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  • Question 1 - A couple in their early 30s come to your clinic seeking advice. The...

    Correct

    • A couple in their early 30s come to your clinic seeking advice. The husband has a history of haemophilia B and they are worried about the possibility of passing it on to their children. Can you determine which of their offspring will be affected by the disease?

      Your Answer: All daughters will be carriers; no sons will be affected

      Explanation:

      The inheritance of Haemophilia A and B is crucial in identifying individuals who are at risk of developing the condition. Haemophilia A and B are genetic disorders that are inherited in an X-linked recessive manner. Haemophilia A is caused by a deficiency in clotting factor VIII, while haemophilia B is caused by a deficiency in clotting factor IX.

      On the other hand, haemophilia C, which is caused by a deficiency in clotting factor XI, is primarily inherited in an autosomal recessive manner. In X-linked recessive conditions like haemophilia B, males are more likely to be affected than females. This is because males only need one abnormal copy of the gene, which is carried on the X chromosome, to be affected.

      Females, on the other hand, can be carriers of the condition if they carry one normal and one abnormal copy of the gene. While carriers can have clotting abnormalities, these are usually milder than those seen in affected individuals. Men cannot pass the condition to their sons, but they will pass on the abnormal X chromosome to all their daughters, who will be carriers.

      Female carriers can pass on the condition to around half their sons, and half their daughters will be carriers. Females can only be affected if they are the offspring of an affected male and a carrier female. In summary, the inheritance of haemophilia A and B is crucial in identifying individuals who are at risk of developing the condition. It also helps in providing appropriate genetic counseling and management for affected individuals and their families.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 2 - Which food is a rich source of vitamin D in the diet? ...

    Correct

    • Which food is a rich source of vitamin D in the diet?

      Your Answer: Oily fish

      Explanation:

      Sources of Vitamin D

      Vitamin D is a type of fat-soluble vitamin that can be found in certain foods such as cheese, butter, eggs, and oily fish. However, vegetable sources of vitamin D are limited, although some foods are fortified with this vitamin. For instance, 100 grams of sundried shiitake mushrooms contain 1600 IU of vitamin D, while one egg contains 20 IU. Wild salmon is also a good source of vitamin D, with 100 grams containing 800 IU, while farmed salmon contains 200 IU.

      Aside from food sources, sunlight is also a good source of vitamin D. Exposure of arms and legs to sunlight for 10-15 minutes can provide 3000 IU of vitamin D. However, it is difficult to obtain the daily requirement of 25-50 IU of vitamin D through sunlight alone, especially for people living in temperate climates. As a result, many people may have insufficient vitamin D levels. It is important to ensure that we get enough vitamin D through a combination of food sources and sunlight exposure.

    • This question is part of the following fields:

      • Basic Sciences
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      Seconds
  • Question 3 - What is the main role of the Golgi apparatus in eukaryotic cells? ...

    Correct

    • What is the main role of the Golgi apparatus in eukaryotic cells?

      Your Answer: Process of proteins

      Explanation:

      The Golgi Apparatus, Cell Division, and Homeostasis

      The Golgi apparatus is a structure found in eukaryotic cells that consists of flattened membrane stacks. Its primary function is to modify proteins that have been synthesized in the rough endoplasmic reticulum, preparing them for secretion or transport within the cell. However, the Golgi apparatus is not directly involved in cell division, which is controlled by the nucleus.

      Cell homeostasis, on the other hand, is primarily maintained by membrane-embedded channels or proteins such as the sodium-potassium pump. This mechanism ensures that the cell’s internal environment remains stable. The sodium-potassium pump is an active transport mechanism that involves the binding of three intracellular sodium ions to the protein. Adenosine triphosphate (ATP) donates a phosphate group to the protein, which causes it to change shape and release the sodium ions out of the cell.

