NEET-PG 2012 Practice Questions

Q: Repetitive chains of glucosamine with uronic acid are seen in ?

Heparan sulphate. ***Heparan sulphate*** - Heparan sulfate is a **linear polysaccharide** composed of repeating disaccharide units of either **glucosamine** and **glucuronic acid** or **glucosamine** and **iduronic acid** (a uronic acid). - It plays crucial roles in various biological processes, including cell adhesion, cell growth, and coagulation, primarily due to its ability to bind to a wide range of proteins. *N-acetylneuraminic acid* - **N-acetylneuraminic acid** is a type of **sialic acid**, a nine-carbon sugar acid, and is not a repeating chain of glucosamine and uronic acid. - It is often found at the **non-reducing ends of glycan chains** on cell surfaces and in secreted glycoproteins, contributing to cell recognition and signaling. *Galactosaminoglycan* - This term is a general descriptor for a group of glycosaminoglycans that contain **N-acetylgalactosamine** as one of their repeating units, such as **chondroitin sulfate** and **dermatan sulfate**. - While they are repeating disaccharide units, they feature **galactosamine** (or its N-acetylated form) instead of glucosamine and are also linked to uronic acids. *None of the options* - This option is incorrect because **heparan sulfate** accurately describes a polysaccharide with repeating units of glucosamine and uronic acid.

Q: What are isoenzymes?

Physically distinct forms of the same enzyme. ***Physically distinct forms of the same enzyme*** - Isoenzymes are **multiple forms of an enzyme** that catalyze the **same reaction** but differ in their **physical or biochemical properties**, such as electrophoretic mobility, optimal pH, or kinetic parameters. - These differences usually arise from **genetic variations** (different genes encoding isoforms) or **post-translational modifications** (e.g., phosphorylation, glycosylation). *Physically same forms of different enzymes* - This statement is incorrect as isoenzymes are forms of the **same enzyme**, not different enzymes. - While different enzymes can catalyze similar reactions in certain pathways, they are not referred to as isoenzymes if they are structurally identical. *Forms of same enzyme that catalyze different reactions* - This describes enzymes with **broad substrate specificity** or those that act on different substrates but are not necessarily isoenzymes. - Isoenzymes specifically catalyze the **same chemical reaction**, but they may do so with different efficiencies or under different regulatory controls. *Forms of different enzyme that catalyze same reactions* - This describes a scenario where different enzymes might exhibit **catalytic promiscuity** or broad specificity, but not isoenzymes. - Isoenzymes are always derived from the **same parent enzyme** and catalyze the identical reaction.

Q: What is the cofactor required for the enzyme xanthine oxidase?

Molybdenum. ***Molybdenum*** - **Xanthine oxidase** is a key enzyme in **purine metabolism**, responsible for the oxidation of **hypoxanthine to xanthine** and further to **uric acid**. - **Molybdenum** is an essential trace element that serves as a **cofactor** for several enzymes, including xanthine oxidase, where it helps facilitate electron transfer reactions. *Selenium* - **Selenium** is a cofactor for **glutathione peroxidase**, an enzyme involved in antioxidant defense. - It is not directly involved in the function of **xanthine oxidase**. *Zinc* - **Zinc** is a cofactor for a wide range of enzymes, including **carbonic anhydrase** and **alcohol dehydrogenase**. - It does not serve as a cofactor for **xanthine oxidase**. *Magnesium* - **Magnesium** is a critical cofactor for many enzymes, particularly those involved in **ATP hydrolysis and synthesis** and **DNA/RNA synthesis**. - It is not a cofactor for **xanthine oxidase**.

Q: In sickle cell anemia, the mutation at codon 6 results in the substitution of which amino acid?

Valine for glutamic acid. ***Valine for glutamic acid*** - In **sickle cell anemia**, the normal **glutamic acid** at codon 6 of the $\beta$-globin chain is replaced by **valine**. - This single amino acid substitution is responsible for the abnormal **hemoglobin S (HbS)** and the characteristic sickling of red blood cells. *Isoleucine for valine* - This substitution is **not characteristic** of sickle cell anemia. - While other hemoglobinopathies exist, this specific change does not lead to the sickle cell phenotype. *Valine for isoleucine* - This substitution is **not the primary genetic defect** found in sickle cell anemia. - The mutation in sickle cell anemia involves the replacement of a negatively charged amino acid with a neutral one. *Glutamic acid for valine* - This represents the **reverse substitution** of what occurs in sickle cell anemia. - In sickle cell, valine replaces glutamic acid, not the other way around.

Q: Which of the following is not a precursor in the synthesis of pyrimidines?

