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MCQ FMS 1 2023-2024 (1-60)

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

DNA differs from RNA in the following features:

a)

A. DNA is in the nucleus and mitochondria; RNA is found only in the cytoplasm

b)

B. DNA is synthesized by DNA polymerase; RNA is synthesized by RNA polymerase

c)

C. DNA has deoxyribose residues; RNA has ribose residues

d)

D. DNA contains the A, C, G, and T bases; RNA contains A, C, G, and U

e)

All TRUE, except A

2.

Protesting the government's policy, a 25 year old man went on a hunger strike. Which of the following metabolites are the most heavily elevated in his blood plasma after 3 days?

a)

Glucose

b)

Triacylglycerol

c)

Ketone bodies

d)

Glycogen

e)

Unesterified fatty acids

3.

Which of the following factors can affect enzyme activity?

a)

Temperature

b)

pH

c)

Salt concentration

d)

The addition or removal of phosphate

e)

All the above

4.

Intercellular connection that facilitates intercellular communication by allowing the movement of various small molecules between adjacent cells is known as

a)

Tight junction

b)

Fascia adherens

c)

Zonula adherens

d)

Gap junction

e)

Macula adherens

5.

Extracellular signal interacts with its receptor to initiate signal transduction. Which of the following plasma membrane receptors activate signalling pathways usually by forming molecular dimers upon binding of their specific ligand?

a)

G protein-coupled receptors

b)

Receptor tyrosine kinases

c)

Ligand-gated ion channels

d)

Steroid hormone receptors

e)

Acetylcholine receptors

6.

A patient has been detected to be a homozygote for the mutation Q39X in the gene coding for β-hemoglobin. Which of the following statements is TRUE?

a)

Glutamine at position 39 is changed to asparagine, resulting in a functional protein with slightly different activity

b)

The patient's blood contains normal Hb

c)

Glutamine at position 39 is changed to a stop codon, and no functional β-hemoglobin can be synthesized

d)

The patient is a carrier of this mutation

e)

It is a silent mutation; it does not have any effects at all

7.

Which of the following statements about the role of the pentose phosphate pathway is correct?

a)

The pentose phosphate pathway delivers -NH3 for amino acid synthesis

b)

The pentose phosphate pathway produces ribose-5-phosphate and NADPH

c)

The pentose phosphate pathway is directly connected to TCA cycle

d)

The pentose phosphate pathway oxidizes glucose-6-phosphate completely to carbon dioxide and water

e)

The pentose phosphate pathway occurs in the mitochondria of most cells

8.

The spontaneous loss of amino groups from cytosine (C) results in uracil (U), an uncommon base, opposite guanine in DNA. What combination of enzymes could repair such damage?

a)

Nuclease, telomerase, primase

b)

Nuclease, DNA polymerase, DNA ligase

c)

DNA ligase, helicase, RNAse H

d)

Topoisomerase, primase, DNA polymerase

e)

Topoisomerase, helicase, RNA polymerase

9.

Which of the following is not true about HSC transplantation?

a)

Allogenic transplantation is when the donor and recipient are the same species

b)

Peripheral stem cell collection produces a lower yield compare to bone marrow collection

c)

Immunosuppressant can be used to prevent GVHD

d)

Donor and recipient must have perfectly matched HLA

e)

The higher the degree of mismatched HLA the more complications with engraftment and graft versus host syndrome

10.

A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of more than 200 mg/dL. Patient has associated symptoms such as polyuria and polydipsia. Further test showed that patient's pancreas has a defect in glucose transport thus affects the insulin production and release process. Pancreas takes up glucose from blood through ...

a)

GLUT 3

b)

GLUT 4

c)

GLUT 1

d)

GLUT 5

e)

GLUT 2

11.

Which of followings in NOT a property of the plasma membrane?

a)

Boundary of living cell with its surrounding

b)

Impermable to small polar uncharged molecule

c)

Consists of lipid bilayer

d)

Mosaic and fluid

e)

Amphipathic

12.

Which type of bonding is responsible for the secondary structure of proteins?

a)

Hydrogen bonding between the C=O and N-H groups of peptide bonds

b)

Peptide bonds between amino acids

c)

covalent bonds joining different parts of the peptide backbone

d)

Disulfide bridges between cysteine residues

e)

Ionic bonds between charged side chains of amino acids

13.

