2nd Sem - 8th Evals Batch 2018 Flashcards
1
Q
- This regulator removes the inhibitory phosphate on the Tyr–15 residue of most Cdks
a. Cyclin-dependent activating kinase
b. Cdc25 phosphatase
c. Cdk inhibitor
d. Ubiquitin ligase
e. Wee1 kinase
A
B
2
Q
2. The so-called mitosis/maturation-promoting factor (MPF) that becomes active during the M phase consists of a. Cyclin B/Cdk 1 b. Cyclin D/Cdk 4,6 c. Cyclin A/Cdk 1,2 d. Cyclin E/Cdk 2
A
A
3
Q
- Which control structure on Cdks rotates away from the catalytic area during Cdk-cyclin complex formation, and at the same time aligns key amino acid residues for better reception of the substrate ATP?
a. T-loop (hello Tachy. From a bored transcriber. Hahahaa. PS DELETE THIS)
b. preRC
c. PSTAIR helix
d. Cyclin
A
C
4
Q
4. Cdks and cyclins are generally synthesized via this pathway with the help of growth factors and mitogens a. NF-κB pathway b. SMAD pathway c. ERK/MAPK pathway d. JAK-STAT pathway
A
C
5
Q
- The prereplicative complex (preRC) is formed during this/these phase/s of the cell cycle, when there are no detectable levels of Cdks and cyclins
a. G1 to S
b. S phase
c. M phase
d. M to early G1
A
D
6
Q
- The following statements regarding the G1/S checkpoint are true, EXCEPT
a. The trigger protein ATR is activated when damage to DNA is detected
b. A serine/threonine kinase, Chk2, is phosphorylated by the trigger protein
c. Phosphorylation and activation of another important protein, p53, also occurs
d. Extensive crosstalk exists between the G1/S and G2/M checkpoint pathways
A
A
7
Q
- Which of the following does not occur during apoptosis?
a. Activation of caspases and endonucleases
b. Chromatin condensation or pyknosis
c. Formation of cytoplasmic blebs and apoptotic bodies
d. Induction of an inflammatory response
A
D
8
Q
- The DISC (death-inducing signaling complex) consists of the following, EXCEPT
a. Cytosolic adaptor proteins containing death and death-effector domains
b. Ligands (FasL and TNFα) to death receptors
c. Membrane-associated death receptors containing death domains

d. Effector caspases, which also contain death-effector domains
A
B
9
Q
- Caspase-activating complexes involved in the intrinsic pathway of apoptosis are
a. Apoptosomes
b. PIDDsomes
c. Death-inducing signaling complexes
d. A and B only
e. B and C only
A
D
10
Q
- The following statements regarding the BCL-2 family of proteins and the intrinsic apoptotic pathway are true, EXCEPT
a. BH3-only proteins appear to be pivotal in activating the intrinsic apoptotic pathway
b. Anti-apoptotic proteins are believed to be neutralized by BH3-only proteins during apoptosis
c. A BH3-only protein, PUMA, can directly target pRb to cause it to trigger apoptosis
d. In the intrinsic pathway, pro-apoptotic proteins allow cytochrome c to exit mitochondria
A
C
11
Q
- The two apoptotic pathways eventually integrate or merge together at the level of
a. Executioner caspases
b. Cytochrome c
c. Initiator caspases
d. BH3-only proteins
A
A
12
Q
- This pathway, which works to promote cell proliferation, is activated when glucose supply is abundant. It is also responsible for internalizing and storing this ambient glucose in proliferating cells via insertion of GLUT transporters into the cell membrane and activation of glycogen synthase.
a. ERK/MAPK pathway
b. JAK-STAP pathway
c. SMAD pathway
d. PI3K/Akt pathway
A
D
13
Q
- According to Knudson’s two-hit hypothesis, the so-called “first hit” of an individual with sporadic retinoblastoma is which of the following?
