NEET-PG 2012 Practice Questions

Q: Right ovarian artery is a branch of ?

Abdominal aorta. ***Abdominal aorta*** - The **right ovarian artery** typically originates directly from the **abdominal aorta**, just inferior to the renal arteries [1]. - This is a direct branch, supplying blood to the **right ovary**, **fallopian tube**, and surrounding structures [1]. *Right internal iliac* - The **internal iliac artery** primarily supplies the **pelvic organs**, gluteal region, and medial thigh [1]. - While it has branches to pelvic structures, the ovarian artery does not originate from it. *Common iliac* - The **common iliac artery** bifurcates into the **internal and external iliac arteries** at the level of the sacroiliac joint. - It does not directly give off the ovarian artery. *External iliac* - The **external iliac artery** continues as the **femoral artery** below the inguinal ligament, primarily supplying the lower limb. - It does not give off branches to the ovary.

Q: Which hormone is known to repress the biosynthesis of the enzyme pyruvate carboxylase?

Insulin. ***Insulin*** - **Insulin** is an anabolic hormone that promotes glucose utilization and opposes **gluconeogenesis**. - While insulin does inhibit hepatic glucose production, it primarily acts by **repressing PEPCK (phosphoenolpyruvate carboxykinase)**, the rate-limiting enzyme of gluconeogenesis, rather than directly repressing pyruvate carboxylase biosynthesis. - **Note:** Modern biochemistry emphasizes that insulin's main transcriptional target in gluconeogenesis is **PEPCK**, not pyruvate carboxylase. However, this was the expected answer for **NEET-2012**, reflecting the understanding at that time. - Insulin also promotes dephosphorylation and inactivation of gluconeogenic enzymes and enhances glucose uptake and glycolysis. *Glucagon* - **Glucagon** is a catabolic hormone that **activates** enzymes involved in **gluconeogenesis** and glycogenolysis to raise blood glucose levels. - It would **increase**, not repress, the biosynthesis and activity of gluconeogenic enzymes including **pyruvate carboxylase**. *Cortisol* - **Cortisol** is a glucocorticoid hormone that **stimulates gluconeogenesis** in the liver as part of the stress response. - It typically **upregulates** the synthesis and activity of gluconeogenic enzymes like **pyruvate carboxylase** and **PEPCK**. *Growth hormone* - **Growth hormone** generally **increases insulin resistance** and can have a **diabetogenic effect**, promoting glucose production rather than repressing gluconeogenic enzymes. - It does not directly repress gluconeogenic enzyme biosynthesis; its metabolic effects favor lipolysis and protein synthesis.

Q: Glycogen synthase is activated by?

Insulin. **Insulin** - Insulin activates **glycogen synthase** through a signaling cascade that dephosphorylates the enzyme, shifting it to its active form (glycogen synthase a). - This activation promotes **glycogen synthesis** in the liver and muscles, lowering blood glucose levels. *Glucagon* - **Glucagon** primarily acts to increase blood glucose levels by activating **glycogen phosphorylase** and inhibiting glycogen synthase. - It promotes the breakdown of glycogen (glycogenolysis) rather than its synthesis. *Epinephrine* - **Epinephrine** (adrenaline) also promotes **glycogenolysis** (glycogen breakdown) by activating glycogen phosphorylase. - Its main role is to provide rapid energy during stress, not to store glucose as glycogen. *AMP* - **AMP** (adenosine monophosphate) is a key allosteric activator of **AMP-activated protein kinase (AMPK)**, which phosphorylates and inactivates glycogen synthase. - High AMP levels signal a low energy state, prompting ATP-generating pathways like glycogenolysis, not glycogen synthesis.

Q: Which of the following statements about protein denaturation is correct?

The primary structure of the protein is unaffected.. ***The primary structure of the protein is unaffected.*** - Denaturation refers to the disruption of a protein's **secondary, tertiary, and quaternary structures**, while the **covalent peptide bonds** that form the primary structure remain intact. - The sequence of amino acids, which defines the primary structure, is not typically altered by denaturing agents such as heat, pH changes, or chemicals. *Biological properties are retained after denaturation.* - Denaturation typically leads to the **loss of a protein's specific three-dimensional shape**, which is essential for its biological function. - Therefore, the biological properties and **activity of the protein are usually lost** or significantly impaired upon denaturation. *Denaturation is always irreversible.* - While many cases of denaturation are irreversible (e.g., cooking an egg), some proteins can **renature** if the denaturing conditions are removed, restoring their original structure and function. - This reversibility depends on the **severity and duration of the denaturing agent**, as well as the protein's inherent stability. *Denaturation never results in proteins becoming insoluble.* - Denaturation often exposes **hydrophobic regions** of a protein that were previously buried within its folded structure, leading to aggregation and **precipitation**, thereby making the protein insoluble. - This insolubility is a common consequence of denaturation, particularly with significant structural disruption.

