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MCQ FMS 1 PART 2

Total questions: 38

Worksheet time: 19mins

Name
Class
Date
1.

Cancer is often the result of activation of ___ to ___ and the annactivation of ___ genes.

a)

Oncogenes, tumor-suppressor genes, proto-oncogenes

b)

Oncogenes, proto-suppressor genes, proto genes

c)

Oncogenes, proto-oncogenes, tumor-suppressor genes

d)

Proto-suppressor genes, suppressors, oncogenes

e)

Proto-oncogenes, oncogenes, tumor-suppressor genes

2.

In 2012, Prof. Yamanaka from Kyoto University was awarded the Nobel Prize in Physiology and Medicine for the development of induced pluripotent stem cells or iPS cells. This discovery has been a promise for an unlimited source of pluripotent cells, although there are pros and cons. What is the disadvantage of iPS cells?

a)

iPS cells can provide unlimited reservoir of stem cells minus the ethical controversy of embryonic materials

b)

iPS cells are universally accessible

c)

iPS cells can produce patient-specific or disease-specific cells of any lineage for therapeutic use

d)

Viruses that integrate into the host cell genome have intrinsic risks

e)

Autologous iPS cells have reduced chances of immune rejection

3.

Each of us has enough DNA to reach from here to the sun and back, more than 300 times. Certain proteins compact chromosomal DNA into the microscopic space of the eukaryotic nucleus. What proteins are integral part of human chromosome?

a)

Heterochromatin

b)

Euchromatin

c)

Histones

d)

Solenoid

e)

Nucleosome

4.

Mrs. Wati (PBL Week 7) was just diagnosed with an aggressive form of breast cancer. The histopathology is interpreted as showing a poorly differentiated carcinoma with negative estrogen-receptor status and HER2-positive. The cancer started because

a)

She has a rare deletion in the BRCA1 gene

b)

Her affected cells have extra genes for epidermal growth factor

c)

Estrogen affects DNA repair

d)

Estrogen receptor is tumor suppressor

e)

Her affected cells have many extra receptors for epidermal growth factor

5.

The heart functions as the motor of the circulatory system, which consists of the heart, blood vessels and blood. A cell from heart muscle would have an unusually high proportion of these organelles:

a)

Golgi bodies

b)

Mitochondria

c)

Cytoskeleton

d)

Lysosomes

e)

mRNA

6.

Alpha-1 antitrypsin deciency is an inherited disorder that may cause lung disease and liver disease. Individuals with S allele of the gene have moderately low levels, and individuals with Z allele have very little alpha-1 antitrypsin protein in their serum. Individuals with SZ allele have an increased risk of developing lung diseases (such as emphysema), particularly if they smoke. This type of inheritance is also called:

a)

Multiple alleles

b)

Incomplete dominance

c)

Co-dominance

d)

Polygenic inheritance

e)

Complete dominance

7.

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)

Atrophy

b)

Metaplasia

c)

Dysplasia

d)

Hypertrophy

e)

Hyperplasia

8.

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)

Maternal non-disjunction in meiosis I and II

b)

Paternal non-disjunction in meiosis I and II

c)

Non-disjunction in meiosis II

d)

Maternal non-disjunction in meiosis I

e)

Paternal non-disjunction in meiosis I

9.

Which one of the following is not stem cell characteristics?

a)

Capable to differentiate into adults cells

b)

Finite

c)

Capable to regenerate into other stem cells

d)

One cell can give rise to an entire organ system

10.

One of the cells responses against viral infection is by the secretion of antiviral cytokine. Cytokines may affect the cell itself and its surrounding. Cytokine receptor is usually associated with

a)

Inositol phospholipid

b)

Calmodulin

c)

Protein serine/threonine kinase

d)

Grb protein

e)

Janus kinase

11.

Gene therapy is an experimental technique that uses genes to treat or prevent disease. In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient's cells instead of using drugs or surgery. In order for a gene therapy to work, it needs to be delivered to the affected tissue using:

a)

Vector

b)

Transcription factor

c)

Promoter

d)

Bacteria

e)

Vaccine

12.