a. A somatic mutation occurring in one of the alleles of the RB1 gene, where both of the alleles are normal to begin with
b. A somatic mutation occurring in the remaining normal RB1 gene allele; the other allele suffered a somatic mutation some time back
c. A germline mutation present in one of the RB1 alleles that the individual inherited from his parents
d. A somatic mutation occurring in the remaining normal RB1 gene allele; the other allele already carries a germline mutation inherited from one of the parents
A
A
14
Q
- Tumor
a. Autosomal dominant
suppressor genes have this mode of activation mutation
b. X-linked recessive
c. Mitochondrial inheritance
d. Autosomal recessive
A
D
15
Q
- If the normal activity of p53 protein (the “guardian of the genome”) is lost, which of the following is lost?
a. Expression of Cdk inhibitors p16 and p21
b. Maintenance of pRb in the dephosphorylated state
c. Keeping the transcription factor E2F in the bound and inactive state
d. All of the above
e. Only B and C
A
D
16
Q
- Which type of cancer has the highest prevalence of somatic mutations to the gene encoding p53?
a. Lung
b. Colorectal
c. Breast
d. Pancreatic
A
B
17
Q
- The following statements regarding oncogenes are true, EXCEPT
a. These encode proteins that promote cell division/survival, or resistance to apoptosis
b. Mode of activating mutation is of the autosomal dominant type
c. The Ras oncogene, for instance, is present in roughly 25-30% of human cancers
d. Generally, the mutations can either be heritable (germline) or acquired (sporadic)
A
D
18
Q
- The oncogene BCR-ABL1, contained in the Philadelphia chromosome [t(9;22)], encodes for this kind of protein product
a. Receptor tyrosine kinase
b. Transcription factor
c. Regulatory GTPase
d. Cytoplasmic tyrosine kinase
A
D
19
Q
- Which of the following scenarios best describes targeted therapy in cancer treatment?
a. Azathioprine is an antimetabolite that ‘impersonates’ a purine, which leads to
disruption of normal cell development and division
b. Gleevec/Glivec, used for CML, inhibits the kinase activity of the Bcr-abl fusion protein responsible for uncontrolled myelocyte proliferation
c. Tamoxifen (specifically its metabolite) competitively binds to estrogen receptors on breast cancer cells, arresting them in the G0 and G1 phases
d. Doxorubicin, used in Hodgkin’s lymphoma, intercalates in tumor cell DNA, thereby preventing topoisomerase II from relaxing any supercoils that develop
A
B
20
Q
- The following statements regarding carcinogenesis are correct, EXCEPT
a. Mutation/damage/conversion of tumor suppressor genes and proto-oncogenes
occurs during tumor initiation
b. The minimum requirements for this process includes pRb and p53 suppression,
Ras activation, and telomerase overexpression
c. Cancer development involves purely genetic events, and a maximum of only 2 “genetic hits” are required in the process
i. Cancer is a result of accumulated mutations (hits) to a cell’s DNA
d. Mutations may give a cell a selective advantage in terms of growth and survival, and may become a founder of a growing mutant clone
A
C
21
Q
21. NMDA, AMPA, and Kainate receptors are ion channels that make use of this neurotransmitter as activating ligand  a. GABA b. Glycine c. Glutamate d. ATP
A
C
22
Q
- Helix 4 (the “voltage sensor”) of each of the 4 domains of sodium channels is rich in this amino acid
a. Arginine
b. Histidine
c. Lysine
d. Glutamic acid
A
A
23
Q
- This group of ion channels has a selectivity filter (typically in its narrowest part) that determines which cation can pass through
a. Na+ channels
b. K+ channels
c. Cl– channels d. Ca++ channels
A
B
24
Q
- These proteins “zipper” together to form a coiled-coil complex that ultimately forces the vesicular membrane and presynaptic membrane to fuse together.