Among the common causes of cancer are infection by cancer-causing (oncogenic) viruses. The following statement is true for oncogenic viruses except:

a)

Epstein Barr Virus oncogene LMP1 inhibits p53 function

b)

Human Immunodeficiency Virus (HIV) increases alternative splicing of angiogenesis-related genes

c)

Human Papilloma Virus (HPV) expresses E6 oncogenic protein

d)

Hepatitis C Virus (HCV) promotes DNA repair

e)

Hepatitis B Virus (HBV) integrates viral genome into cellular DNA

14.

In a globular protein the amino acid Valine is localized more likely within the interior of the molecule, because ________

a)

It is an acidic amino acid

b)

Its side chain is positively charged

c)

It is a basic amino acid

d)

It is non-polar and hydrophobic

e)

It is polar and hydrophilic

15.

A pluripotent stem cell is...

a)

Specialized cell that is capable of dividing and giving rise to one or more distinct types of undifferentiated cells.

b)

An undifferentiated cell that is capable of dividing and giving rise to one or more distinct types of specialized cells to make an individual.

c)

A specialized cell that is capable of dividing and giving rise of central nervous system.

d)

A specialized cells that mainly differentiate into blood cell

e)

An undifferentiated cell that is capable of dividing and giving rise to one or more distinct types of specialized cells, except for fetal supporting tissues.

16.

Gout is a disorder associated with abnormal amounts of urates in the body. A drug used primarily to treat this hyperuricemia and its complications prevents uric acid synthesis by inhibiting the enzyme xanthin oxidase. The name of this drug is ______

a)

Probenecid

b)

Voltaren

c)

Aspirin

d)

Colchicine

e)

Allopurinol

17.

A simple method to distinguish two types of bacteria is their ability in retaining the crystal violet dye (Gram staining). What is the characteristic of Gram positive bacteria?

a)

A larger periplasmic space

b)

A lower peptidoglycan and higher lipid content

c)

Two outer membranes

d)

Releases endotoxin

e)

A higher peptidoglycan and lower lipid content

18.

Marni and David bring their 3-year-old adopted daughter, Amanda, to the pediatrician reporting that she has recently been having large, greasy-looking stools. Amanda has fallen below the average in height and weight. The pediatrician suspects that Amanda may have cystic fibrosis from the sweat test result of 68 mEq/L. Which type of chloride channel protein is defective in Cystic Fibrosis?

a)

Calcium ion sensitive chloride channels

b)

Cation-chloride cotransporters

c)

Cystic fibrosis transmembrane conductance regulator

d)

CLC chloride channels and transporters

e)

None of the above

19.

The chemical bonds in DNA by which the sugar components of adjacent nucleotides are linked through the phosphate groups are called __________ bonds.

a)

Phosphodiester

b)

Hydrophobic

c)

Hydrogen

d)

Ionic

e)

Hydrophilic

20.

Stem cells need signal from the microenvironment to be capable to differentiate into more specialized cells. Of the following options, what can be the signal for stem cells to stimulate osteogenesis?

a)

Coculture of hematopoietic stem cell with a stromal cell line

b)

Sonic hedgehog

c)

Fluid shear stress and/or mechanical strain inside the blood vessel

d)

Granulocyte Colony Stimulating Factor (G-CSF) and erythropoietin (Epo)

e)

Manipulation of matrix elasticity on mesenchymal stem cell

21.

Stem cells technology such as somatic cells nuclear transfer (SCNT) can be used for therapeutic cloning and reproductive cloning with ethical consideration. Which from the list below is not the clinical application SCNT?

a)

Bring back Einstein alive

b)

Bring back dinosaurs alive

c)

Treat cystic fibrosis disease by injecting patient with pluripotent cell derived from SCNT technique carrying the gene to fix chloride channel

d)

Modify the genetic of Dolly sheep

e)

Collect the stem cell from a young donor and replace the nucleus the one from adult recipient's for treating heart disease

22.

Vitamins often function as co-enzyme in a reaction. Which vitamin is essential for the enzyme pyruvate dehydrogenase to properly function and its deficiency causes a disease called beriberi?

a)

Vitamin D

b)

Vitamin B12 (cobalamine)

c)

Vitamin A

d)

Vitamin C

e)

Vitamin B1 (thiamine)

23.

In eukaryotes, there are three different RNA polymerases. The RNA polymerase responsible for the synthesis of mRNA is ________.

a)

RNA polymerase I

b)

None of these

c)

RNA polymerase IV

d)

RNA polymerase III

e)

RNA polymerase II

24.

