NEET-PG 2012 Practice Questions

Q: Ovarian fossa is formed by all except?

Round ligament of ovary. ***Round ligament of ovary*** - The **round ligament of ovary** (ovarian ligament) connects the ovary to the lateral wall of the uterus and does NOT form any boundary of the ovarian fossa [1]. - It lies medial to the ovary and is not involved in forming the depression of the ovarian fossa [1]. - This ligament anchors the ovary but is separate from the peritoneal boundaries defining the fossa [1]. *Obliterated umbilical artery* - The **obliterated umbilical artery** (medial umbilical ligament) forms the **anterior boundary** of the ovarian fossa [2]. - This is a key anatomical landmark running along the lateral pelvic wall anterior to the ovary [2]. *Internal iliac artery* - The **internal iliac artery** forms the **posterior boundary** of the ovarian fossa [2]. - It lies on the lateral pelvic wall, deep and posterior to the ovarian fossa [2]. - This is one of the main structures defining the fossa's posterior limit [2]. *Ureter* - The **ureter** runs along the lateral pelvic wall and forms part of the **posterior/floor boundary** of the ovarian fossa [2]. - It passes posteroinferior to the ovary, contributing to the fossa's posterior limits [2].

Q: Which of the following is NOT an anterior relation of the right kidney?

4th part of duodenum. ***4th part of duodenum*** - The **4th part of the duodenum** is located to the **left of the vertebral column** and is related to the **left kidney**, not the right kidney. - This segment passes superiorly along the left side of the aorta to become continuous with the jejunum at the duodenojejunal flexure. *Liver* - The **right kidney's superior part** is in direct contact with the **right lobe of the liver**, often separated only by the peritoneum [1]. - This is a significant anterior relation, explaining why liver enlargement can sometimes displace the right kidney. *Hepatic flexure* - The **hepatic flexure** (right colic flexure) of the colon lies immediately inferior to the liver and anterior to the **lower part of the right kidney**. - This anatomical relationship means that the right kidney can be affected by diseases of the colon in this region. *2nd part of duodenum* - The **descending (2nd) part of the duodenum** lies anterior to the **hilum and medial part of the right kidney** [1]. - Its retroperitoneal position places it in close proximity to the renal structures, making it a key anterior relation.

Q: Which of the following is a termination codon?

UAA. ***UAA*** - **UAA** is one of the three **stop codons** (UAA, UAG, UGA) that signals the termination of protein synthesis during translation. - When the ribosome encounters a UAA codon, no corresponding tRNA with an anticodon binds, and release factors bind instead, leading to the dissociation of the polypeptide chain. *AUG* - **AUG** is the universal **start codon** in most organisms, encoding for methionine in eukaryotes and N-formylmethionine in prokaryotes. - Its presence signals the initiation of protein synthesis, not its termination. *AUA* - **AUA** is a codon that codes for the amino acid **Isoleucine**. - It is a **sense codon** and does not act as a signal for termination. *AGG* - **AGG** is a codon that codes for the amino acid **Arginine**. - Similar to AUA, it is a **sense codon** and participates in elongating the polypeptide chain, rather than terminating it.

Q: What is the primary function of reverse transcription?

Synthesis of DNA from an RNA template. ***Synthesis of DNA from an RNA template*** - **Reverse transcription** is catalyzed by the enzyme **reverse transcriptase**, which uses an **RNA template** to synthesize a complementary DNA (cDNA) strand. - This process is fundamental in the life cycle of **retroviruses** like HIV, allowing them to integrate their genetic material into the host genome. *Synthesis of RNA from a DNA template* - This process is known as **transcription**, where genetic information is copied from **DNA to RNA**, not the reverse. - It is a key step in gene expression, leading to the production of various types of RNA molecules. *Synthesis of DNA from a DNA template* - This describes **DNA replication**, the process by which DNA makes copies of itself, ensuring genetic continuity during cell division. - It involves enzymes like **DNA polymerase** and creates two identical DNA molecules from one original DNA molecule. *Synthesis of RNA from an RNA template* - This process is known as **RNA replication** and is characteristic of certain **RNA viruses** (e.g., influenza virus), where RNA serves as both the template and the genetic material. - It involves an enzyme called **RNA-dependent RNA polymerase**.