Thymidine. ***Thymidine*** - **Thymidine** is a *nucleoside* consisting of deoxyribose and thymine. It is a *product* and a component of DNA, not a precursor in the *de novo synthesis* of pyrimidine bases. - While it can be incorporated into DNA via the *salvage pathway*, it does not serve as an initial building block for the pyrimidine ring itself. *Glutamine* - **Glutamine** provides the **nitrogen atoms** crucial for the formation of the pyrimidine ring, specifically N3 in the pyrimidine base. - It is a key donor of *amino groups* in various anabolic pathways, including nucleotide synthesis. *Carbon dioxide (CO2)* - **Carbon dioxide (CO2)** contributes one of the carbon atoms (C2) to the pyrimidine ring. - It combines with **ammonia** (derived from glutamine) to form **carbamoyl phosphate**, an essential intermediate. *Aspartic acid* - **Aspartic acid** provides four atoms (N1, C4, C5, C6) of the pyrimidine ring. - Its carbon skeleton and amino group are directly incorporated into the pyrimidine structure during the *de novo synthesis* pathway.

Q: Who invented the technique for identifying individuals by their DNA?

Jeffreys. ***Jeffreys*** - **Alec Jeffreys** developed the technique of **DNA fingerprinting** in 1984, which revolutionized forensic science and paternity testing. - His method involved analyzing **variable number tandem repeats (VNTRs)** in DNA to create a unique profile for each individual. *Shapiro* - **Robert Shapiro** is a legal figure, famously associated with the O. J. Simpson murder trial, not directly with the invention of DNA identification techniques. - While he was involved in cases where DNA evidence was used, he did not contribute to its scientific development. *Lewis* - **Edward B. Lewis** was a Nobel Prize-winning geneticist known for his work on **developmental genetics** in *Drosophila melanogaster*, not for DNA identification techniques. - His research focused on gene clusters and their role in embryonic development. *Pasteur* - **Louis Pasteur** was a pioneering microbiologist and chemist, famous for his discoveries related to **vaccination**, microbial fermentation, and pasteurization. - His work predates the discovery and application of DNA for individual identification by over a century.

Q: Cells most sensitive to hypoxia are?

Neurons. ***Neurons*** - Neurons have a very high metabolic rate and an **absolute requirement for oxygen** and glucose to maintain their complex electrochemical functions and ionic gradients. - Due to their lack of significant energy reserves and high metabolic demand, they can sustain **irreversible damage within minutes** (typically 3-5 minutes) of complete oxygen deprivation. *Myocardial cells* - While myocardial cells are highly susceptible to hypoxia and can undergo **ischemic necrosis** (e.g., in a myocardial infarction), they can often tolerate oxygen deprivation for somewhat longer periods than neurons due to some anaerobic metabolic capacity. - Significant damage to myocardial cells usually occurs after **20-30 minutes of severe ischemia**. *Hepatocytes* - Hepatocytes (liver cells) are relatively **resilient to hypoxia** compared to neurons, possessing significant metabolic flexibility and capacity for regeneration. - They can endure **longer periods of oxygen deprivation** before irreversible damage occurs, often hours. *Renal tubular epithelial cells* - Renal tubular epithelial cells are generally **sensitive to hypoxia**, especially those in the medulla, due to their high metabolic activity for reabsorption and secretion. - They are a common target for **acute tubular necrosis** in ischemic injury but generally have a **higher tolerance than neurons**, with damage becoming widespread after tens of minutes to an hour of severe ischemia.

Q: Li–Fraumeni syndrome is associated with mutations in which of the following genes?

Gene TP53. ***Gene TP53*** - Li-Fraumeni syndrome is a rare, inherited cancer susceptibility syndrome associated with germline mutations in the **TP53 tumor suppressor gene**. - The **TP53 gene** encodes the p53 protein, which plays a critical role in cell cycle arrest, DNA repair, and initiation of apoptosis in response to cellular stress, thus preventing tumor formation. *Gene P21* - The **p21 gene** (CDKN1A) is a cyclin-dependent kinase inhibitor that acts downstream of p53, mediating p53-induced cell cycle arrest. - While p21 is involved in the p53 pathway, mutations in p21 itself are not the primary cause of Li-Fraumeni syndrome. *Gene RB1* - The **RB1 gene** encodes the retinoblastoma protein, a tumor suppressor involved in cell cycle regulation, particularly in controlling passage from G1 to S phase. - Mutations in **RB1** are primarily associated with hereditary retinoblastoma and osteosarcoma, not Li-Fraumeni syndrome. *Gene BRCA1* - The **BRCA1 gene** is a tumor suppressor gene involved in DNA repair, especially homologous recombination. - Germline mutations in **BRCA1** are strongly associated with hereditary breast and ovarian cancer syndrome, not Li-Fraumeni syndrome.

Q: What type of anaemia is primarily associated with leukaemia?

