BIOCHEM Finals (Batch 2026) Flashcards

1
Q

Which of the following measures height and weight?
A. Body mass index (BMI)
B. Central obesity
C. Waist circumference
D. Body composition

A

A. Body mass index (BMI)
Rationale: BMI is a measure that uses height and weight to estimate a person’s body fat. It is calculated by dividing a person’s weight in kilograms by the square of their height in meters.

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2
Q

A lack of intrinsic factor may lead to:
A. Beriberi
B. Pellagra
C. Pernicious anemia
D. Atrophic gastritis

A

C. Pernicious anemia
Rationale: Pernicious anemia is caused by a deficiency of vitamin B12, which is often due to the lack of intrinsic factor, a protein necessary for the absorption of vitamin B12 in the stomach.

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3
Q

Vitamin C serves as a/an:
A. Coenzyme
B. Antagonist
C. Antioxidant
D. Intrinsic factor

A

C. Antioxidant
Rationale: Vitamin C is known for its antioxidant properties, meaning it helps protect cells from damage caused by free radicals.

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4
Q

The body can make niacin from:
A. Tyrosine
B. Serotonin
C. Carnitine
D. Tryptophan

A

D. Tryptophan
Rationale: Tryptophan, an amino acid, can be converted by the body into niacin (vitamin B3), which is essential for energy metabolism.

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5
Q

The form of vitamin A active in vision is:
A. Retinal
B. Retinol
C. Rhodopsin
D. Retinoic acid

A

A. Retinal
Rationale: Retinal is the form of vitamin A that is essential for vision, as it is involved in the formation of rhodopsin, a pigment in the retina that is necessary for seeing in low-light conditions.

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6
Q

Vitamin D can be synthesized from a precursor that the body makes from:
A. Bilirubin
B. Tocopherol
C. Cholesterol
D. Beta-carotene

A

C. Cholesterol
Rationale: The body synthesizes vitamin D from cholesterol when the skin is exposed to sunlight.

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7
Q

A significant amount of vitamin K comes from:
A. Vegetable oils
B. Sunlight exposure
C. Bacterial synthesis
D. Fortified grain products

A

C. Bacterial synthesis
Rationale: A significant amount of vitamin K is produced by bacteria in the intestines, in addition to being obtained from dietary sources.

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8
Q

The principal cation in extracellular fluids is:
A. Sodium
B. Chloride
C. Potassium
D. Phosphorus

A

A. Sodium
Rationale: Sodium is the main cation (positively charged ion) found in extracellular fluids, where it plays a crucial role in maintaining fluid balance and transmitting nerve impulses.

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9
Q

The role of chloride in the stomach is to help:
A. Support nerve impulses
B. Convey hormonal messages
C. Maintain a strong acidity
D. Assist in muscular contraction

A

C. Maintain a strong acidity
Rationale: Chloride, as part of hydrochloric acid (HCl), helps maintain the acidic environment of the stomach, which is necessary for digestion and killing pathogens.

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10
Q

Cretinism is caused by a deficiency of:
A. Iron
B. Zinc
C. Iodine
D. Selenium

A

C. Iodine
Rationale: Cretinism is a condition resulting from severe iodine deficiency during pregnancy, leading to impaired physical and mental development in the child.

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11
Q

The mineral best known for its role as an antioxidant is:
A. Copper
B. Selenium
C. Manganese
D. Molybdenum

A

B. Selenium
Rationale: Selenium is a crucial component of antioxidant enzymes, such as glutathione peroxidase, which help protect cells from oxidative damage.

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12
Q

To help prevent neural tube defects, grain products are now fortified with:
A. Iron
B. Folate
C. Protein
D. Vitamin C

A

B. Folate
Rationale: Folate (or folic acid) is essential for DNA synthesis and cell division, and its deficiency during pregnancy is associated with neural tube defects in the developing fetus.

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13
Q

Vitamin K consumption should be consistent in patients using:
A. Tetracycline
B. Isoniazid
C. Warfarin
D. Lithium

A

C. Warfarin
Rationale: Warfarin is an anticoagulant that works by inhibiting vitamin K. Consistent vitamin K intake is crucial to maintain stable blood clotting levels while on warfarin therapy.

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14
Q

Calcitonin is synthesized in the:
A. Adrenals
B. Thyroid
C. Thymus
D. Ovaries

A

B. Thyroid
Rationale: Calcitonin is a hormone produced by the C-cells of the thyroid gland and helps regulate calcium levels in the blood.

