Anatomy
1 questionsRight ovarian artery is a branch of ?
NEET-PG 2012 - Anatomy NEET-PG Practice Questions and MCQs
Question 241: Right ovarian artery is a branch of ?
- A. Abdominal aorta (Correct Answer)
- B. Right internal iliac
- C. Common iliac
- D. External iliac
Explanation: ***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.
Biochemistry
8 questionsWhich tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?
Which of the following statements is true regarding medium chain fatty acids?
In which condition does serum appear milky white?
Which of the following is a non-essential amino acid?
Which amino acid among the following has significant UV absorption at 280 nm used in protein quantification?
In starvation, nitrogen is primarily carried from muscle to liver and kidney by which amino acid?
Chemiosmotic coupling of oxidative phosphorylation is related to which of the following?
What is the coenzyme form of pyridoxine?
NEET-PG 2012 - Biochemistry NEET-PG Practice Questions and MCQs
Question 241: Which tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?
- A. Liver
- B. Kidney
- C. Adipose tissue
- D. Muscle (Correct Answer)
Explanation: ***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.
Question 242: Which of the following statements is true regarding medium chain fatty acids?
- A. All of the options are true (Correct Answer)
- B. Do not require pancreatic lipase for digestion
- C. Absorb directly into portal circulation
- D. Are less likely to be deposited in adipose tissue compared to long-chain fatty acids
Explanation: ***All of the options are true*** - This option is correct because medium-chain fatty acids (MCFAs) possess unique metabolic properties that differentiate them from long-chain fatty acids (LCFAs), making all listed statements accurate. - Their shorter chain length allows for distinct digestion, absorption, and metabolic fates, which are beneficial in various clinical contexts. *Do not require pancreatic lipase for digestion* - MCFAs have **shorter carbon chains** (typically 6-12 carbons) and are more hydrophilic than LCFAs. - This property allows them to be digested by **lingual and gastric lipases** to a greater extent, reducing the reliance on pancreatic lipase. *Absorb directly into portal circulation* - Unlike LCFAs, which are re-esterified into triglycerides, packaged into **chylomicrons**, and absorbed into the lymphatic system, MCFAs are absorbed directly into the **portal vein**. - This bypasses the lymphatic system and directly transports them to the liver, making them a rapid energy source. *Are less likely to be deposited in adipose tissue compared to long-chain fatty acids* - MCFAs are **rapidly oxidized** in the liver for energy via beta-oxidation and are less likely to be stored as triglycerides in adipose tissue. - They are also not efficiently utilized for the synthesis of complex lipids or stored fat due to their unique metabolic pathway and preference for oxidation.
Question 243: In which condition does serum appear milky white?
- A. Increased LDL
- B. Increased HDL
- C. Increased VLDL
- D. Increased Chylomicrons (Correct Answer)
Explanation: ***Increased Chylomicrons*** - **Chylomicrons** are the largest lipoprotein particles (75-1200 nm) with the highest **triglyceride content (85-95%)**, giving serum a characteristic **milky white** or "creamy" appearance - This intense milky appearance occurs after **fatty meals** (postprandial lipemia) or in **Type I and V hyperlipidemias** (familial chylomicronemia syndrome) - The **light scattering** by these large particles makes the serum completely opaque, distinguishing it from other lipid abnormalities - Classic clinical finding: **"cream layer" forms on top** when lipemic serum stands overnight in refrigerator *Increased LDL* - Elevated **Low-Density Lipoprotein (LDL)** produces **clear to slightly hazy** serum, never milky white - LDL particles are much smaller (18-25 nm) than chylomicrons and contain primarily **cholesterol**, not triglycerides - High LDL is a cardiovascular risk factor but does not cause visible lipemia *Increased HDL* - **High-Density Lipoprotein (HDL)** elevation results in **clear serum** - HDL particles are the smallest (5-12 nm) and densest lipoproteins - High HDL is protective and causes no turbidity *Increased VLDL* - **Very Low-Density Lipoprotein (VLDL)** elevation can cause **turbid or hazy** serum in severe hypertriglyceridemia, but typically less intensely milky than chylomicrons - VLDL particles are smaller (30-80 nm) than chylomicrons with lower triglyceride content (50-65%) - In Type IV hyperlipidemia (isolated VLDL elevation), serum appears uniformly turbid without cream layer formation - The most dramatic "milky white" appearance is specifically associated with **chylomicronemia**
Question 244: Which of the following is a non-essential amino acid?