      The protein then accepts two extracellular potassium ions, and the donated phosphate group detaches, causing the protein to revert to its original shape. This allows the potassium ions to enter the cell, increasing the intracellular potassium concentration and decreasing the intracellular sodium concentration. This process is in contrast to the extracellular conditions.

      In summary, the Golgi apparatus modifies proteins for secretion or transport, while cell division is controlled by the nucleus. Cell homeostasis is maintained by membrane-embedded channels or proteins such as the sodium-potassium pump, which actively transports ions to stabilize the cell’s internal environment.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 4 - A 65-year-old patient with suspected spinal cord compression has been admitted to the...

    Incorrect

    • A 65-year-old patient with suspected spinal cord compression has been admitted to the neurosurgical team for an urgent MRI of the spine. The MRI technique primarily relies on the magnetic properties of which particle?

      Your Answer:

      Correct Answer: Hydrogen ion (proton)

      Explanation:

      How MRI Scanners Use Hydrogen Ions to Create Images

      MRI scanners use the magnetic properties of hydrogen ions, also known as protons, to create images of the human body. These protons have nuclear spin, which means they have magnetic vectors that can be aligned in an electromagnet. The scanner bombards the protons with radiofrequency radiation, causing them to release energy when they return to their resting state. This energy release is recorded and used to construct the MRI image.

      While other nuclei, such as carbon 13, also have net nuclear spin and could be used in MRI imaging, hydrogen ions are much more abundant in human tissues. This makes them the preferred choice for creating images of the body. By using the magnetic properties of hydrogen ions, MRI scanners can create detailed images of internal structures without the use of harmful radiation.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 5 - What is a primary function of vitamin A? ...

    Incorrect

    • What is a primary function of vitamin A?

      Your Answer:

      Correct Answer: Vision

      Explanation:

      Vitamin A: Forms, Sources, and Functions

      Vitamin A is a crucial nutrient that exists in various forms in nature. The primary dietary form of vitamin A is retinol, also known as pre-formed vitamin A, which is stored in animal liver tissue as retinyl esters. The body can also produce its own vitamin A from carotenoids, with beta-carotene being the most common precursor molecule.

      The richest sources of vitamin A include liver and fish liver oils, dark green leafy vegetables, carrots, and mangoes. Vitamin A can also be added to certain foods like cereals and margarines.

      Vitamin A plays several essential roles in the body, including supporting vision by being a component of rhodopsin, a pigment required by the rod cells of the retina. It also contributes to the growth and development of various types of tissue, regulates gene transcription, and aids in the synthesis of hydrophobic glycoproteins and parts of the protein kinase enzyme pathways.

      In summary, the different forms and sources of vitamin A and its vital functions in the body is crucial for maintaining optimal health.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 6 - What is the end result of meiosis in a cell? ...

    Incorrect

    • What is the end result of meiosis in a cell?

      Your Answer:

      Correct Answer: 4 haploid cells

      Explanation:

      Meiosis

      Meiosis is a crucial process that occurs in the genetic cells of eukaryotic organisms. Its primary purpose is to recombine genes, which results in genetic variation while also ensuring genetic preservation. Although meiosis shares some similarities with mitosis, it is restricted to genetic cells, also known as gametes, of eukaryotic organisms.

      During meiosis, a gamete duplicates each of its chromosomes and divides into two diploid cells. These cells then divide into four haploid cells by the end of the second stage of meiosis (telophase II and cytokinesis). These haploid cells are either sperm cells (male) or eggs (female) in mammals. When these haploid cells fuse together, they produce a diploid zygote that contains two copies of parental genes.

      In summary, meiosis is a crucial process that ensures genetic variation and preservation in eukaryotic organisms. It involves the duplication and division of genetic cells into haploid cells, which can then fuse together to produce a diploid zygote.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 7 - In scientific experimentation, what is the term used to describe the movement of...

    Incorrect

    • In scientific experimentation, what is the term used to describe the movement of charged particles or solutes in a liquid medium due to an electric field?