- Synaptobrevin
- Syntaxin 3. SNAP-25
A
123
25
25. D This/these is/are VAMP/s that is/are integral to the presynaptic membrane only.
1. Synaptobrevin
2. Syntaxin 3. SNAP-25
23
26
26. A The tetanus neurotoxin blocks neurotransmitter release by proteolytic cleavage of
this/these protein/s.
1. Synaptobrevin
2. Syntaxin 3. SNAP-25
1
27
27. The rate-limiting step of acetylcholine synthesis is
a. Addition of the acetyl group to choline via choline acetyltransferase action
b. Choline (re)uptake by the presynaptic neuron via a saturable transporter
c. Availability of acetyl-CoA in the presynaptic neuron cytoplasm
d. None of the above
B
28
28. The metabolic derangement brought about by organophosphate ingestion is due to
a. Irreversible inhibition of the enzyme acetylcholinesterase
b. Autoantibody-mediated complement fixation and destruction of ACh receptors
c. Cleavage of SNARE proteins leading to disruption of ACh release
d. Reduced cerebral production of choline acetyltransferase because of neuronal loss
A
29
29. The following statements regarding glutamate are true, EXCEPT

a. Its excitotoxicity is attributed to markedly increased intraneuronal Ca2+ levels
b. Therapeutic hypothermia post-cardiac arrest attenuates rise in brain glutamate
levels
c. Glutamate can be directly interconverted into glycine in neighboring glial cells
d. Pharmacologic blockade of its receptors is believed to attenuate neurotoxicity
C
30
30. After being acted upon by degrading enzymes, this/these yield/s metabolites that can be used as diagnostic markers for certain tumors.
1. Dopamine
2. Norepinephrine 3. Epinephrine
123
31
31. Pharmacologic inhibition of MAO will result in increased brain levels of this/these catecholamines.
1. Dopamine
2. Norepinephrine 3. Epinephrine
123
32
32. This catecholamine directly emerges from hydroxylation and subsequent decarboxylation of tyrosine
1. Dopamine
2. Norepinephrine 3. Epinephrine
1
33
33. The final products of metabolism of this/these catecholamine/s are MHPG and VMA, of which the latter has important clinical applications.
1. Dopamine
2. Norepinephrine 3. Epinephrine
23
34
34. The rate-limiting step in histamine synthesis is
a. The step involving the enzyme histidine decarboxylase
b. Dictated by the bioavailability of its precursor histidine
c. Both A and B
d. Neither A nor B
B
35
35. Serotonin, after being acted upon by MAO and aldehyde dehydrogenase, is converted
into 5- hydroxyindole acetic acid, which is an important biomarker in the diagnosis of
a. Neuroblastoma
b. Carcinoid tumor
c. Pheochromocytoma
d. Thymoma
B
36
36. The enzyme in the rate-limiting step of melatonin synthesis
a. Is the same as that of serotonin synthesis
b. Uses acetyl-CoA as the source of acetyl groups it needs to transfer
c. Uses SAM as the source of methyl groups it needs to transfer
d. Uses tetrahydrobiopterin as a source of reducing equivalents
e. None of the above
B
37
37. The first step in the GABA shunt involves transamination of this intermediate, formed from glucose metabolism in the TCA cycle, into L-glutamate
a. Succinate

b. γ-Aminobutyrate
c. α-Ketoglutarate
d. γ-Hydroxybutyrate
C
38
38. The following statements regarding the neuropeptide group tachykinins are true,
EXCEPT
a. They carry mainly excitatory signals for pain, temperature, itching, and inflammation
b. Included in this group are substance P, neurokinin A, and neurokinin B
c. The peptide sequence homology they share is tyr–gly–gly–phe
i. Structure is phe-x-gly-leu-met-NH2
d. Their degradation is carried out by ACE and neutral endopeptidases
e. All of the above statements are true
C
39
39. The following statements regarding opioid peptides are true, EXCEPT
a. Endorphins are derived from pro-opiomelanocortin (POMC)
b. They share the common terminal peptide sequence phe–X–gly–leu–met–NH2
i. Structure is tyr-gly-gly-phe
c. They generally inhibit pain sensations and are released during times of stress
d. Endorphins, enkephalins, and dynorphins typically have their respective GPCRs
e. All of the above statements are true
B
40
```
40. Transhydroxymethylation of serine results in the formation of this neurotransmitter
A. GLYCINE
B. GABA
C. GLUTAMATE
D. HISTAMINE
```
A
41
41. In the
cornea, the pentose phosphate pathway is the main source of substrates for which?