- A. Tyrosine (Correct Answer)
- B. Phenylalanine
- C. Lysine
- D. Threonine
Explanation: ***Tyrosine*** - **Tyrosine** is considered a **non-essential amino acid** because the human body can synthesize it from the essential amino acid **phenylalanine**. - This synthesis occurs via the enzyme **phenylalanine hydroxylase**, making its dietary intake not strictly necessary if phenylalanine is available. *Phenylalanine* - **Phenylalanine** is an **essential amino acid**, meaning the human body **cannot synthesize it** and it must be obtained through the diet. - It serves as a precursor for various important molecules, including tyrosine, contributing to neurotransmitter synthesis. *Lysine* - **Lysine** is an **essential amino acid** that the human body **cannot synthesize** and must be acquired from dietary sources. - It plays a crucial role in **protein synthesis**, calcium absorption, and the production of hormones and enzymes. *Threonine* - **Threonine** is another example of an **essential amino acid** that the human body is **unable to produce** on its own. - It is important for the formation of **collagen** and elastin, and contributes to immune function.
Question 245: Which amino acid among the following has significant UV absorption at 280 nm used in protein quantification?
- A. Tyrosine (Correct Answer)
- B. Alanine
- C. Histidine
- D. Arginine
Explanation: ***Correct Option: Tyrosine*** - Tyrosine contains a **phenol functional group** (aromatic ring with hydroxyl group), giving it **significant UV absorption at 280 nm** (specifically ~274 nm) - Along with **tryptophan** and **phenylalanine**, tyrosine is one of the three aromatic amino acids used for **protein quantification via UV spectroscopy** - The aromatic side chain with conjugated double bonds enables strong UV light absorption *Incorrect Option: Alanine* - Alanine has a **methyl group** as its side chain (non-polar, aliphatic) - **Lacks aromatic rings** or conjugated systems - Does **not absorb UV light** at 280 nm *Incorrect Option: Histidine* - Histidine has an **imidazole ring** (heterocyclic aromatic) in its side chain - While technically aromatic, it has **minimal UV absorption at 280 nm** (weak absorption around 210-230 nm) - **Not used for protein quantification** at 280 nm due to insignificant absorption at this wavelength *Incorrect Option: Arginine* - Arginine contains a **guanidinium group** (highly basic, polar) - **Non-aromatic structure** without conjugated double bonds - Does **not exhibit UV absorption** at wavelengths used for protein analysis
Question 246: In starvation, nitrogen is primarily carried from muscle to liver and kidney by which amino acid?
- A. Alanine (Correct Answer)
- B. Glycine
- C. Aspartic acid
- D. Asparagine
Explanation: ***Alanine*** - During starvation, muscles break down proteins, and the amino groups from these proteins are transferred to **pyruvate** to form **alanine** via the **glucose-alanine cycle (Cahill cycle)**. - **Alanine** is then released into the bloodstream and transported primarily to the **liver**, where its carbon skeleton can be used for **gluconeogenesis** and the amino group enters the urea cycle. - Note: While alanine is the primary carrier to the liver, **glutamine** is the main nitrogen carrier to the kidney. However, among the given options, alanine is unequivocally the correct answer. *Aspartic acid* - While aspartate is involved in amino group transfer and is a crucial component of the **urea cycle**, it is not the primary carrier for inter-organ nitrogen transport from muscle to liver during starvation. - Its role is more localized within the liver for the urea cycle rather than as a transport amino acid. *Glycine* - Glycine plays roles in various metabolic pathways, including synthesis of heme, purines, and conjugation reactions, but it is not the primary amino acid for carrying nitrogen from muscle to liver during starvation. - Its small size and simple structure make it less suitable for efficient nitrogen transport compared to alanine. *Asparagine* - Asparagine has a minor role in nitrogen transport but is not the primary carrier during starvation. - It is synthesized from **aspartate** and ammonia and is typically involved in protein synthesis and nitrogen storage in some tissues.