Q: Km value is defined as:

Substrate concentration at Vmax/2. ***Substrate concentration at Vmax/2*** - The **Michaelis constant (Km)** is defined as the **substrate concentration** at which the reaction velocity is **half of the maximum velocity (Vmax/2)**. - It reflects the **affinity of an enzyme for its substrate**; a lower Km indicates higher affinity. *Substrate concentration at which reaction rate is maximum* - The **maximum reaction rate (Vmax)** is achieved when the enzyme is **saturated with substrate**, meaning all active sites are occupied. - Km specifically refers to the substrate concentration needed to reach **half of this maximum rate**, not the maximum rate itself. *Substrate concentration at Vmax* - At **Vmax**, the enzyme is fully saturated with substrate, and the reaction rate cannot increase further by adding more substrate. - The **Km value** is a measure related to the **efficiency of substrate binding** at conditions below saturation, specifically at half Vmax. *Substrate concentration at which enzyme activity is optimal* - **Optimal enzyme activity** is generally influenced by factors such as **pH and temperature**, which affect the enzyme's structure and catalytic efficiency. - Km is specifically related to the **substrate concentration** required to achieve a specific reaction rate, not the overall optimal environmental conditions for the enzyme.

Q: Which enzyme catalyzes the rate limiting step in the TCA cycle?

α-ketoglutarate dehydrogenase. **α-ketoglutarate dehydrogenase** - The **α-ketoglutarate dehydrogenase complex** catalyzes the oxidative decarboxylation of α-ketoglutarate to succinyl-CoA, producing NADH and CO2. - This step is a **major control point** in the TCA cycle and is highly regulated by: - **Product inhibition**: Succinyl-CoA and NADH - **Calcium ions**: Activate the enzyme - Along with isocitrate dehydrogenase and citrate synthase, it represents one of the three key regulatory enzymes of the TCA cycle. *Fumarase* - **Fumarase** catalyzes the reversible hydration of fumarate to L-malate. - This enzyme is **not a regulatory step** in the TCA cycle; its activity is typically high and not a control point for the overall flux of the cycle. *Aconitase* - **Aconitase** catalyzes the reversible isomerization of citrate to isocitrate, via the intermediate cis-aconitate. - While important for the cycle's progression, aconitase activity is **not considered a rate-limiting step** for the overall regulation of the TCA cycle. *Thiokinase* - The term **thiokinase** (or succinyl-CoA synthetase) catalyzes the reversible conversion of succinyl-CoA to succinate, coupled with GTP/ATP production. - This enzyme is responsible for **substrate-level phosphorylation** in the TCA cycle but does not represent a primary regulatory or rate-limiting step.

Q: Which tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?

Muscle. ***Muscle*** - Muscle tissue lacks the enzyme **glucose-6-phosphatase**, which is essential for hydrolyzing glucose 6-phosphate back to **free glucose**. - Therefore, glucose 6-phosphate in muscle is primarily used for **glycolysis** (energy production) or stored as glycogen for local use. *Liver* - The liver contains **glucose-6-phosphatase**, allowing it to convert **glucose 6-phosphate** to **free glucose**. - This capability is crucial for maintaining **blood glucose homeostasis** and releasing glucose into circulation. *Adipose tissue* - Adipose tissue, like muscle, **lacks glucose-6-phosphatase** and cannot convert glucose 6-phosphate back to free glucose. - Glucose 6-phosphate in adipose tissue is primarily channeled into **fatty acid synthesis** and storage. *Kidney* - The kidney, particularly the renal cortex, possesses **glucose-6-phosphatase** and can convert glucose 6-phosphate to **free glucose**. - This contributes to **gluconeogenesis** and release of glucose into the blood, especially during fasting.

Q: Which type of fatty acids should be included in the diet to manage chyluria?