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15
Q

During a fast, when glycogen stores have been depleted, the body begins to synthesize glucose from:
A. Acetyl CoA
B. Amino acids
C. Fatty acids
D. Ketone bodies

A

B. Amino acids
Rationale: When glycogen stores are depleted, the body starts gluconeogenesis, a process where amino acids are converted into glucose to provide energy.

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16
Q

Marasmus develops from:
A. Too much fat clogging the liver
B. Mega doses of amino acid supplements
C. Inadequate protein and energy intake
D. Excessive fluid intake

A

C. Inadequate protein and energy intake
Rationale: Marasmus is a form of severe malnutrition caused by a deficiency in calorie and protein intake, leading to significant weight loss and muscle wasting.

Key Differences:

•	Nutritional Deficiency: Marasmus is due to a total caloric deficiency, while kwashiorkor results from a specific protein deficiency despite sufficient caloric intake.
•	Appearance: Marasmus presents with extreme thinness and wasting, whereas kwashiorkor presents with edema and a swollen appearance.
•	Serum Albumin: Marasmus usually has normal or slightly low serum albumin, while kwashiorkor has significantly low serum albumin.
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17
Q

Isoleucine, leucine, and lysine are:
A. Proteases
B. Polypeptides
C. Essential amino acids
D. Complementary proteins

A

C. Essential amino acids
Rationale: Isoleucine, leucine, and lysine are essential amino acids, meaning they cannot be synthesized by the body and must be obtained from the diet.

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18
Q

Which of the following is NOT true? Fats:
A. Contain glucose
B. Provide energy
C. Protect against organ shock
D. Carry vitamins A, D, E, and K

A

A. Contain glucose
Rationale: Fats do not contain glucose. They provide energy, protect organs from shock, and carry fat-soluble vitamins (A, D, E, and K).

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19
Q

The lipoprotein most associated with a high risk of heart disease is:
A. CHD
B. HDL
C. LDL
D. LPL

A

C. LDL
Rationale: Low-density lipoprotein (LDL) is often referred to as “bad cholesterol” because high levels of LDL can lead to plaque buildup in arteries and increase the risk of heart disease.

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20
Q

Carbohydrates are found in virtually all foods except:
A. Milk
B. Meat
C. Bread
D. Fruit

A

B. Meat
Rationale: Meat does not contain carbohydrates. Carbohydrates are primarily found in plant-based foods such as fruits, vegetables, grains, and legumes, as well as in milk.

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21
Q

Behaviors such as smoking, dietary habits, physical activity, and alcohol consumption that influence the development of disease are known as:
A. Risk factors
B. Chronic cases
C. Preventive agents
D. Disease description

A

A. Risk factors
Rationale: Risk factors are behaviors or conditions that increase the likelihood of developing a disease or health disorder.

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22
Q

A deficiency caused by inadequate dietary intake is a/an:
A. Overt deficiency
B. Covert deficiency
C. Primary deficiency
D. Secondary deficiency

A

C. Primary deficiency
Rationale: A primary deficiency is directly caused by an inadequate intake of a nutrient from the diet.

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23
Q

An RDA represents the:
A. Highest amount of a nutrient that appears safe for most healthy people
B. Lowest amount of a nutrient that will maintain a specified criterion of adequacy
C. Average amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy people
D. Average amount of a nutrient that will maintain a specific biochemical or physiological function for half the people

A

C. Average amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy people
Rationale: The Recommended Dietary Allowance (RDA) is the average daily level of intake sufficient to meet the nutrient requirements of nearly all (97-98%) healthy individuals.

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24
Q

The energy-yielding nutrients are:
A. Fats, minerals, and water
B. Minerals, proteins, and vitamins
C. Carbohydrates, fats, and vitamins
D. Carbohydrates, fats, and proteins

A

D. Carbohydrates, fats, and proteins
Rationale: Carbohydrates, fats, and proteins are the macronutrients that provide energy (calories) to the body.

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25
Q

The inorganic nutrients are:
A. Proteins and fats
B. Vitamins and minerals
C. Minerals and water
D. Vitamins and proteins

A

C. Minerals and water
Rationale: Inorganic nutrients, which do not contain carbon, include minerals and water.

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26
Q

A segment of DNA that reads the same forward and backward is called:
A. Palindromic DNA
B. Plasmid DNA
C. Complementary DNA
D. Copy DNA

A

A. Palindromic DNA
Rationale: Palindromic DNA sequences are the same when read forward or backward, and they are often recognition sites for restriction enzymes.