Question 247: Chemiosmotic coupling of oxidative phosphorylation is related to which of the following?
- A. ATP generation by pumping of neutrons
- B. Formation of ATP at substrate level
- C. ATP generation by pumping of protons (Correct Answer)
- D. ATP formation by transport of electrons
Explanation: ***ATP generation by pumping of protons*** - **Chemiosmotic coupling** links the electron transport chain's activity to ATP synthesis through the generation of a **proton gradient** across the inner mitochondrial membrane. - The energy released from the flow of electrons through complexes I, III, and IV is used to pump protons from the mitochondrial matrix to the intermembrane space, creating a **proton motive force** that drives ATP synthase. *Formation of ATP at substrate level* - **Substrate-level phosphorylation** involves the direct transfer of a phosphate group from a high-energy substrate to ADP to form ATP, independently of a proton gradient. - This process occurs in reactions like those in **glycolysis** and the **Krebs cycle**, not in oxidative phosphorylation via chemiosmosis. *ATP generation by pumping of neutrons* - **Neutrons** are subatomic particles with no electric charge and are not involved in biological processes like ATP generation or membrane transport. - Pumping of neutrons has no physiological relevance in cellular energy metabolism. *ATP formation by transport of electrons* - While **electron transport** is an integral part of oxidative phosphorylation, it does not directly form ATP. - The energy released during electron transport is used to create the **proton gradient** (chemiosmotic coupling), which then drives ATP synthesis, rather than ATP being formed directly by electron movement.
Question 248: What is the coenzyme form of pyridoxine?
- A. ADP
- B. NAD
- C. PLP (Correct Answer)
- D. FAD
Explanation: ***PLP*** - **Pyridoxal phosphate (PLP)** is the active coenzyme form of **pyridoxine (vitamin B6)**. - It plays a crucial role in numerous metabolic reactions, particularly those involving **amino acid metabolism**. *ADP* - **Adenosine diphosphate (ADP)** is an important molecule in energy transfer, particularly in the formation of **ATP (adenosine triphosphate)**. - It is not a coenzyme form of any vitamin, but rather a **nucleotide**. *NAD* - **Nicotinamide adenine dinucleotide (NAD)** is a coenzyme derived from **niacin (vitamin B3)**. - It functions as an electron carrier in **redox reactions** and is vital for cellular respiration. *FAD* - **Flavin adenine dinucleotide (FAD)** is a coenzyme derived from **riboflavin (vitamin B2)**. - It also serves as an electron carrier in **redox reactions**, particularly in the electron transport chain.
Orthopaedics
1 questionsWhich of the following conditions can cause locking of the knee joint?
NEET-PG 2012 - Orthopaedics NEET-PG Practice Questions and MCQs
Question 241: Which of the following conditions can cause locking of the knee joint?
- A. Osgood Schlatter
- B. Tuberculosis of knee
- C. a and b both
- D. Loose body in knee joint (Correct Answer)
Explanation: ***Loose body in knee joint*** - A **loose body** (e.g., a fragment of cartilage or bone) can get trapped between the articular surfaces of the knee joint, mechanically obstructing its movement and causing sudden, painful **locking**. - This mechanical impingement prevents full extension or flexion of the knee until the loose body shifts, leading to episodic locking symptoms. *Osgood Schlatter* - This condition involves inflammation and potential avulsion of the **tibial tuberosity** where the patellar tendon inserts. - It primarily causes pain and swelling below the kneecap, especially during physical activity, but does not typically result in true mechanical locking of the joint. *Tuberculosis of knee* - **Tuberculosis of the knee joint** is an infectious arthritis that causes chronic pain, swelling, and gradual destruction of articular cartilage and bone. - While it can lead to pain and limited range of motion, it usually does not present with the sudden, intermittent mechanical locking characteristic of a loose body. *a and b both* - Neither **Osgood Schlatter** nor **Tuberculosis of the knee** typically cause the characteristic mechanical locking sensation described for a loose body in the joint. - Each of these conditions has distinct pathophysiological mechanisms and clinical presentations that do not involve a physical obstruction causing locking.