A tumor is any abnormal proliferation of cells, which may be either benign or malignant. How do the cells of benign and malignant tumors differ? Select one:

a)

Benign cells growth into adjacent tissue; malignant cells displace adjacent tissue

b)

Malignant cells are not encapsulated; benign cells are encapsulated

c)

Benign cells grow fast and are small; malignant cells grow slow but large

d)

Malignant cells have well defined border; benign cells' border are less de ned

e)

All are correct

13.

What is the genotype of individual II-5

a)

WW or ww

b)

Ww

c)

Ww or Ww

d)

WW

e)

ww

14.

Blastocyst is the source of embryonic stem cell with consists of inner cell mass and trophoblast. Naturally, trophoblast will proliferate/differentiate into which the of cells?

a)

Pluripotent stem cells

b)

Placenta and extraembryonic tissue

c)

Hematopoietic stem cells

d)

Brain stem cells and specialized brain cells

e)

All types of specialized cells

15.

Knowing what you know about phospholipid bilayers; if you wanted to build your own membrane protein, what would your amino acids need to have in order to stay in the membrane?

a)

Glycosylations

b)

Negatively charged groups

c)

Hydrophobic groups

d)

Hydrophilic groups

e)

Positively charged groups

16.

Leber’s hereditary optic neuropathy (LHON) is an inherited form of vision loss. This inheritance applies to genes contained in mitochondrial DNA. Which of the following pedigree best describes the inheritance of LHON?

a)

a.

a.

b)

b.

b.

c)

c.

c.

d)

d.

d.

e)

e.

e.

17.

Hereditary Nonpolyposis Colon Cancer (HNPCC) patients have genes with microsatellite instability, in which many gene regions contain abnormal, small loops of unpaired DNA. These DNA loops are the result of a mutation affecting which of the following:

a)

Non Homologous End Joining repair

b)

Mismatch repair

c)

Nucleotide excision repair

18.

Tommy, a 58-year-old man diagnosed with multiple myeloma based on laboratory results, will receive chemotherapy and hematopoietic stem cell (HSC) transplant. Which of the following is not suitable as the source of hematopoietic stem cell for Tommy?

a)

Inner cell mass

b)

Peripheral blood

c)

iPS cell

d)

Cord blood

e)

Myoblast

19.

The ribosome is a highly complex cellular machine found within all living cells. Which of the following statements about ribosomes is true?

a)

They are an integral part of transcription

b)

They are composed of three subunits of unequal size

c)

They are bound together so tightly they cannot dissociate under physiologic conditions

d)

They are composed of RNA, DNA and proteins

e)

They are found in cytoplasm and mitochondria

20.

A mother of a malnourished child has been instructed to include a complete protein in the diet. Which of the following should be recommended?

a)

Wheat

b)

Soy protein

c)

Vegetables

d)

Milk

e)

Nuts

21.

The nuclear envelope (NE) is a highly regulated membrane barrier that separates the nucleus from the cytoplasm in eukaryotic cells. Which of the following statements does not apply to the nuclear envelope?

a)

It is a double membrane

b)

It has pores through which protein enters

c)

It is continuous with the endoplasmic reticulum

d)

It has pores through which material leaves

e)

Its outer layer folds to form cristae

22.

Tommy, a 58-year-old man diagnosed with multiple myeloma, will receive chemotherapy and hematopoietic stem cell (HSC) transplant. Which of the following is not true about HSC transplantation?

a)

Donor and recipient must have perfectly matched HLA

b)

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

c)

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

d)

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

e)

Immunosuppressant can be used to prevent GVHD

23.

Cells die through either necrosis or apoptosis. Apoptosis is also called programmed cell death. Which of the following events is NOT a change experienced by a typical cell committed to apoptosis?

a)

Nuclear envelope disassembles

b)

Cytoskeleton collapses

c)

DNA breaks into fragments

d)

Cell swells and bursts

e)

Loss of mitochondrial membrane functions

24.

In a nucleosome, the DNA is wrapped around …

a)

Short arm

b)

Chromosome

c)

Centromere

d)

Chromatids

e)

Histones

25.

The region of a gene located at -10 and -35 with respect to the start of transcription is termed:

a)

Promoters

b)

Coding region

c)

Termination sequence

d)

Control region

e)

Enhancer/silencer

26.

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)

Non of the above

27.