The proteins that make up the electron transport chain are located

a)

In the nucleus

b)

On the inner mitochondria membrane

c)

In the mitochondria matrix

d)

In the cytoplasm

e)

On the outer mitochondria membrane

25.

The pathway of a tRNA during polypeptide elongation on the ribosome is:

a)

A site --> P site --> E site

b)

P site --> A site --> E site

c)

A site --> P site --> entry site

d)

P site --> entry site --> exit site

e)

None of the above

26.

A researcher made an interesting observation about a protein that was translocated into the rough endoplasmic reticulum (ER) during its synthesis and eventually ended up in the plasma membrane. Significantly, the protein in the plasma membrane was found to be slightly larger than the related protein in the ER. The protein was probably changed in the ________

a)

Nucleus

b)

Mitochondrion

c)

Lysosome

d)

Golgi apparatus

e)

Smooth endoplasmic reticulum

27.

Biochemical mechanism responsible for "transmitting" extracellular signals inside the cell, which ultimately lead to the activation of target proteins that control metabolic pathways or regulate gene expression, called as:

a)

Signal transduction

b)

Signal transmission

c)

Metabolic regulation

d)

Signal transformation

e)

Gene expression regulation

28.

The followings are characteristic of X-linked dominant inheritance, except:

a)

Half of daughters of affected male will be affected

b)

Affected women have milder phenotype than affected men

c)

No male to male transmission

d)

Males and females may be affected

e)

Both sons and daughters of affected women have 50% risk of being affected

29.

Cells fall into one of two broad categories: prokaryotic and eukaryotic. The single-celled organisms of the domains Bacteria and Archaea are classified as prokaryotes. Animal cells, plant cells, fungi, and protists are eukaryotes. Which of the following is a feature found in BOTH prokaryotic and eukaryotic cells?

a)

All of the above are found in both types of cells

b)

Ribosomes that accomplish protein synthesis

c)

Multiple linear chromosomes in each cell

d)

Extensive array of intermediate filaments

e)

Mitotic spindles that partition chromosomes into the daughter cells

30.

Human Genome Project Objectives. Which of the following was (were) the objective(s) of the Human Genome Project?

a)

A. Obtain a detailed genetic map of every human chromosome

b)

B. Determine the sequence of all expressed human genes

c)

C. Determine the complete DNA sequence of each human chromosome

d)

A and B are true

e)

A, B, and C are true

31.

The effect of cell to cell communication may be broad to whole body or limited to certain part of body. Insulin secretion is an example of a way which acts at distance and influence the whole body, as known as

a)

Phosphorylation cascade

b)

Paracrine

c)

Endocrine

d)

Intercrine

e)

Autocrine

32.

Metabolism is divided into 2 classes. ________ is the breakdown of macromolecules (proteins, carbohydrates, fats) to produce energy. This class is characterized by ________ reactions. ________ is the construction of biomolecules from smaller precursors. This requires energy input. This class is characterized by ________ reactions. The energy intermediate is ________.

a)

Anabolism, oxidative, catabolism, reductive, UTP

b)

Exergonism, exergonic, endergonism, endergonic, GTP

c)

Anabolism, reductive, catabolism, oxidative, AMP

d)

Antithesis, reduction, synthesis, oxidation, CTP

e)

Catabolism, oxidative, anabolism, reductive, ATP

33.

21-year-old woman is presented to the Emergency Room with extreme muscle weakness, difficulty in swallowing and breathing. Diagnosis of myasthenia gravis was made based on the history, examination and laboratory test. Myasthenia gravis is a condition of an improper functioning at the neuromuscular junction. What is happening at neuromuscular junction in this case?

a)

Blocked GABA receptor

b)

Detect in Na+ voltage-gated receptor

c)

Blocked acetylcholine receptor

d)

Failure to release acetylcholine vesicles

e)

Damage in dendrites

34.

Epistasis controls the coat color of laboratory rats, with the B locus controlling color (Black is dominant to brown), and C locus determining the color-pigment deposit. Which of the following is true?

a)

BbCc results in black coat

b)

bbCc results in black coat

c)

BBcc results in black coat

d)

Bbcc results in brown coat

e)

bbcc results in brown coat

35.

Specialized epithelium with cells on its surface that can change their shape is known as:

a)

Simple cuboidal epithelium

b)

Transitional epithelium

c)

Simple columnar epithelium

d)

Simple squamous epithelium

e)

Stratified epithelium

36.

Cell differentiation is influenced by these factors below, except ...

a)

A. Genetic engineering

b)

B. Apoptosis

c)

C. Pressure

d)

D. Extracellular matrix

e)

E. A and B

37.