Medium-chain fatty acids. ***Medium-chain fatty acids*** - **Medium-chain fatty acids (MCFAs)** are absorbed directly into the **portal circulation** without being re-esterified to triglycerides or incorporated into chylomicrons [1]. This helps bypass the compromised lymphatic system. - In **chyluria**, the lymphatic system's integrity is disrupted, leading to leakage of **chyle** (lymphatic fluid rich in chylomicrons) into the urinary tract. MCFAs provide a source of fat that does not rely on the lymphatic pathway for transport [1]. *Short-chain fatty acids* - **Short-chain fatty acids (SCFAs)** are primarily produced by bacterial fermentation in the colon and are absorbed directly into the portal circulation. - While they do not rely on the lymphatic system, their dietary contribution as a significant energy source is limited, and they are not the primary fat source for patients with chyluria. *Long-chain fatty acids* - **Long-chain fatty acids (LCFAs)** are absorbed with the help of bile salts, re-esterified into triglycerides, and packaged into **chylomicrons** within the intestinal cells [2]. - These chylomicrons then enter the **lymphatic system** and eventually the bloodstream, which is precisely the pathway that is compromised in chyluria, making them unsuitable [2]. *Omega-3 fatty acids* - **Omega-3 fatty acids** are a type of **long-chain polyunsaturated fatty acid** that also follow the chylomicron-lymphatic pathway for absorption [3]. - While beneficial for other health aspects, they are not suitable for managing chyluria due to their reliance on the **lymphatic system** for transport, which is dysfunctional in this condition.

Q: Which of the following does not belong to the family of selectins?

A selectin. ***A selectin*** - ***A selectin*** is not a recognized member of the selectin family, which includes other specific types. - The known selectins are **E-selectin**, **L-selectin**, and **P-selectin**, demonstrating a distinct classification [1]. *E selectin* - E selectin is a specific type of selectin expressed on **endothelial cells** activated by cytokines [1]. - It plays a crucial role in **leukocyte adhesion** during inflammation, distinguishing it as part of the selectin family [1]. *L selectin* - L selectin is involved in the **homing** of leukocytes to lymph nodes and forms part of the selectin family [1]. - Responsible for the initial tethering and rolling of leukocytes on **venular endothelium** [1]. *P selectin* - P selectin is found on platelets and endothelial cells and is critical in the **aggregation** of platelets and leukocytes. - It is also an established member of the selectin family, involved in **inflammatory responses** [1]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Inflammation and Repair, p. 87.

Question 1

Ovarian fossa is formed by all except?

Accepted Answer

Round ligament of ovary

Answer

Internal iliac artery

Answer

Ureter

Answer

Obliterated umbilical artery

Question 2

Which of the following is NOT an anterior relation of the right kidney?

Accepted Answer

4th part of duodenum

Answer

Hepatic flexure

Answer

Liver

Answer

2nd part of duodenum

Question 3

Which of the following is a termination codon?

Accepted Answer

UAA

Answer

AUG

Answer

AUA

Answer

AGG

Question 4

What is the primary function of reverse transcription?

Accepted Answer

Synthesis of DNA from an RNA template

Answer

Synthesis of RNA from a DNA template

Answer

Synthesis of DNA from a DNA template

Answer

Synthesis of RNA from an RNA template

Question 5

Km value is defined as:

Accepted Answer

Substrate concentration at Vmax/2

Answer

Substrate concentration at which reaction rate is maximum

Answer

Substrate concentration at Vmax

Answer

Substrate concentration at which enzyme activity is optimal

Question 6

Which enzyme catalyzes the rate limiting step in the TCA cycle?

Accepted Answer

α-ketoglutarate dehydrogenase

Answer

Fumarase

Answer

Aconitase

Answer

Thiokinase

Question 7

Which tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?

Accepted Answer

Muscle

Answer

Liver

Answer

Kidney

Answer

Adipose tissue

Question 8

Which type of fatty acids should be included in the diet to manage chyluria?

Accepted Answer

Medium-chain fatty acids

Answer

Short-chain fatty acids

Answer

Long-chain fatty acids

Answer

Omega-3 fatty acids

Question 9

Which of the following does not belong to the family of selectins?

Accepted Answer

A selectin

Answer

P selectin

Answer

L selectin

Answer

E selectin

Question 10

The plateau phase of this graph is due to:

Accepted Answer

The calcium channels remaining open longer than the sodium channels

Answer

Increased membrane permeability to potassium ions

Answer

A decrease in calcium diffusion across the membrane

Answer

The movement of fewer sodium ions across the cell membrane

NEET-PG 2012

Anatomy

Biochemistry

Internal Medicine

Pathology

Physiology