In analyzing the number of different bases in a DNA sample, which result would be consistent with the base pairing rules?

a)

G=CG=C

b)

GTG-T

c)

A+T=G+CA+T = G+C

d)

A=TA=T

e)

A+G=T+CA+G = T+C

28.

There are 3 types of protein transport. One of it requires ATP as the energy. What is it?

a)

RNA polymerase I

b)

ATP-powered pump (ATPase Pump)

c)

Ion channel

d)

Transporter

e)

Uniporter

29.

Daughter strands in a replication are always made of one strand of old DNA and one newly synthesized complementary strand. This nature of DNA replication is referred as:

a)

Bidirectional

b)

Starts from replication forks

c)

Semi-discontinuous

d)

Semiconservative

e)

Conservative

30.

UV radiation can cause DNA damage in form of thymine dimers formation. This DNA damage is usually repaired by the DNA repair mechanism of

a)

MMR

b)

NER

c)

Single-strands damages

d)

BER

e)

Double-strand breaks

31.

Condition at which one or more nucleotides removed from the DNA strand is called …

a)

Deletion mutation

b)

Nonsense mutation

c)

Silent mutation

d)

Insertion mutation

32.

B-thalassemia, common in southeast Asia, is due to a point mutation in b-globin. What mutation causes it?

a)

Stop at position 26 with lysine as the last amino acid

b)

Glutamate is swapped with lysine at amino acid no. 26

c)

Aspartate is swapped with lysine at amino acid no. 26

d)

Excessive amount of protein b-globin

e)

No protein b-globin is made

33.

p53 (also known as TP53) is a gene whose activation induces apoptosis, cell cycle arrest, or senescence in response to distinct stimuli, including DNA damage. Which of the following best describes the role of p53?

a)

Tumor suppressor gene

b)

DNA repair gene

c)

Oncogene

d)

Proto-oncogene

e)

Proto-suppressor gene

34.

Carcinogenesis involves three steps: initiation, promotion and progression. Chemical carcinogens can initiate cells through mutational inactivation of the following pathways, except:

a)

Apoptotic proteins

b)

Tumor suppressors

c)

Growth factor receptors

d)

DNA repair

e)

Anti-oxidant response

35.

Which of the following is true of methyl groups’ effect in the epigenetic mechanism?

a)

They reduce protein stability

b)

They directly inhibit ribosome assembly

c)

They directly inhibit nuclear port transport

d)

They directly inhibit transcription

e)

They directly inhibit protein translation

36.

Which of the following statements is not true about cancer stem cells?

a)

Can start from mutated progenitor cells

b)

May be a result of loss of regulation of mutated stem cell

c)

tumor initiating cell

d)

they can self-renew

e)

not related with changes on niche requirements

37.

Tommy, a 58-year-old man had severe pain in his thoracic region when he was skiing (PBL Case Week 8). The spinal x-ray showed a compression fracture of T4. Tommy is diagnosed to have multiple myeloma (cancer of plasma cell) based on laboratory results i.e. β2-microglobulin of 1966.95 μmol/L, positive Bence-Jones proteins in urine, also high level calcium (12 mg/dL), urea (66 mg/dL) and creatinine (1.9 mg/dL) in serum. Tommy will receive chemotherapy and hematopoietic stem cell (HSC) transplant for the management of the disease. HSC needs to be characterized before transplantation. Which of the following is a characteristic of HSC?

a)

Able to produce embryoid body in vitro

b)

Can be derived from mesenchymal tissue

c)

Cannot undergo apoptosis

d)

CD133+/34

e)

Addition of cytokines such as GM-CSF will cause the cells to differentiate to lymphoid progenitor

38.

Phenylketonuria (PKU) is a disease which causes mental retardation and reduced hair and skin pigmentation. It involves the enzyme phenylalanine hydroxylase, which is encoded by the PAH gene in chromosome 12. This enzyme converts the amino acid phenylalanine to tyrosine. Depending on the mutation involved, conversion of phenylalanine to tyrosine is reduced or stops entirely. Unconverted phenylalanine builds up in the bloodstream and can lead to levels that are toxic to the developing nervous system of newborn and infant children. Which variation to Mendelian Law best describes the phenotype of PKU?

a)

Multiple alleles

b)

Polygenic inheritance

c)

Pleiotropy

d)

Incomplete dominance

e)

Epistasis