      Your Answer:

      Correct Answer: Electrophoresis

      Explanation:

      Electrophoresis: Separating Molecules Based on Charge and Mass

      Electrophoresis is a technique that separates solutes, molecules, or nucleic acids based on their mass and charge. It involves the migration of charged particles in a liquid medium under the influence of an electric field. The apparatus consists of two electrodes placed at either end of a support medium, or gel, which is suspended in a buffer solution. The sample is inserted into a well and a current is applied. Over time, positively charged solutes move towards the negative electrode, while negatively charged substances move towards the positive electrode. Once the migration is complete, the gel is removed and stained to color the substance being tested for, such as protein.

      This technique is widely used in medical testing, but it requires a higher degree of operational and interpretive skill than many other tests, which is why it often takes longer to get a result. Electrophoresis has various uses and adaptations, such as standard electrophoresis for protein detection in the diagnosis of myeloma, identification of unusual lipid fractions in patients with inherited diseases, and detection of viral DNA through Southern Blotting. There is also Northern blotting, primarily a research technique at present, which uses electrophoresis to separate RNA. Additionally, Western blotting is used to test for the presence of antibodies to DNA through protein separation.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 8 - Which of the following would not increase the rate of diffusion of a...

    Incorrect

    • Which of the following would not increase the rate of diffusion of a substance across a lipid membrane such as the cell wall?

      Your Answer:

      Correct Answer: Thickness of the membrane

      Explanation:

      Diffusion and Fick’s Law

      Diffusion is a natural process that occurs when molecules move from an area of high concentration to an area of low concentration. This process is passive and random, meaning that it does not require any external energy input. Fick’s Law states that diffusion occurs more quickly across a large, permeable, and thin membrane. For example, in lung disease, the thickening of the alveolar epithelial barrier can lead to a poor carbon monoxide transfer coefficient because the thicker membrane slows down the diffusion process. the principles of diffusion and Fick’s Law can help us better understand how molecules move and interact in various biological and chemical processes. By optimizing the conditions for diffusion, we can improve the efficiency of many natural and artificial systems.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 9 - In which part of the cell are the electron transport chain carriers situated?...

    Incorrect

    • In which part of the cell are the electron transport chain carriers situated?

      Your Answer:

      Correct Answer: Mitochondrial cristae

      Explanation:

      The Electron Transport Chain in Mitochondria

      The electron transport chain (ETC) is a crucial process in cellular aerobic respiration that occurs in the mitochondrial cristae. These are folded membranes inside the organelle. During respiration, NADH and FADH produced from other parts of the process, such as glycolysis, transfer electrons from electron donors to electron acceptors through redox reactions. This electron transfer is coupled with proton transfer across the mitochondrial membrane, creating an electrochemical proton gradient. This gradient induces the production of ATP, which is used as an energy currency by the cell.

      ATP is produced through a mechanism called chemiosmotic phosphorylation. The structure of the mitochondrion is essential for this process to occur. The cristae provide a large surface area for the ETC to take place, and the mitochondrial membrane is impermeable to protons, allowing for the creation of the proton gradient. The inner membrane also contains ATP synthase, the enzyme responsible for producing ATP through chemiosmotic phosphorylation.

      In summary, the electron transport chain in mitochondria is a complex process that involves the transfer of electrons and protons across the mitochondrial membrane to create a proton gradient. This gradient is then used to produce ATP through chemiosmotic phosphorylation. The structure of the mitochondrion is crucial for this process to occur efficiently.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 10 - A 29-year-old woman visits your clinic with concerns about a possible pregnancy.

    Can...

    Incorrect

    • A 29-year-old woman visits your clinic with concerns about a possible pregnancy.

      Can you explain the mechanism behind a urinary pregnancy test?