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27
Q

Electrophoresis, a technique used in DNA fingerprinting, helps to separate:
A. DNA segments
B. Cells from DNA
C. Tissues
D. RNA from DNA

A

A. DNA segments
Rationale: Electrophoresis is a method used to separate DNA fragments based on their size and charge.

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28
Q

Restriction enzymes cut DNA at specific sites called:
A. Ligation site
B. Ori
C. Recognition sequence
D. Replication site

A

C. Recognition sequence
Rationale: Restriction enzymes recognize and cut DNA at specific nucleotide sequences known as recognition sequences.

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29
Q

Which group of enzymes are popularly called “Molecular Stitchers”:
A. Restriction endonuclease
B. RNA polymerase
C. Ligases
D. DNA polymerases

A

C. Ligases
Rationale: Ligases are enzymes that facilitate the joining of DNA strands together by forming phosphodiester bonds, thus “stitching” together fragments of DNA.

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30
Q

An extrachromosomal, self-replicating, double-stranded, closed, circular DNA molecule is called:
A. Plasmid
B. Phage
C. Virus
D. Cosmid

A

A. Plasmid
Rationale: Plasmids are small, circular, double-stranded DNA molecules that exist independently of the chromosomal DNA and can replicate on their own.

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31
Q
  1. Restriction enzymes have the ability to cut:
    A. DNA at random sites
    B. RNA at random sites
    C. DNA at specific sites
    D. RNA at specific sites
A

C. DNA at specific sites
Rationale: Restriction enzymes recognize specific nucleotide sequences in DNA and make cuts at or near these sites.

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32
Q
  1. A recombinant DNA molecule is produced by joining together:
    A. A mRNA with a DNA segment
    B. Two mRNA molecules
    C. A mRNA with a tRNA segment
    D. Two DNA segments
A

D. Two DNA segments
Rationale: Recombinant DNA technology involves combining DNA from two different sources to create a new genetic combination.

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33
Q
  1. Which repair mechanism of DNA involves more gene products:
    A. Mismatch repair
    B. Base excision repair
    C. Nucleotide excision repair
    D. Double-strand break repair
A

C. Nucleotide excision repair
Rationale: Nucleotide excision repair is a complex mechanism involving multiple gene products to recognize and excise damaged DNA, then fill in the gap with new nucleotides.

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34
Q
  1. Which of the following proteins is involved in the approximation of the two separate ends of double-strand break repair?
    A. KU
    B. DNA protein kinase
    C. Exonuclease
    D. Ligase
A

B. DNA protein kinase
Rationale: DNA protein kinase (DNA-PK) plays a critical role in non-homologous end joining (NHEJ), a pathway that repairs double-strand breaks in DNA.

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35
Q
  1. In the depurination of DNA, which specific enzyme can recognize abnormal bases and remove them from the DNA:
    A. Endonuclease
    B. Glycosylase
    C. DNA polymerase
    D. Ligase
A

B. Glycosylase
Rationale: DNA glycosylase recognizes and removes damaged bases by cleaving the bond between the base and the sugar in the DNA backbone.

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36
Q
  1. Which repair mechanism of DNA uses the GATC endonuclease:
    A. Mismatch repair
    B. Base excision repair
    C. Nucleotide excision repair
    D. Double-strand break repair
A

A. Mismatch repair
Rationale: In bacteria, the mismatch repair system involves the recognition of the GATC sequence and the correction of mismatched nucleotides.

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37
Q
  1. This occurs when one or two nucleotides are either deleted or added to the coding region, producing a different amino acid sequence:
    A. Point mutation
    B. Frameshift mutation
    C. Transposons
    D. Trinucleotide repeat expansion
A

B. Frameshift mutation
Rationale: Frameshift mutations result from insertions or deletions of nucleotides that change the reading frame of the genetic code, leading to an altered amino acid sequence.

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38
Q
  1. True of Chargaff’s Rule, except:
    A. In any sample of dsDNA molecules, the concentration of deoxyadenosine nucleotides equals that of thymidine nucleotides
    B. The concentration of deoxyguanosine nucleotides equals that of deoxycytidine nucleotides
    C. The concentration of deoxyadenosine nucleotides equals that of uracil nucleotides
    D. The total purine content in double-stranded DNA is always equal to pyrimidine content.
A

C. The concentration of deoxyadenosine nucleotides equals that of uracil nucleotides
Rationale: Chargaff’s Rule states that in DNA, the amount of adenine equals thymine and the amount of guanine equals cytosine. Uracil is found in RNA, not DNA.

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39
Q
  1. The codon (UCA) is given a different base to become (UAA), what point mutation will occur?
    A. Missense mutation
    B. Nonsense mutation
    C. Silent mutation
    D. Transition
A

B. Nonsense mutation
Rationale: A nonsense mutation occurs when a codon is changed to a stop codon (UAA in this case), leading to premature termination of translation.