Q: What is a Klatskin tumor?

Hilar cholangiocarcinoma. ***Nodular type of cholangiocarcinoma*** - Klatskin tumors are a specific form of **cholangiocarcinoma** occurring at the junction of the left and right hepatic bile ducts [1]. - These tumors are characterized by **biliary obstruction** and often present with **jaundice** as a prominent clinical feature. *Fibrolamellar hepatocellular carcinoma* - This is a variant of **hepatocellular carcinoma** known for its fibrous stroma, distinct from Klatskin tumors which arise from bile ducts. - **Fibrolamellar** is more common in younger patients and typically does not cause **biliary obstruction** characteristic of Klatskin tumors. *Gall bladder carcinoma* - Gall bladder carcinoma originates from the **gallbladder epithelium**, not the bile ducts, differentiating it from Klatskin tumors. - It may present with symptoms such as **abdominal pain** and **weight loss**, rather than the specific obstructive jaundice seen in Klatskin cases. *Hepatocellular carcinoma* - This cancer arises directly from hepatocytes and is unrelated to bile duct tumors like Klatskin tumors. - Commonly linked to **chronic liver disease** and liver cirrhosis, it does not typically present with **obstructive jaundice** as seen in cholangiocarcinomas [1]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Liver and Gallbladder, pp. 880-881.

Q: Which of the following is most important in sodium and water retention ?

Renin angiotensin system. ***Renin angiotensin system*** - The **renin-angiotensin-aldosterone system (RAAS)** is the most important mechanism for **both sodium AND water retention**, which is what the question specifically asks about. - **Aldosterone** directly promotes **sodium reabsorption** in the principal cells of the collecting duct by increasing apical ENaC channels and basolateral Na-K-ATPase pumps. - **Angiotensin II** stimulates sodium reabsorption in the proximal tubule and also stimulates ADH release, contributing to water retention. - When sodium is retained, **water follows passively** due to the osmotic gradient, resulting in effective volume expansion. - RAAS is the primary system activated in states of volume depletion and is most important for combined sodium and water retention. *Vasopressin* - **Vasopressin (ADH)** primarily controls **water retention only** by increasing aquaporin-2 channels in the collecting duct. - While crucial for water balance, it has minimal direct effect on sodium reabsorption. - It causes retention of **free water**, which can actually dilute plasma sodium concentration. - ADH is the answer if the question asked about water retention alone, but not for combined sodium and water retention. *ANP* - **Atrial natriuretic peptide (ANP)** promotes **sodium and water excretion** (natriuresis and diuresis). - Released in response to atrial stretch from volume expansion. - Acts to *oppose* retention mechanisms, making it incorrect for this question. *BNP* - **Brain natriuretic peptide (BNP)** similarly promotes **natriuresis and diuresis**. - Released from ventricular myocytes in response to volume overload. - Like ANP, it acts to *excrete* sodium and water, not retain them.

Q: From the given pressure-volume curve, identify the end-diastolic volume (EDV) and end-systolic volume (ESV), then calculate the ejection fraction using the formula EF = (EDV - ESV)/EDV × 100%.

60%. ***60%*** - From the pressure-volume loop, the **end-diastolic volume (EDV)** is the volume at point 'a', which is **130 mL**. - The **end-systolic volume (ESV)** is the volume at point 'd', which is **50 mL**. - Using the formula EF = (EDV - ESV) / EDV × 100% = (130 mL - 50 mL) / 130 mL × 100% = 80 mL / 130 mL × 100% = **61.5%**, which rounds to **60%** (the closest option). *40%* - To obtain an ejection fraction of 40%, the ESV would need to be higher, or the EDV lower, than what is indicated by the points 'a' and 'd' on the graph. - (130 - ESV) / 130 = 0.40 => 130 - ESV = 52 => ESV = 78 mL. This isn't consistent with the graph. *50%* - An ejection fraction of 50% would mean that the heart ejected half of its EDV. - (130 - ESV) / 130 = 0.50 => 130 - ESV = 65 => ESV = 65 mL. This value for ESV is not depicted at point 'd'. *55%* - For an ejection fraction of 55%, the calculation would yield a different ESV than what is presented in the curve. - (130 - ESV) / 130 = 0.55 => 130 - ESV = 71.5 => ESV = 58.5 mL. This is not the ESV at point 'd'.

Q: Salty taste is due to?

Sodium ion channels. ***Sodium ion channels*** - The sensation of **salty taste** is primarily mediated by the direct influx of **sodium ions (Na+)** into taste receptor cells. - This influx leads to **depolarization** of the cell membrane, triggering neurotransmitter release and signaling to the brain. *Calcium ion channels* - While calcium ions are crucial for various cellular processes, including **neurotransmitter release**, they are not the primary initiators of the salty taste transduction pathway. - Calcium channels are more directly involved in the sensation of **umami** and **sweet tastes**, often via G-protein coupled receptors. *G-protein coupled receptors* - **G-protein coupled receptors (GPCRs)** are responsible for the transduction of **sweet, bitter, and umami tastes**. - They are not involved in the direct detection of **saline compounds**, which operate through ion channels. *Proton channels* - **Proton channels (H+)** are primarily involved in the sensation of **sour taste**. - The influx of protons causes intracellular acidification, leading to cell depolarization.

