) Benzoyl CoA
25) Which of the following is/are derived from tryptophan?
a) Glutamine
b) Xanthurenic acid
c) Nicotinic acid
d) Urocanic acid
e) Kynurenine
26) Amino acids involved in the synthesis of beta hydroxy gamma
trimethyl ammonium butyrate are
a) Arginine
b) Leucine
c) Lysine
d) Serine
e) Methionine
27) Amino acids excreted in the urine in Cystinuria are
a) Cystine
b) Ornithine
c) Arginine
d) Lysine
e) Leucine
28) Which of the following amino acids does not undergo
transamination?
a) Lysine
b) Ornithine
c) Threonine
d) Proline
43. e) Hydroxyproline
29) All of the following enzymes are used in molecular techniques,
EXCEPT
a) Alkaline phosphatase
b) Polynucleotide kinase
c) Terminal transferase
d) RNAse H
e) DNA ligase
30) Which of the following cofactors are needed for the conversion of
phenylalanine to adrenaline?
a) Tetrahydrobiopterin
b) Vitamin C
c) Copper
d) Vitamin B6
e) S-Adenosyl methionine
31) Vitamin C is NOT required for
a) Carnitine biosynthesis
b) Creatine biosynthesis
c) Collagen maturation
d) Iron absorption
e) Regeneration of tocopherol
32) Factors increasing iron absorption are
a) Acidic pH
b) Tannin
c) Phytate
d) Ascorbate
e) Oxalate
33) Divalent Metal Ion transporter-1 is involved in the transport of
a) Fe2+
b) Mg2+
c) Fe3+
d) Cu+
e) Pb2+
34) Cardiac enzymes are ….
a) CK-MB
44. b) LDH
c) SGOT
d) SGPT
e) Troponin
35) Trinucleotide repeat disorders are
a) Alzheimer’s disease
b) Amyotrophic lateral sclerosis
c) Ataxia telangiectasia
d) Huntington’s chorea
e) Kennedy’s disease
36) True statement(s) about reverse transcriptase
a) Used in cDNA synthesis
b) RNA dependent DNA polymerase predominantly
c) DNA dependent DNA polymerase predominantly
d) Telomere is an example
e) Used by HIV
37) What are all the features of polymerase used in PCR
a) Thermostable
b) 5’ 3’ polymerase activity
c) Requires primer
d) 5’ 3’ exonuclease activity
e) 3’ 5’ exonuclease activity
38) B12 dependent enzymes present in human are
a) Methionine synthase
b) Methyl malonyl coA mutase
c) Lysine amino mutase
d) Leucine aminomutase
e) Cystathionine synthase
39) B1 dependent enzymes are
a) Pyruvate Dehydrogenase
b) α keto glutarate dehydrogenase
c) Branched chain keto acid dehydrogenase
d) Transketolase
e) Transaldolase
40) Biotin dependent enzymes are
45. a) Acetyl CoA carboxylase
b) Pyruvate carboxylase
c) Propionyl CoA carboxylase
d) Vitamin K dependent carboxylase
e) Methylcrotonyl-CoA carboxylase
41) Raised anion gap is seen in
a) Multiple myeloma
b) Lithium poisoning
c) Uremia
d) Aspirin poisoning
e) Lactic acidosis type I
42) In glycoproteins, sugar residues are added to the
a) OH group of serine
b) OH group of threonine
c) OH group of tyrosine
d) Amide nitrogen of asparagine
e) Amide nitrogen of glutamine
43) GPI linked proteins are
a) Acetylcholinesterase of red cell membrane
b) Placental and intestinal alkaline phosphatase
c) 5′-Nucleotidase
d) Decay-accelerating factor
e) Adenylyl cyclase
44) FAD acts as a coenzyme for
a) Succinate dehydrogenase
b) Acyl CoA dehydrogenase
c) Malate dehydrogenase
d) Mitochondrial Glycerol-3-phosphate dehydrogenase
e) Glutathione peroxidase
45) Markers of plasma membrane are
a) Adenylate kinase
b) Adenylyl cyclase
c) Na+K+ATPase