      Your Answer:

      Correct Answer: ELISA

      Explanation:

      Techniques in Biochemistry

      Over-the-counter urine pregnancy tests use ELISA to detect beta-HCG in a woman’s urine. The test stick contains antibodies that react with beta-HCG, producing a color change that confirms pregnancy. The urinary pregnancy test is a solid-phase ELISA, where the antibody is immobilized on a specialized filter paper. The fluid travels laterally across the paper to bind with the antibody, and if beta-HCG is present, the line turns blue. Electrophoresis characterizes the electrical charge and size of substances, while PCR identifies specific sequences of DNA or RNA. Radioimmunoassay uses radioactivity to identify specific proteins. Enzymatic degradation breaks down large proteins into smaller subunits for which target antibodies may already exist. This method is used to characterize large proteins for which the structure has not yet been described.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 11 - What significance do leucine, lysine, and phenylalanine hold? ...

    Incorrect

    • What significance do leucine, lysine, and phenylalanine hold?

      Your Answer:

      Correct Answer: They are essential amino acids

      Explanation:

      Essential Amino Acids and their Importance in the Diet

      There are approximately 20 essential amino acids that are crucial for human health. These amino acids are considered essential because the body cannot produce them on its own and they must be obtained through the diet. While some of these essential amino acids can be used to create other non-essential amino acids, they are still necessary for overall health and wellbeing.

      Some examples of essential amino acids include histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. However, the amount of these essential amino acids can vary depending on the type of dietary protein consumed. Additionally, cooking or preserving proteins can alter the amino acid composition, making them less effective for the body.

      In summary, essential amino acids play a vital role in maintaining human health and must be obtained through the diet. the importance of these amino acids and their sources can help individuals make informed decisions about their dietary choices.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 12 - What stage of cellular respiration is responsible for the production of pyruvic acid?...

    Incorrect

    • What stage of cellular respiration is responsible for the production of pyruvic acid?

      Your Answer:

      Correct Answer: Glycolysis

      Explanation:

      The Versatility of Pyruvic Acid in Cellular Metabolism

      Pyruvic acid is a simple alpha-keto acid that plays a crucial role in several metabolic pathways within the cell. It serves as a central intersection where different pathways converge and diverge. One of the primary ways pyruvic acid is produced is through glycolysis, where glucose is broken down into pyruvic acid. Depending on the cell’s needs, pyruvic acid can be converted back into glucose through gluconeogenesis or used to synthesize fatty acids through the acetyl-CoA pathway. Additionally, pyruvic acid can be used to produce the amino acid alanine.

      Pyruvic acid is also involved in respiration, where it enters the Krebs cycle under aerobic conditions. This cycle produces energy in the form of ATP, which is used by the cell for various functions. Under anaerobic conditions, pyruvic acid can ferment into lactic acid, which is used by some organisms as a source of energy.

      In summary, pyruvic acid is a versatile molecule that plays a critical role in cellular metabolism. Its ability to be converted into different molecules depending on the cell’s needs makes it an essential component of many metabolic pathways.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 13 - Of which cellular structure is the fibrillar centre a component? ...

    Incorrect

    • Of which cellular structure is the fibrillar centre a component?

      Your Answer:

      Correct Answer: The nucleolus

      Explanation:

      The Fibrillar Centre in the Nucleolus

      The fibrillar centre is a crucial component of the nucleolus, which is found in most metazoan nucleoli, particularly in higher eukaryotes. Along with the dense fibrillar components and the granular component, it forms the three major components of the nucleolus. During the end of mitosis, the fibrillar centre serves as a storage point for nucleolar ribosomal chromatin and associated ribonucleoprotein transcripts. As the nucleolus becomes active, the ribosomal chromatin and ribonucleoprotein transcripts begin to form the dense fibrillar components, which are more peripherally located and surround the fibrillar centres. The transcription zone for multiple copies of the pre-rRNA genes is the border between these two structures. It is important to note that the fibrillar centre is not a component of any of the cell structures mentioned in the incorrect answer options.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 14 - What factor causes a shift of the oxygen dissociation curve to the left?...