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40
Q
  1. The codon (CCA) is given a different base to become (UCA), what point mutation will occur?
    A. Missense mutation
    B. Nonsense mutation
    C. Silent mutation
    D. Transversion
A

A. Missense mutation
Rationale: A missense mutation results in a change of one amino acid to another. In this case, the codon CCA (proline) changes to UCA (serine), altering the protein sequence.

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41
Q

The codon (UCC) is given a different base to become (UCG), what point mutation will occur?
A. Missense mutation
B. Nonsense mutation
C. Silent mutation
D. Transition

A

C. Silent mutation
Rationale: Both UCC and UCG code for the same amino acid, serine, so the mutation does not change the amino acid sequence.

42
Q

The codon containing the changed base may become a termination codon, what point mutation has occurred?
A. Missense mutation
B. Nonsense mutation
C. Silent mutation
D. Transition

A

B. Nonsense mutation
Rationale: A nonsense mutation occurs when a codon is changed to a stop codon, leading to premature termination of translation.

UGA = U Go Away.
UAA = U Are Away.
UAG = U Are Gone.

43
Q

The codon containing the changed base may code for a different amino acid:
A. Missense mutation
B. Nonsense mutation
C. Silent mutation
D. Transition

A

A. Missense mutation
Rationale: A missense mutation results in a codon that codes for a different amino acid, potentially altering the function of the protein.

44
Q

Which among major types of RNA that participate in the process of protein synthesis make up about 80% of the total RNA in the cell?
A. Ribosomal RNA (rRNA)
B. Transfer RNA (tRNA)
C. Messenger RNA (mRNA)
D. Noncoding RNA (ncRNA)

A

A. Ribosomal RNA (rRNA)
Rationale: rRNA makes up the majority of RNA in the cell and is a key component of ribosomes, which are essential for protein synthesis.

45
Q

They are integrated into the DNA, which can cause profound changes in the genes into which they insert and in adjacent genes:
A. Point mutation
B. Frameshift mutation
C. Transposons
D. Trinucleotide repeat expansion

A

C. Transposons
Rationale: Transposons, or “jumping genes,” can insert themselves into various locations within the genome, causing mutations and altering the function of genes.

46
Q

Which is not a repair enzyme in DNA mutation?
A. Ligase
B. DNA polymerase
C. Exonuclease
D. DNA primase

A

D. DNA primase
Rationale: DNA primase is involved in DNA replication, not repair. It synthesizes a short RNA primer to initiate DNA synthesis.

47
Q

An example of cross-linkage reaction that causes mutation to DNA:
A. Oxidative free radical formation
B. Between DNA and protein molecules (e.g., histones)
C. Alkylation of base
D. Ionizing radiation

A

B. Between DNA and protein molecules (e.g., histones)
Rationale: Cross-linking can occur between DNA and proteins, such as histones, leading to structural changes and potential mutations.

48
Q

An example of chain breaks reaction that leads to mutation of DNA:
A. UV light-induced pyrimidine dimer
B. Oxidative free radical formation
C. Base-analog incorporation
D. Between bases in the same or opposite strands

A

B. Oxidative free radical formation
Rationale: Oxidative free radicals can cause single or double-strand breaks in DNA, leading to mutations.

49
Q

A replication fork is:
A. Only seen in bacterial cells
B. A Y-shaped structure where both DNA strands are replicated simultaneously
C. A site where one DNA strand serves as a template, but the other strand is not replicated
D. Created by the action of the enzyme RNA polymerase

A

B. A Y-shaped structure where both DNA strands are replicated simultaneously
Rationale: The replication fork is the area where the DNA double helix is unwound, and both strands are simultaneously replicated.

50
Q

The TATA box in eukaryotes is located:
A. 10 base pairs (bp) upstream from the transcription start site (TSS)
B. 35 bp upstream from the TSS
C. 25-30 bp upstream from the TSS
D. 5 bp upstream from the TSS

A

C. 25-30 bp upstream from the transcription start site (TSS)
Rationale: The TATA box is a DNA sequence found about 25-30 base pairs upstream of the transcription start site and is crucial for the initiation of transcription.

51
Q

True of the characteristics of antibodies, EXCEPT:
A. Expressed on the surface of B-lymphocytes
B. Predominate the primary immune response to antigens
C. Molecules with a single, defined amino acid sequence
D. Are glycoproteins

A

C. Molecules with a single, defined amino acid sequence
Rationale: Antibodies are glycoproteins that are expressed on the surface of B-lymphocytes and predominate in the primary immune response to antigens. They have variable regions allowing for diversity in antigen binding, not a single defined amino acid sequence.