d) 5’ Nucleotidase
e) 5’ deiodinase
46. 46) Oncogenes are
a) RAS
b) MYC
c) HER2
d) BCL2
e) BID
47) TRUE about mitochondrial DNA
a) Contains 37 genes
b) Maternally inherited
c) Genetic code of mitochondira is different
d) Mitochondrial genome is polyploid
e) Circular & double stranded
48) Select the TRUE statement(s) regarding ADP-ribosylation
a) Pertussis toxin causes ADP-ribosylation of α subunit of Gi type
of G-protein
b) Cholera toxin causes ADP-ribosylation of α subunit of Gs type
of G-protein
c) ADP-ribosylation of EF-2 is done by diphtheria toxin
d) ADP-ribosylation of histones is associated with DNA repair
e) ATP is the source of ADP-ribose
49) NADP act as a coenzyme for
a) Glucose-6-Phosphate dehydrogenase
b) Malic enzyme
c) Malate dehydrogenase
d) Cytosolic isocitrate dehydrogenase
e) Acyl coA dehydrogenase
50) TRUE about micro RNA
a) transcribed by RNA polymerase II
b) 200 nucleotides in length
c) Primary miRNA contains 5’ cap and a 3’ polyadenylated tail
d) translocated to cytoplasm by exportin-5
e) miRNA base pair with 5’ untranslated region of target mRNA
51) TRUE amount complement system
a) C3b & C4b are opsonins
b) C3a, C4a, C5a are anaphylatoxins
47. c) C5b678(9)n forms membrane attack complex
d) Early complement component deficiency leads to autoimmune
diseases
e) Late complement component deficiency leads to pyogenic
infections
52) TRUE about dendritic cells
a) Dendritic cells are the most efficient professional antigen
presenting cells
b) constitutively express MHC II and co-stimulatory signal
molecule B7
c) can activate naïve T-cell.
d) produce cytokines
e) present in skin
53) ABC transporters are involved in
a) Intestinal absorption of copper
b) Biliary excretion of copper
c) Methotrexate resistance
d) Reverse cholesterol transport
e) Chloride transport
54) Select the wrong statement(s)
a) DNA is more stable
b) DNAse is more stable
c) RNA is more stable
d) RNAse is more stable
e) Both DNAse & RNAse are equally stable
55) Disorders of ubiquitin proteasomal system are
a) Angelman syndrome
b) Autosomal recessive juvenile Parkinson’s disease
c) Von Hippel-Lindau syndrome
d) Congenital polycythaemia
e) Sickle cell anemia
56) ω-3 fatty acids are
a) Linoleic acid
b) Alpha Linolenic acid
c) Gamma linolenic acid
48. d) Docosahexaenoic Acid (DHA)
e) Eicosapentaenoic acid (EPA)
57) 18 carbon fatty acids are
a) Arachidonic acid
b) Linoleic acid
c) Oleic acid
d) Palmitic acid
e) Stearic acid
58) Lipotropic factors are
a) Choline
b) Methionine
c) Betaine
d) Selenium
e) Vitamin E
59) Reactions taking place inside the mitochondria are
a) TCA cycle
b) Omega oxidation of fatty acids
c) Elongation of long chain fatty acids
d) Ketone body production
e) Part of gluconeogenesis
60) Sulphur containing amino acids are
a) Methionine
b) Cysteine
c) Homocysteine
d) Taurine
e) Serine
61) Sulphur containing amino acids found in proteins are
a) Methionine
b) Cysteine
c) Homocysteine
d) Taurine
e) Serine
62) Compounds with free sulfhydryl group are
a) Cysteine
b) Cystine
49. c) Methionine
d) Glutathione
e) Coenzyme A
63) Hemoproteins are
a) Catalase
b) Guanylyl cyclase
c) Tryptophan pyrrolase
d) Cytochrome C oxidase
e) Myoglobin
64) Which is/are NOT true about collagen?