Myelophthisic anaemia. ***Myelophthisic anaemia*** - This condition arises from the **displacement of normal hematopoietic tissue** in the bone marrow by abnormal cells, like those seen in leukaemia, leading to **extramedullary hematopoiesis**. - Marrow infiltration causes **pancytopenia** and often results in the presence of **immature granulocytes** and **nucleated red blood cells** in the peripheral blood (leukoerythroblastosis). *Iron deficiency anaemia* - This type of anaemia is caused by insufficient iron for **hemoglobin synthesis**, often due to chronic blood loss or inadequate dietary intake. - While leukaemia patients can develop iron deficiency due to bleeding, it is not the **primary type of anaemia** directly resulting from the marrow infiltration by leukaemic cells. *Megaloblastic anaemia* - Characterized by the production of abnormally large, immature red blood cells, primarily due to **vitamin B12** or **folate deficiency**. - There is no direct causal link between leukaemia and the development of megaloblastic anaemia as a **primary haemato-pathological mechanism**. *Aplastic anaemia* - Characterized by **pancytopenia** due to bone marrow failure with hypocellular marrow, not marrow infiltration. - While both leukaemia and aplastic anaemia can present with cytopenias, aplastic anaemia shows a **hypocellular marrow** whereas leukaemia shows a **hypercellular marrow** with infiltration by malignant cells.

Q: ANP acts at which site?

Collecting duct. ***Collecting duct*** - Atrial Natriuretic Peptide (**ANP**) exerts its primary effect on the **collecting duct** by inhibiting sodium reabsorption, leading to increased sodium and water excretion (natriuresis and diuresis). - This action helps to reduce blood volume and blood pressure in conditions like **hypervolemia**. *Glomerulus* - While ANP does cause **afferent arteriolar dilation** and **efferent arteriolar constriction**, increasing **glomerular filtration rate** (GFR), its direct tubular action is most prominent in the collecting duct. - The primary function of the glomerulus is **filtration**, influenced by many factors including pressure, but it is not the main site of ANP's direct tubular reabsorptive effects. *Loop of Henle* - The loop of Henle is responsible for establishing the **medullary osmotic gradient** and reabsorbing a significant amount of sodium and water. - ANP has minor effects on the loop of Henle, but its most impactful reabsorptive modulation occurs downstream in the collecting duct. *PCT* - The **proximal convoluted tubule (PCT)** is where the bulk of reabsorption of filtered substances (e.g., glucose, amino acids, most sodium and water) occurs. - ANP has very little direct influence on the reabsorptive processes of the PCT.

Question 1

Repetitive chains of glucosamine with uronic acid are seen in ?

Accepted Answer

Heparan sulphate

Answer

None of the options

Answer

N-acetylneuraminic acid

Answer

Galactosaminoglycan

Question 2

What are isoenzymes?

Accepted Answer

Physically distinct forms of the same enzyme

Answer

Physically same forms of different enzymes

Answer

Forms of same enzyme that catalyze different reactions

Answer

Forms of different enzyme that catalyze same reactions

Question 3

What is the cofactor required for the enzyme xanthine oxidase?

Accepted Answer

Molybdenum

Answer

Selenium

Answer

Zinc

Answer

Magnesium

Question 4

In sickle cell anemia, the mutation at codon 6 results in the substitution of which amino acid?

Accepted Answer

Valine for glutamic acid

Answer

Isoleucine for valine

Answer

Valine for isoleucine

Answer

Glutamic acid for valine

Question 5

Which of the following is not a precursor in the synthesis of pyrimidines?

Accepted Answer

Thymidine

Answer

Glutamine

Answer

Carbon dioxide (CO2)

Answer

Aspartic acid

Question 6

Who invented the technique for identifying individuals by their DNA?

Accepted Answer

Jeffreys

Answer

Shapiro

Answer

Lewis

Answer

Pasteur

Question 7

Cells most sensitive to hypoxia are?

Accepted Answer

Neurons

Answer

Myocardial cells

Answer

Hepatocytes

Answer

Renal tubular epithelial cells

Question 8

Li–Fraumeni syndrome is associated with mutations in which of the following genes?

Accepted Answer

Gene TP53

Answer

Gene RB1

Answer

Gene BRCA1

Answer

Gene P21

Question 9

What type of anaemia is primarily associated with leukaemia?

Accepted Answer

Myelophthisic anaemia

Answer

Aplastic anaemia

Answer

Iron deficiency anaemia

Answer

Megaloblastic anaemia

Question 10

ANP acts at which site?

Accepted Answer

Collecting duct

Answer

Glomerulus

Answer

Loop of Henle

Answer

PCT

NEET-PG 2012

Biochemistry

Forensic Medicine

Pathology

Physiology