52
Q

An important feature of a cell-mediated immune response against an antigen:
A. Requires first exposure to an antigen
B. A latent period follows the initial exposure to an antibody generator
C. Helper T-cells synthesize and secrete chemokines like interleukin, interferon
D. A particular response may last for years

A

C. Helper T-cells synthesize and secrete chemokines like interleukin, interferon
Rationale: Helper T-cells are crucial in cell-mediated immunity as they release chemokines such as interleukins and interferons to activate other immune cells.

53
Q

A cell whose primary function is the development of cell-mediated immunity:
A. Granulocytes
B. Macrophages
C. T lymphocytes
D. Monocytes

A

C. T lymphocytes
Rationale: T lymphocytes are primarily responsible for cell-mediated immunity, recognizing and responding to infected or abnormal cells.

54
Q

An example of a natural type of immunity:
A. Acquired from the mother
B. After having vaccinated
C. Result from exposure to antigen
D. Injection of IgG

A

A. Acquired from the mother
Rationale: Natural immunity includes passive immunity acquired from the mother through the placenta or breast milk.

55
Q

Humoral immune response is initiated by:
A. Antigen-antibody complex formation on the surface of mature B cell
B. Antigen binds antibody on the surface of mature T cell
C. Upon the formation of plasma cells that secrete antibodies
D. Upon secretion of immunoglobulins

A

A. Antigen-antibody complex formation on the surface of mature B cell
Rationale: The humoral immune response begins when an antigen binds to antibodies on the surface of B cells, leading to their activation and the production of plasma cells that secrete antibodies.

56
Q

The Ig involved in host defense against helminthic infections:
A. IgM
B. IgG
C. IgA
D. IgE

A

D. IgE
Rationale: IgE plays a crucial role in the defense against parasitic helminths and is also involved in allergic reactions.

57
Q

The antibody present in secretions like tears, saliva, and colostrum is:
A. IgM
B. IgG
C. IgA
D. IgE

A

C. IgA
Rationale: IgA is the main immunoglobulin found in mucosal secretions, providing protection against pathogens at mucosal surfaces.

58
Q

Which of the following statement/s is/are true of IgM?
A. It is a pentamer and is called the ‘natural antibody’
B. Exists as a monomer on B cell surface
C. Is involved in early primary immune response
D. All of the above

A

D. All of the above
Rationale: IgM is a pentamer and acts as the ‘natural antibody’, exists as a monomer on the B cell surface, and is involved in the early primary immune response.

59
Q

Which is the Ig that crosses the placenta and provides passive immunity to newborns?
A. IgM
B. IgG
C. IgA
D. IgE

A

B. IgG
Rationale: IgG is the only immunoglobulin that can cross the placenta, providing passive immunity to the fetus and newborn.

60
Q

Which of the following IgG is targeted against polysaccharides of encapsulated bacteria?
A. IgG1
B. IgG2
C. IgG3
D. IgG4

A

B. IgG2
Rationale: IgG2 is particularly effective against polysaccharide antigens of encapsulated bacteria.

61
Q

Hemostasis and thrombosis have phases that are common to each other, which includes:
A. Formation of a loose and temporary platelet aggregate at the site of injury
B. Formation of a fibrin mesh that binds to the platelet aggregate, forming a more stable hemostatic plug or thrombus
C. Partial or complete dissolution of the hemostatic plug or thrombus by plasmin
D. All of the above

A

D. All of the above
Rationale: Hemostasis and thrombosis both involve the formation of a platelet aggregate, the creation of a fibrin mesh, and the eventual dissolution of the clot by plasmin.

62
Q

This stage of hemostasis is considered to be the primary hemostatic mechanism:
A. Vascular phase
B. Platelet phase
C. Coagulation phase
D. All of the above

A

B. Platelet phase
Rationale: The platelet phase is the initial response to vascular injury, involving the adhesion, activation, and aggregation of platelets to form a temporary plug.

63
Q

Disseminated fibrin deposits are mostly found in:
A. Very small blood vessels or capillaries
B. Arteries
C. Veins
D. All of the above

A

A. Very small blood vessels or capillaries
Rationale: Disseminated fibrin deposits, as seen in disseminated intravascular coagulation (DIC), are primarily found in small blood vessels and capillaries.

64
Q

Thrombosis occurs when the endothelium lining the blood vessels is damaged or removed. The resulting red thrombus from this event is usually characterized as:
A. Composed of platelets and fibrin
B. Relatively poor in erythrocytes
C. It forms at the site of an injury or abnormal vessel wall, particularly in areas where blood flow is rapid
D. None of the above

A

D. None of the above
Rationale: A red thrombus, typically rich in erythrocytes, forms under conditions of low flow and is often found in venous thrombosis rather than arterial.