a) Collagen helix is a right handed alpha helix
b) Tertiary structure of collagen is left-handed triple helix
c) Triple helix structure is formed intracellularly
d) Self-assembly is the cardinal principle in collagen maturation
e) Hydroxy proline residues are glycosylated
65) Select the true statement (s):
a) Zinc is involved in the storage of insulin
b) Calcium is involved in insulin release
c) Chromium is an insulin sensitizer
d) Insulin inhibits Lipoprotein lipase
e) Insulin causes intracellular shift of potassium
66) All are true regarding tRNA EXCEPT
a) 74 to 95 nucleotides long
b) There are at least 20 species of tRNA molecules in every cell
c) Do not undergo any processing like mRNA
d) 5’ end of tRNA contains CCA
e) Transcribed by RNA polymerase II
67) All are true about microsatellite repeats EXCEPT
a) consist of 2 to 6 nucleotides repeated up to 50 times
b) Repeats of 2 nucleotides (dinucleotide repeats) is the most
common form of microsatellite.
c) Highly polymorphic
d) Co-dominantly inherited
e) Multi-allelic
50. 68) Which of the following pair of gene and its chromosomal location
is INCORRECT?
a) RB – 13
b) CFTR – 7
c) MHC I – 6
d) TP53 – 17
e) WT1 – 11
69) All of the following are disorders with X-linked dominant
inheritance, EXCEPT
a) Vit D dependent rickets
b) Rett syndrome
c) Incontinentia pigmenti
d) Fragile-X-Syndrome
e) Most cases of Alport syndrome
70) Enzymes coded by the X-chromosomes are
a) Uroporphyrinogen III synthase
b) α-Galactosidase
c) Arylsulfatase A
d) Iduronate sulfatase
e) α-L-Iduronidase
71) Ribozymes are
a) Peptidyl transferase
b) Telomerase
c) Spliceosomes
d) RNAse H
e) Reverse transcriptase
72) Prokaryotic DNA polymerase I contain
a) 5'3' polymerase activity
b) 3'5' polymerase activity
c) 3'5' exonuclease activity
d) 5'3' exonuclease activity
e) 5'3' endonuclease activity
73) Inhibitors of translation only in eukaryotic organisms are
a) Cycloheximide
b) Ricin
51. c) Diphtheria toxin
d) Puromycin
e) Linezolid
74) Components of Garrod’s tetrad are
a) Phenylketonuria
b) Alkaptonuria
c) Albinism
d) Cystinuria
e) Essential Pentosuria
75) Proteins and enzymes involved in reverse cholesterol transport are
a) ABCA1
b) ABCG1
c) LCAT
d) CETP
e) SRB1
76) Hypouricemia is due to
a) Overactivity of xanthine oxidase
b) Defective xanthine oxidase
c) Renal failure
d) Liver failure
e) Defective HGPRTase
77) Orotic aciduria is seen in
a) Rye syndrome
b) Orotidylate decarboxylase deficiency
c) Ornithine transcarbamoylase deficiency
d) Allopurinol therapy
e) 6-Azauridine therapy
78) Products of RNA polymerase III are
a) tRNA
b) 5S rRNA
c) U6 SnRNA
d) miRNA
e) 7S RNA of signal recognition particle
79) Properties of genetic code are
a) Degenerate
52. b) Overlapping
c) Universal
d) Unambiguous
e) Punctuated
80) Non-coding RNAs are
a) tRNA
b) miRNA
c) rRNA
d) long non-coding RNA
e) snRNA
81) TRUE about restriction enzymes
a) can cut the DNA anywhere
b) produce only sticky ends
c) produce only blunt ends
d) produced by bacteria against viruses
e) can cleave single stranded DNA
82) TRUE about lipid rafts
a) specialised areas in the inner layer of the lipid bilayer
b) specialised areas in the outer layer of the lipid bilayer
c) involved in signal transduction
d) enriched in cholesterol and sphingolipids
e) caveolae are derived from lipid raft
83) Hormones that bind to intracellular receptors are
a) calcitonin
b) Calcitriol