A 35-year-old Indonesian living in Europe came to his doctor with stomach cramps and diarrhea after drinking milk. What is the most likely cause of this man's problem?

a)

Aldolase B deficiency (fructose intolerance)

b)

Excessive growth of bacteria and yeast in the large intestine

c)

Lack of pancreatic amylase

d)

Lack of sucrose-isomaltase of the small intestine

e)

Lactase deficiency in the small intestine (lactose intolerance)

38.

Which of the following statements is TRUE for glucagon?

a)

It is secreted by pancreatic β cells as a response to low glucose concentration in the blood

b)

It is secreted by pancreatic α cells as a response to low glucose concentration in the blood

c)

It is secreted by pancreatic β cells as a response to high glucose concentration in blood

d)

It is secreted by the adrenal gland as a response to the "fight-or-flight" condition

e)

It is secreted by pancreatic α cells as a response to high glucose concentration in blood

39.

Pentasomy 49, XXXXY incidence is around 1/85000 male births. Signs and symptoms of 49, XXXXY syndrome can vary but may include learning difficulties or intellectual disability; low muscle tone; infertility; delayed growth; distinctive facial features; and a variety of birth defects that may affect the heart, bones, brain and/or kidneys. A 49, XXXXY karyotype is thought to arise from

a)

Paternal Non-Disjunction in Meiosis I

b)

Maternal Non-Disjunction in Meiosis I

c)

Maternal Non-Disjunction in Meiosis I and II

d)

Non-Disjunction in Meiosis II

e)

Paternal Non-Disjunction in Meiosis I and II

40.

Which of the following enzyme groups can catalyze oxidation reactions?

a)

Ligases

b)

Dehydrogenases

c)

Lyases

d)

Isomerases

e)

Hydrolases

41.

Cell cycle checkpoints are control mechanisms in eukaryotic cells which ensure proper division of the cell. At the center of the cell cycle control system is Cdk, a protein that

a)

Is only active during mitosis

b)

Is degraded before it is active

c)

That binds to different cyclins

d)

Manufactures growth factors

e)

That is dephosphorylated to become active

42.

If a proto-oncogene is mutated into an oncogene in an otherwise normal cell, the immediate result would likely be

a)

Cell Cycle arrest

b)

The cell would metastasize to other distant organ

c)

Rapid mutations of other genes

d)

Apoptosis

e)

Not much, perhaps a slight accelerating of the cell cycle

43.

A scientist collects cells from a phase of embryonic development and wants to test if those cells are pluripotent. What are two ways to demonstrate pluripotency?

a)

In vitro producing embryoid bodies and in vivo producing GVHD

b)

In vitro producing three layers and in vivo producing immune rejection

c)

In vitro producing embryoid bodies and in vivo producing teratoma

d)

In vitro producing teratoma and in vivo producing GVHD

e)

In vitro producing teratoma and in vivo producing embryoid bodies

44.

A phenotypically normal woman with a translocation involving chromosomes 14 and 21 karyotype has a karyotypically normal husband. Among their liveborn offspring, which of the following karyotype is LEAST likely?

a)

Balanced Carrier

b)

Monosomy 21

c)

Normal

d)

Trisomy 21

e)

Translocation chr 21 and 14

45.

In general, methylation of DNA in Eukaryotes

a)

Triggers translational modification

b)

Promotes cell growth

c)

Reduces level of gene expression

d)

Induces genetic rearrangements

e)

Activates gene expression

46.

Which of the following statements about the synthesis of fatty acids is correct?

a)

NADH is used for fatty acid synthesis

b)

NADH is formed from fatty acid synthesis

c)

NADPH is used for fatty acid synthesis

d)

NADPH is formed from fatty acid synthesis

e)

None of these

47.

Enzymes involved in phosphorylation cascade are kinase and phosphatase. The following is the function of phosphatase:

a)

Amplifying signal

b)

Removing phosphate group from the intracellular signaling protein

c)

Phosphorylation

d)

Activating intracellular protein signaling

e)

Adding phosphate group onto the intracellular signaling protein

48.

Which of the following statements about gluconeogenesis is correct?

a)

Fatty acids are plentiful in the blood during starvation and are used for glucose synthesis

b)

The enzyme glucose-6-phosphatase hydrolyses glucose-6-phosphate and is present in most cells

c)

Gluconeogenesis uses all the SAME enzymes that are also used in glycolysis

d)

Gluconeogenesis enables the liver to maintain blood glucose levels during starvation

e)

Muscles have a large glycogen store which gives rise to blood glucose during prolonged starvation

49.