65
Q

The coenzyme for cytochrome P450 is:
A. FADH
B. NADH
C. NADPH
D. GSH

A

C. NADPH
Rationale: NADPH provides the reducing equivalents for cytochrome P450 enzymes involved in oxidative reactions.

66
Q

Cytochrome P450s are located in what part of the cell?
A. Cytosol
B. Nucleus
C. Smooth endoplasmic reticulum
D. Lysosomes

A

C. Smooth endoplasmic reticulum
Rationale: Cytochrome P450 enzymes are primarily found in the smooth endoplasmic reticulum of cells, particularly in the liver.

67
Q

All of the following are properties of human cytochrome P450s, EXCEPT:
A. All are hemoproteins
B. Exhibit broad substrate specificity
C. Catalyze reactions involving the introduction of two atoms of oxygen into the substrate and one into water
D. Extremely versatile catalysts

A

C. Catalyze reactions involving the introduction of two atoms of oxygen into the substrate and one into water
Rationale: Cytochrome P450 enzymes typically catalyze the introduction of one atom of oxygen into the substrate and reduce the other atom to water.

68
Q

The main organ involved in the metabolism of xenobiotics:
A. Adrenal glands
B. Stomach
C. Kidney
D. Liver

A

D. Liver
Rationale: The liver is the primary organ responsible for the metabolism of xenobiotics, using enzymes such as cytochrome P450s.

69
Q

Conversion of xenobiotics from inactive to biologically active compounds:
A. Conjugation
B. Epoxidation
C. Metabolic transformation
D. Metabolic activation

A

D. Metabolic activation
Rationale: Metabolic activation refers to the conversion of xenobiotics to their active forms, which can sometimes be more toxic than the parent compound.

70
Q

In Phase 1 of the metabolism of Xenobiotics, the major reaction involved is:
A. Deamination
B. Epoxidation
C. Hydroxylation
D. Methylation

A

C. Hydroxylation
Rationale: Phase 1 metabolism often involves hydroxylation, which introduces an OH group to the xenobiotic, increasing its solubility and preparing it for further reactions.

Phase I metabolism consists of reduction, oxidation, or hydrolysis reactions.

71
Q

In Phase 2 of the metabolism of Xenobiotics, the products of Phase 1 are converted by specific enzymes to various metabolites by the process of:
A. Conjugation
B. Methylation
C. Peroxygenation
D. Dehalogenation

A

A. Conjugation
Rationale: Phase 2 metabolism involves conjugation, where Phase 1 metabolites are linked with endogenous molecules to increase their solubility and facilitate excretion.

72
Q

What determines the class of an immunoglobulin?
A. The heavy chain type
B. The protein present in the structure
C. The antigen that it binds
D. The carbohydrate (CHO) attached to the light chains

A

A. The heavy chain type
Rationale: The class of an immunoglobulin (IgA, IgG, IgM, etc.) is determined by the type of heavy chain it contains.

73
Q

Light chains are:
A. Specific for each class of antibody
B. Reactive with the antigen
C. Not specific for each class of antibody
D. Composed of one constant region

A

C. Not specific for each class of antibody
Rationale: Light chains (either kappa or lambda) are not class-specific and can be found in all classes of antibodies.

74
Q

The final product of DNA replication is:
A. mRNA, tRNA, and rRNA molecules
B. A wide variety of proteins
C. DNA molecule
D. 2 DNA molecules, each of which contains one new and one old DNA strand

A

D. 2 DNA molecules, each of which contains one new and one old DNA strand
Rationale: DNA replication results in two DNA molecules, each composed of one original strand and one newly synthesized strand (semi-conservative replication).

75
Q

Prokaryotic transcription promoters are:
A. Can have variable location
B. Responsible for both initiation and termination
C. Located downstream of the gene
D. Located upstream of the gene.

A

D. Located upstream of the gene.
Rationale: Promoters in prokaryotes are sequences located upstream (5’ direction) of the gene they regulate.

75
Q

Removal of intervening sequences and splicing together of final sequences are done by:
A. Spliceosome
B. Nucleosome
C. Ribosome
D. None

A

A. Spliceosome
Rationale: Spliceosomes are complexes responsible for removing introns (intervening sequences) and splicing exons together in pre-mRNA.

75
Q

What does the term DNA cloning refer to?
A. Ligating a DNA fragment of interest into a vector, such as a plasmid
B. Cutting DNA molecules with restriction nucleases
C. The act of making many identical copies of a DNA molecule
D. Putting a foreign gene into a cell

A

C. The act of making many identical copies of a DNA molecule
Rationale: DNA cloning involves making multiple identical copies of a DNA segment.