Q: What is the process by which water moves from the extracellular space to the intracellular space?

Osmosis. ***Osmosis*** - **Osmosis** is the movement of water across a **semipermeable membrane** from an area of higher water concentration (lower solute concentration) to an area of lower water concentration (higher solute concentration). - In the context of fluid shifts, if the **extracellular fluid** becomes hypotonic relative to the **intracellular fluid**, water will move into the cells to equalize the solute concentration. *Diffusion* - **Diffusion** refers to the net movement of particles from an area of higher concentration to an area of lower concentration, down their **concentration gradient**. - While water molecules can diffuse, **osmosis** specifically describes the net movement of water across a membrane due to **solute concentration differences**, which is the precise mechanism for water moving between fluid compartments. *Filtration* - **Filtration** is the process by which water and solutes move across a membrane due to a **pressure gradient**, typically a **hydrostatic pressure gradient**. - This process is crucial in the kidneys for forming filtrate, but it is not the primary mechanism for water movement between the intra- and extracellular spaces based on solute concentration. *Active transport* - **Active transport** involves the movement of molecules across a membrane against their **concentration gradient**, requiring **energy expenditure** (e.g., ATP). - Water movement between fluid compartments is generally a passive process, relying on **osmotic gradients** rather than direct energy input to pump water molecules.

Q: Gas exchange in tissues takes place at?

Capillary. ***Capillary*** - **Capillaries** are the smallest and most numerous blood vessels, with very thin walls (only one cell thick), which facilitates the efficient exchange of gases, nutrients, and waste products between blood and tissues. - Their extensive network ensures close proximity to nearly every cell in the body, maximizing the surface area and minimizing the diffusion distance for **gas exchange**. *Artery* - Arteries carry **oxygenated blood** away from the heart to the tissues but have thick, muscular walls designed for high pressure and transport, not for direct exchange with tissues. - They branch into smaller arterioles, which then lead to capillaries, making them a conduit rather than an exchange site. *Vein* - Veins carry **deoxygenated blood** back to the heart from the tissues and have relatively thin walls compared to arteries but are still too thick for efficient gas exchange. - They primarily serve as blood return vessels and reservoirs. *Venules* - Venules are small blood vessels that merge from capillaries and eventually combine to form veins; they primarily function in collecting blood from capillary beds. - While slightly more permeable than larger veins, their main role is still collection and transport, not the extensive gas exchange facilitated by capillaries.

Question 1

Right ovarian artery is a branch of ?

Accepted Answer

Abdominal aorta

Answer

Right internal iliac

Answer

Common iliac

Answer

External iliac

Question 2

Which hormone is known to repress the biosynthesis of the enzyme pyruvate carboxylase?

Accepted Answer

Insulin

Answer

Cortisol

Answer

Glucagon

Answer

Growth hormone

Question 3

Glycogen synthase is activated by?

Accepted Answer

Insulin

Answer

Glucagon

Answer

AMP

Answer

Epinephrine

Question 4

Which of the following statements about protein denaturation is correct?

Accepted Answer

The primary structure of the protein is unaffected.

Answer

Biological properties are retained after denaturation.

Answer

Denaturation is always irreversible.

Answer

Denaturation never results in proteins becoming insoluble.

Question 5

What is a Klatskin tumor?

Accepted Answer

Hilar cholangiocarcinoma

Answer

Fibrolamellar hepatocellular carcinoma

Answer

Gall bladder carcinoma

Answer

Hepatocellular carcinoma

Question 6

Which of the following is most important in sodium and water retention ?

Accepted Answer

Renin angiotensin system

Answer

ANP

Answer

BNP

Answer

Vasopressin

Question 7

From the given pressure-volume curve, identify the end-diastolic volume (EDV) and end-systolic volume (ESV), then calculate the ejection fraction using the formula EF = (EDV - ESV)/EDV × 100%.

Accepted Answer

60%

Answer

40%

Answer

50%

Answer

55%

Question 8

Salty taste is due to?

Accepted Answer

Sodium ion channels

Answer

Calcium ion channels

Answer

G-protein coupled receptors

Answer

Proton channels

Question 9

What is the process by which water moves from the extracellular space to the intracellular space?

Accepted Answer

Osmosis

Answer

Diffusion

Answer

Filtration

Answer

Active transport

Question 10

Gas exchange in tissues takes place at?

Accepted Answer

Capillary

Answer

Artery

Answer

Vein

Answer

Venules

NEET-PG 2012

Anatomy

Biochemistry

Pathology

Physiology