A 60-year-old woman suffers from cirrhosis of the liver. Toxins such as ammonia are not properly metabolized by the liver and can damage the brain. Which of the following compounds should be in the highest concentration in the brain as a result of the detoxification of ammonia?

a)

Glycine

b)

Asparagine

c)

Alpha ketoglutarate

d)

Glutamate

e)

Glutamine

50.

A woman's body undergoes many transformations during the nine months of pregnancy. Some of these physical changes are visible, such as an expanding belly and weight gain, while others are well known, such as an enlarged uterus. The enlarged uterus of a pregnant woman is an example of which adaptive behavior?

a)

Metatrophy

b)

Hyperplasia

c)

Hypertrophy

d)

Atrophy

e)

Metaplasia

51.

Exocrine gland that secretes its product by losing the apical part of cytoplasm is known as ________ gland.

a)

Merocrine

b)

Apocrine

c)

Holocrine

d)

Endocrine

e)

None of the above

52.

Alternative splicing of RNA

a)

Is due to the presence or absence of particular snRNPs

b)

Can allow the production of proteins of different sizes from a single mRNA

c)

Increases the rate of transcription

d)

Can allow the production of similar proteins from different RNAs

e)

Is a mechanism for increasing the rate of transcription

53.

The oxidative deamination of the amino acid alanine in muscle produces:

a)

One molecule of pyruvate and a molecule of urea

b)

One molecule of pyruvate and a molecule of ammonia

c)

One molecule of pyruvate and a molecule of carbon dioxide

d)

One molecule of pyruvate and a molecule of water

e)

One molecule of pyruvate and a molecule of oxygen

54.

Which of the following characteristic is not common to many cancer cells?

a)

Increased mobility

b)

Abnormal structures of chromosomes

c)

Absence of cytoskeleton

d)

Decreased adhesion to other cells

e)

Uncontrolled growth and division

55.

Which of the following statements about the TCA cycle is true?

a)

Two molecules of carbon dioxides are produced in one turn of the TCA cycle

b)

Three molecules of NADH and one molecule of FADH2 are produced in one turn of the TCA cycle.

c)

Two turns of TCA cycles are needed to oxidize one molecule of glucose.

d)

The TCA cycle occurs in the mitochondrial matrix

e)

All statements are true

56.

Embryonic stem cells are self-renewal, immortal and have an almost unlimited differentiation potential. Those characteristics are results of inhibiting differentiation and apoptosis. Which of the following is the correct network for the regulation of embryonic stem cell self-renewal?

a)

cMyc-FGF-Oct4

b)

EGF-Nanog-Oct4

c)

LIF-Sox2-cMyc

d)

Myc-FGF-LIF

e)

Sox2-Nanog-Oct4

57.

Two patterns of cell death are observed: Necrosis and Apoptosis. Which of the following statements best describes necrosis?

a)

Significant inflammatory response

b)

Condensation of nucleus

c)

Affects individual cells

d)

Caspase activation

e)

Cytoplasmic blebbing

58.

One of challenges in stem cell technology is to produce embryonic stem cells without the creation of embryo. A variation in stem cell technology where cdx2 gene (a gene to form placenta) is turned off in patient's nucleus before it is transferred to donor egg called as...

a)

Parthenogenesis

b)

SCNT

c)

ANT

d)

Fusion

e)

SCNT using embryo at mitosis

59.

Peritoneal dialysis is a method to remove excess waste and water from the blood of patients suffering from kidney disease. In this process, patient receives injection of dialysis liquid into the peritoneum. The removal of water into the peritoneum in this process is an example of osmosis. Which of the following statement is correct for osmosis?

a)

A process that lead to hypotonic condition in blood

b)

Movement of solute from high concentration to low concentration area

c)

Movement of water from high solute concentration to low solute concentration

d)

A process that lead to isotonic condition in blood

e)

Movement of ion from the lower concentration to high concentration area

60.

Positron emission tomography (PET) imaging using 18F-fluorodeoxyglucose (18F-FDG) has been a powerful cancer imaging tool for many decades. Of the many hallmarks of cancer that include biological capabilities acquired during the multistep development of human tumors; which one is put to use when imaging cancer using PET?

a)

Evading apoptosis

b)

Self-sufficiency in growth signal

c)

Sustained angiogenesis

d)

Limitless replicative potential

e)

Reprogramming metabolism