76
Q

Which of these is referred to as a linker histone?
A. H1
B. H2
C. H3
D. H4

A

A. H1
Rationale: Histone H1 is known as the linker histone because it binds to the linker DNA between nucleosomes, helping to compact the chromatin.

77
Q

The chemical nature of RNA differs from that of DNA:
A. Ribonucleic acid (RNA) is a polymer of purine and pyrimidine ribonucleotides linked together by 3-5’-phosphodiester bonds analogous to those in DNA
B. In RNA, the sugar moiety to which the phosphates and purine and pyrimidine bases are attached is the 2’-deoxyribose of DNA rather than ribose
C. The pyrimidine components of RNA are similar to those of DNA
D. Both DNA and RNA can be hydrolyzed by alkali to 2’-3’ cyclic diesters of the mononucleotides

A

A. Ribonucleic acid (RNA) is a polymer of purine and pyrimidine ribonucleotides linked together by 3-5’-phosphodiester bonds analogous to those in DNA
Rationale: RNA consists of ribonucleotides linked by 3’-5’ phosphodiester bonds, similar to DNA, but with ribose as the sugar.

78
Q

The termination protein is also called:
A. Psi factor
B. Rho factor
C. Sigma factor
D. Alpha factor

A

B. Rho factor
Rationale: The Rho factor is a protein involved in terminating transcription in prokaryotes.

Rho = Termination
Sigma = Initiation

79
Q

The coding strand is also called the:
A. Template strand
B. Non-template strand
C. Double-strand
D. None

A

B. Non-template strand
Rationale: The coding strand (or non-template strand) is the DNA strand whose base sequence corresponds to the base sequence of the RNA transcript produced (though with thymine replaced by uracil).

80
Q

Follows the Watson-Crick base pairing rule for RNA synthesis:
A. Adenine to Uracil
B. Cytosine to Adenine
C. Guanosine to Uracil
D. Adenine to Thymine

A

A. Adenine to Uracil
Rationale: In RNA synthesis, adenine pairs with uracil instead of thymine.

81
Q

Which of the following best describes a benign tumor?
A. Invades surrounding tissues
B. Spreads via lymphatics
C. Cells clustered in a single enclosed mass
D. Metastasizes

A

C. Cells clustered in a single enclosed mass
Rationale: Benign tumors are typically characterized by cells that remain clustered in a single mass and do not invade surrounding tissues or metastasize.

82
Q

Which pathway is more active in cancer cells compared to non-cancer cells?
A. Glycogenesis
B. Glycolysis
C. Pentose phosphate pathway
D. Lipogenesis

A

B. Glycolysis
Rationale: Cancer cells often have increased glycolysis rates to meet their high energy demands, even in the presence of oxygen (known as the Warburg effect).

83
Q

Which cell does not have regenerative capacity?
A. Neuron
B. Nephron
C. Hepatocyte
D. Enterocyte

A

A. Neuron
Rationale: Neurons generally do not regenerate once they are lost, unlike other cells such as hepatocytes and enterocytes.

84
Q

These carcinogens act by introducing novel genes into normal cells:
A. Radiant energy
B. Chemicals
C. Oncogenic viruses
D. None of the above

A

C. Oncogenic viruses
Rationale: Oncogenic viruses can introduce new genes into host cells, leading to uncontrolled cell growth and cancer.

85
Q

Which statement is not associated with an enhanced risk of developing skin cancer?
A. Increases with increased frequency of exposure
B. Increases with increased intensity of exposure
C. Increases with increased melanin content of skin
D. Increases depending on the time of exposure to the sun

A

C. Increases with increased melanin content of skin
Rationale: Increased melanin content actually provides some protection against UV radiation and lowers the risk of skin cancer.

86
Q

Which does NOT characterize White thrombi?
A. Have a fast rate of formation
B. Have a firm consistency
C. Associated in the arterial system of circulation
D. Have a hard consistency

A

A. Have a fast rate of formation
Rationale: White thrombi typically form slowly under high shear stress conditions found in arterial circulation. They are characterized by a firm consistency, are associated with the arterial system of circulation, and have a hard consistency, but they do not have a fast rate of formation.

87
Q

Which statement does NOT characterize the phases common to both Hemostasis and Thrombosis?
A. Formation of a loose and Permanent platelet aggregate at the site of injury
B. Formation of a fibrin mesh that binds to the platelet aggregate, forming a more stable hemostatic plug or thrombus
C. Partial dissolution of the hemostatic plug or thrombus by plasmin
D. Complete dissolution of the hemostatic plug or thrombus by plasmin

A

A. Formation of a loose and Permanent platelet aggregate at the site of injury
Rationale: The formation of a loose and temporary platelet aggregate is part of the initial response, not a permanent solution.

