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PEDIGREE 2025 PG QUIZ

Total questions: 25

Worksheet time: 25mins

Name
Class
Date
1.

Hereditary orotic aciduria type II is due to deficiency of the following enzyme:

a)

Dihydroorotate dehydrogenase

b)

Orotate phosphoribosyl transferase

c)

Aspartate transcarbamoylase

d)

Orotidylate decarboxylase

2.

A 5 month old infant presents with a seizure. His mother gave history of lethargy and irritability past several days. The infant is hypoglycemic and urine ketones are negative. Short chain dicarboxylic acids are elevated. The most likely enzyme deficiency is

a)

Carnitine Acyltransferase I

b)

Medium chain Acyl CoA Dehydrogenase

c)

Very Long Chain Acyl CoA Dehydrogenase

d)

Fatty Acyl CoA Synthase

3.
  1. Assertion: The Fatty Acid Synthase Complex & Acetyl-CoA Carboxylase Are Adaptive Enzymes

Reason: These enzymes adapt to the physiologic needs of the body by Covalent modification

a)

Both Assertion and Reason are true, and Reason is the correct explanation for Assertion

b)

Both Assertion and Reason are true, and Reason is not the correct explanation for assertion

c)

Assertion is true, but Reason is false

d)

Assertion is false, but Reason is true

4.

A 50-year-old male patient has high cholesterol levels and is placed on lovastatin. He is counselled to stop drinking his usual glass of grapefruit juice every morning. Which of the following may be the correct reason for stopping grapefruit juice?

a)

Grapefruit juice inhibits the cytochrome p450 enzyme which modifies lovastatin for excretion.

b)

Grapefruit juice stimulates the cytochrome p450 enzyme which modifies lovastatin for excretion.

c)

Grapefruit juice is a competitive inhibitor of lovastatin binding to cholesterol.

d)

Grapefruit juice is a competitive inhibitor of HMG-CoA reductase.

5.

Assertion: Low carbohydrate and high fat diets are commonly prescribed in weight reduction programs.

Reason: This type of diet is ketogenic indicating active fatty acid synthesis and gluconeogenesis for energy production

a)

Both Assertion and Reason are true, and Reason is the correct explanation for Assertion

b)

Both Assertion and Reason are true, and Reason is not the correct explanation for assertion

c)

Assertion is true, but Reason is false

d)

Assertion is false, but Reason is true

6.

One of the following bonds is/are responsible for the semi rigidity of the Peptide bond

a)

α-Carbon (Cα) to the Carbonyl carbon (Co)

b)

Carbonyl carbon (Co) to the α-Nitrogen

c)

α-Carbon (Cα) to α-Nitrogen

d)

None of the above

7.

All of the following is true about Methemoglobin except:

a)

Less than 1% of Hb is present as methemoglobin normally.

b)

It is Ferrihemoglobin

c)

does not transport O2 but stores O2

d)

congenital methemoglobinemia can be treated by large doses of ascorbate

8.

All of the following are true about blood group antigens except:

a)

ABO blood group is determined by glycoproteins with O-linked oligosaccharides on the surface of RBCs.

b)

H substance formed by the action of a fucosyl transferase is Fucose—Gal—GluNAc—Protein

c)

Blood group A substance encodes a N-acetyl-galactosaminyl transferase that adds the terminal GalNAc to H substance

d)

Blood group B substance encodes a galactosyl transferase that adds the Gal residue to H substance.

9.

All of the following are true about the action of Hexokinase except:

a)

has a Km of 0.01mmol/L for glucose

b)

It provides glucose-6-phosphate at a constant rate to the liver

c)

Acts as a Glucose sensor in pancreatic β-islet cells

d)

Not induced by Insulin

10.

True about Sugar alcohols being used as sweetening agents except

a)

less calorie content than ordinary sugar

b)

less likely to contribute to tooth decay

c)

only partially absorbed in the small intestine

d)

Prepared by oxidation of sugars

11.
  1. One of the following statement is true about isomerism except

a)

Optical isomers rotate the plane polarized light either to right or left

b)

Constitutional isomers have the same functional groups

c)

Epimers are non-superimposable mirror images of each other

d)

D and L isomers rotate the plane polarized light either to clockwise or anticlockwise direction.

12.

In an experiment, where liver mitochondria is isolated and incubated in limited amount of malate. After 3 minutes, Cyanide is added and the reaction is allowed for 7 minutes, which component of ETC will be in oxidized state?

a)

Complex I

b)

Complex II

c)

Complex III

d)

Complex IV

13.
  1. A 43 yrs old man presented to vascular surgery OPD for peripheral vascular disease. He was a non-smoker but had underwent CABG one year ago. O/E: He had palmar striae and tuberous Xanthoma. Some of his lab results are as follows

Fasting Serum Cholesterol: 386.6 mg/dL

              HDL Cholesterol: 33.2mg/dL

              TGL: 8115 mg/dL

            His Apolipoprotein E genotype was E2/E2

a)

Type 1 hyperlipidemia

b)

Type 2a hyperlipidemia

c)

Type 2b hyperlipidemia

d)

Type 3 hyperlipidemia

14.

Which enzyme deficiency results in elevated urine levels of maltotriose?

a)

Debranching enzyme

b)

Branching enzyme

c)

Glycogen synthase

d)

Phosphorylase kinase

15.

A defect in UGT1A1 causes

a)

Gilbert syndrome

b)

Rotor syndrome

c)

Dubin-Johnson syndrome

d)

Crigler-Najjar syndrome type II

16.

The defect in Segawa syndrome involves

a)

Dopamine β-hydroxylase

b)

GTP cyclohydrolase I

c)

COMT

d)

Monoamine oxidase

17.

The most common mode of inheritance in Ehlers-Danlos syndrome is

a)

Autosomal recessive

b)

Autosomal dominant

c)

X-linked dominant

d)

Mitochondrial

18.

What is the pH of a solution with 5 mmol/L of hydrogen ions?

a)

3.0

b)

1.3

c)

2.3

d)

5.0

19.

Imiglucerase is used in the treatment of

a)

Tay-Sachs disease

b)

Gaucher’s disease

c)

Niemann-Pick disease

d)

Fabry disease

20.

Lipoprotein(a) shows structural similarity to the kringle domain of

a)

Albumin

b)

Fibrinogen

c)

Plasminogen

d)

Apolipoprotein A-I

21.

The reducing property of homogentisic acid is due to its

a)

Carboxyl group

b)

Methylene bridge

c)

Benzene group

d)

Phenolic hydroxyl group

22.

Which of the following porphyrins fluoresce under Wood’s lamp?

a)

Protoporphyrin IX

b)

Uroporphyrinogen I

c)

Coproporphyrin III

d)

Hematoporphyrin

23.

Canagliflozin, a hypoglycemic drug acts by inhibiting

a)

SGLT-1

b)

SGLT-2

c)

GLUT 4

d)

GLUT 3

24.

The rationale for the usage of benzoic acids in urea cycle disorder defect is

a)

It  provides an alternative route for N2 excretion through N- Acetyl glucouronic acid conjugate Kynurenine

b)

It provides an alternative route for N2 excretion through glycine conjugate,Hippuric acid

c)

It inhibits glutamate dehydrogenase

d)

It inhibits adenylate deaminase

25.

Net ATP generation on complete oxidation of stearic acid is

a)

106

b)

108

c)

120

d)

122