A. Energy to support secondary active transport
B. Reducing power to combat oxidative stress
C. Maintenance of turgor and osmotic pressure
D. Scaffolding for architectural integrity of the stroma
B
42
42. Which phenomenon explains why anaerobic metabolism predominates in the cornea?
a. Oxygen poorly diffuses across gap junctions in the corneal epithelium.
b. There are only few mitochondria present in the tissue.
c. The cornea depends on the aqueous humor for its source of nutrients and gases.
d. The products of the anaerobic pathways are more suited to its energy needs.
B
43
43. Which chemical moieties contribute to maintaining the uniform distance among collagen
fibrils in the corneal stroma?
a. Pro-Gly-Hyl/Hyp motifs of collagen
b. Prosthetic groups of 11-cis retinal
c. Anionic groups in keratan sulfate
d. Alpha-beta-gamma trimers of transducin
C
44
44. Which ion channels exemplify secondary active transport in the corneal endothelium?
a. Monocarboxylate transporters
b. Sodium-potassium A TPases
c. Voltage-gated calcium channels
d. Sodium-bicarbonate symporters
D
45
45. The predominant proteins of the lens, the crystallins, also afford protection against which deleterious process?
a. Formation of reactive oxygen species
b. Perpetuation of the phototransduction cycle
c. Protein aggregation and misfolding
d. Build-up of lactate & other osmotically active molecules
C
46
46. Which explains the central role of sugar alcohols, such as sorbitol, in the pathogenesis of metabolic cataracts?
a. Sugar alcohols, but not monosaccharides, are able to form hydrogen bonds with water.
b. There are limited pathways that utilize sugar alcohols.
c. Sugar alcohols have the propensity to form radicals and oxidants.
d. Proteins avidly bind to sugar alcohols to form glycation end products.
B
47
47. Which of the following is a direct effect of light energy on human photoreceptor cells?
a. Formation of carbonic acid from hydrogen and bicarbonate ions
b. Phosphorylation and hence, activation of opsin
c. Isomerization of 11-cis retinal to all-trans retinal
d. Opening of calcium channels and hence, depolarization
C
48
48. Which channels are responsible for the altered resting membrane potential (-40 mV) of
human photoreceptor cells, under dark conditions?
a. Ligand-gated calcium channels
b. Voltage-gated calcium channels
c. Ligand-gated sodium channels
d. Voltage-gated sodium channels
C
49
49. Which enzyme is upregulated with the fall of calcium levels inside photoreceptor cells? a. Phosphodiesterase
b. Guanylyl cyclase
c. Opsin kinase
d. Carbonic anhydrase
B
50
50. The activity of which protein is involved in the termination of phototransduction?
a. Opsin kinase
b. Transducin
c. Phosphodiesterase
d. Glutathione reductase
A
51
51. Which of the following statements regarding calcitonin is TRUE?
a. Produced by thyroid gland C-cells, it strong antagonizes the physiologic effects of
PTH
● Thyroid gland C cells = PTH; Chief Cells of Pineal = Calcitonin
b. Its receptors. when stimulated. interfere with and prevent osteoblast differentiation
c. Between calcitonin and Ca 2+, concentration of the latter has more influence on PTH levels
d. Calcitonin preparations have no role in treatment of disorders of calcium metabolism
Concept: Calcitonin = storage of Ca; high Ca conc in blood; osteoblast PTH = bone breakdown; low Ca conc in blood; osteoclast
C