c) Thyroxin
d) Progestins
e) Retinoic acid
84) β alanine is present in
a) Coenzyme A
b) Carnosine
c) Anserine
d) Homocarnosine
e) Sarcosine
53. 85) Amino acids containing polar, uncharged side chains are
a) Asparagine
b) Serine
c) Tyrosine
d) Cysteine
e) Glutamine
86) Enzyme markers of obstructive liver disease are
a) Alkaline phosphatase
b) Aspartate transaminase
c) Lactate dehydrogenase
d) 5’-Nucleotidase
e) Gamma glutamyl transpeptidase
87) Laboratory findings seen in prehepatic jaundice due to
intravascular hemolysis are
a) ↑ LDH
b) ↑ urinary urobilinogen
c) ↑ urinary bilirubin
d) ↓ Hemopexin
e) ↓ Haptoglobin
88) ApoB B100 containing lipoproteins are
a) Chylomicron
b) VLDL
c) IDL
d) LDL
e) HDL
89) Enzymes that belong to EC4 are
a) Enolase
b) Aldolase
c) Fumarase
d) ALA dehydratase
e) Thiophorase
90) Copper containing enzymes are
a) Glutathione peroxidase
b) Lysyl oxidase
c) Cytochrome c oxidase
d) Tyrosinase
e) Alkaline phosphatase
91) Anti-oxidant vitamins are
54. a) Beta carotene
b) Ascorbic acid
c) Tocopherol
d) Calcitriol
e) Menaquinone
92) Reactions producing H2O2 are
a) Xanthine oxidase
b) Superoxide dismutase
c) L-amino acid oxidase
d) D-amino acid oxidase
e) Cytochrome C oxidase
93) Techniques to quantify the gene expression are
a) Quantitative real-time PCR
b) Flowcytometry
c) Fluorescence In Situ Hybridization
d) RNA microarray
e) SDS-PAGE
94) Techniques to detect DNA-Protein interaction are
a) South-western blotting
b) SDS-PAGE
c) DNA finger printing
d) DNA foot printing
e) Chromatin immunoprecipitation
95) Isoprene derivatives are
a) Cholesterol
b) Ubiquitin
c) Ubiquinone
d) Dolichol
e) β-carotene
96) Food additives that prevent lipid peroxidation are
a) Propyl gallate
b) Butylated hydroxyanisole
c) Butylated hydroxytoluene
d) Tocopherol
e) Calcitriol
97) In our body, chemical reactions which are thermodynamically not
possible (endergonic reactions) are made possible by coupling with
55. exergonic reactions. In all of the following reactions 2 high energy
phosphates are used in coupling, EXCEPT
a) Activation of fatty acid for beta oxidation
b) Activation of amino acid for charging into tRNA
c) Activation of ubiquitin for tagging into target protein
d) Activation of glycerol for TAG synthesis.
e) Activation of glucose for glycolysis
98) Immunological tolerance can be induced by
a) High doses of antigen
b) Intravenous or oral introduction
c) Absence of adjuvants
d) Low levels of co-stimulation
e) Presentation of antigen by immature or non-activated antigen-
presenting cells
99) Amino acids that donate one carbon group are
a) Glycine
b) Serine
c) Methionine
d) Histidine
e) Threonine
100) Glutathione is involved in
a) Meister cycle
b) Conjugation of xenobiotics
c) Free radical scavenging
d) Leukotriene synthesis
e) Maleylacetoacetate cis, trans isomerase reaction
101) True about trans fatty acid
a) high in fried rice
b) partial hydrogenation increase it
c) refining decrease it
d) increased LDL
e) increased HDL
102) Sphingosine is synthesised from
a) Glycine
b) Serine
c) Mannose 6 phosphate
d) Propionyl coA
103) Gangliosides contain
56. a) Phosphate
b) Galactose
c) Sulfate
d) Serine
e) Sialic acid
104) Neuraminic acid is derived from
a) Pyruvate
b) Mannosamine
c) Propionyl coA
d) Lysine
e) Methionine
All these questions are framed from
the content given in the printed
book.
So, there will be no problem in
answering the questions.