88
Q

Which is not a feature of von Willebrand factor?
A. Glues platelets to damaged endothelium
B. Binds and protects Factor IX
C. Is secreted by endothelial cells into the plasma
D. None of the above

A

B. Binds and protects Factor IX
Rationale: von Willebrand factor primarily binds and protects Factor VIII, not Factor IX. It also glues platelets to damaged endothelium and is secreted by endothelial cells into the plasma.

89
Q

The entropy will usually increase when:
A. A molecule is broken into two or more smaller molecules.
B. A reaction occurs that results in an increase in the number of moles of gas.
C. A solid changes to a liquid.
D. A liquid changes to a gas.
E. All of the above

A

E. All of the above
Rationale: Entropy increases when a molecule is broken into smaller molecules, when a reaction increases the number of gas moles, when a solid changes to a liquid, and when a liquid changes to a gas.

90
Q

Which one of the following thermodynamic quantities is not a state function?
A. Gibbs free energy
B. Enthalpy
C. Entropy
D. Internal energy
E. Work

A

E. Work
Rationale: Work is not a state function because it depends on the path taken, whereas Gibbs free energy, enthalpy, entropy, and internal energy are state functions.

91
Q

These encode proteins that normally suppress cell growth but are inactivated when altered by mutations:
A. Procarcinogen
B. Proto-oncogenes
C. Tumor suppressor genes
D. Oncogenes

A

C. Tumor suppressor genes
Rationale: Tumor suppressor genes encode proteins that regulate cell growth and division, preventing tumor formation. When these genes are mutated, they lose this regulatory ability.

92
Q

Basal metabolic rate:
A. Energy used during digestion, absorption, and metabolism of food
B. Energy needed to maintain basic physiologic functions under standard conditions
C. Energy used during movement and muscle contraction
D. Energy used for muscles and growth of body organs

A

B. Energy needed to maintain basic physiologic functions under standard conditions
Rationale: Basal metabolic rate (BMR) is the amount of energy expended while at rest in a neutrally temperate environment, in the post-absorptive state.

93
Q

Wernicke-Korsakoff Syndrome:
A. Defective transketolase enzyme
B. Seen primarily in alcoholics
C. Masked chronic thiamine deficiency
D. All of the above

A

D. All of the above
Rationale: Wernicke-Korsakoff Syndrome is associated with a defective transketolase enzyme, is seen primarily in alcoholics, and is caused by chronic thiamine deficiency.

94
Q

The genetic code is said to be unambiguous because:
A. A specific codon always codes for the same amino acid
B. The genetic code has been conserved from the very early stages of evolution
C. All amino acids always have only one triplet code
D. The code is always read from a fixed starting point

A

A. A specific codon always codes for the same amino acid
Rationale: The genetic code is unambiguous because each codon specifies only one amino acid.

95
Q

Which laboratory test measures the intrinsic pathway?
A. Partial thromboplastin time (aPTT or PTT)
B. Prothrombin time (PT)
C. Thrombin time (TT)
D. Bleeding time (BT)

A

A. Partial thromboplastin time (aPTT or PTT)
Rationale: aPTT is used to measure the intrinsic pathway of coagulation.

96
Q

The final common pathway in the complement system involves which of the following?
A. The formation of the membrane attack complex
B. Increased vasodilation and permeability of capillary beds
C. Vasodilation and permeability of capillary beds
D. All are true

A

A. The formation of the membrane attack complex
Rationale: The final common pathway in the complement system involves the formation of the membrane attack complex (MAC), which creates pores in the cell membrane of pathogens, leading to cell lysis.

97
Q

Responsible for removing introns in primary RNA transcripts:
A. Endonuclease
B. Exonuclease
C. Ribozymes
D. P bodies

A

A. Endonuclease
Rationale: Endonucleases are enzymes that cut RNA at specific internal sites, which is a crucial step in the process of removing introns from primary RNA transcripts. Spliceosomes, which include ribonucleoproteins with endonuclease activity, carry out this process.

98
Q

This inhibits the Carboxylation of Vitamin K-Dependent Factors:
A. Coumarin Anticoagulants
B. Vitamin K
C. Heparin
D. Protamine

A

A. Coumarin Anticoagulants
- Rationale: Coumarin anticoagulants, such as warfarin, inhibit the carboxylation of vitamin K-dependent clotting factors, thereby preventing blood clot formation.