    Incorrect

    • What factor causes a shift of the oxygen dissociation curve to the left?

      Your Answer:

      Correct Answer: Increased pH

      Explanation:

      The Oxygen Dissociation Curve and its Effects on Oxygen Saturation

      The oxygen dissociation curve is a graph that compares the oxygen saturation of hemoglobin (Hb) at different partial pressures of oxygen. When more oxygen is needed by the tissues, the curve shifts to the right. This means that at the same partial pressure of oxygen, less oxygen is bound to Hb, allowing it to be released to the tissues. This effect is caused by increased levels of CO2 and temperature, which assist in the transfer of oxygen to more metabolically active tissues. Additionally, increased levels of 2,3-DPG also aid in this process.

      On the other hand, a left shift in the curve reflects conditions where there is less need for oxygen in the tissues, such as in the lungs. This allows for increased binding of oxygen to Hb, allowing it to be taken up before transport to the tissues that require it. Overall, the oxygen dissociation curve plays a crucial role in regulating oxygen saturation in the body and ensuring that oxygen is delivered to the tissues that need it most.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 15 - Which form of vitamin D is the most active in the human body?...

    Incorrect

    • Which form of vitamin D is the most active in the human body?

      Your Answer:

      Correct Answer: 1, 25 (OH) 2 vitamin D

      Explanation:

      The Process of Vitamin D Production and Activation

      Vitamin D comes in two forms, D2 and D3. D3 can be produced in the skin through a reaction that requires UV light, while D2 cannot. Both forms can also be obtained through diet, with some foods now being supplemented with Vitamin D. However, the production of Vitamin D3 in the skin can be affected by various factors such as seasons, latitude, clothing, sun block, and skin tone, making it difficult for individuals to get adequate levels of Vitamin D through sunlight alone, especially in the UK during winter.

      Once absorbed into the lymph, Vitamin D2 and D3 circulate in the bloodstream and reach the liver. Here, the liver enzyme 25-hydroxylase adds an OH group to the Vitamin D molecule, resulting in 25(OH) Vitamin D. The compound then travels to the kidney, where the enzyme 1-alpha hydroxylase adds another OH group, creating the active form of Vitamin D, 1,25 (OH)2Vitamin D. When there is enough of this active form, an inactive metabolite called 24,25 (OH)2Vitamin D is produced instead. this process is important in ensuring adequate Vitamin D levels for overall health and well-being.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 16 - What are the clinical consequences of a lack of vitamin A? ...

    Incorrect

    • What are the clinical consequences of a lack of vitamin A?

      Your Answer:

      Correct Answer: Dry conjunctiva

      Explanation:

      The Devastating Effects of Vitamin A Deficiency

      Vitamin A deficiency is a serious health concern that can lead to a range of devastating effects. One of the most common consequences is blindness, particularly in children. Poor night vision is often an early sign of this deficiency, which can progress to complete blindness if left untreated.

      In addition to blindness, vitamin A deficiency can also cause dry conjunctiva, a condition known as conjunctival xerosis. This occurs when the normally moist and fine conjunctiva becomes thickened and dysfunctional, leading to the formation of white plaques known as Bitot’s spots. Corneal ulceration can also occur as a result of this condition.

      The respiratory and gastrointestinal epithelia can also be affected by vitamin A deficiency, leading to reduced resistance to infection. This deficiency is a major public health issue in some parts of the world and is the single most common preventable cause of blindness. It is crucial to address this issue through education and access to vitamin A-rich foods and supplements.

      Overall, the devastating effects of vitamin A deficiency highlight the importance of proper nutrition and access to essential vitamins and minerals. By addressing this issue, we can help prevent blindness and improve overall health outcomes for individuals and communities around the world.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 17 - A 10-year-old patient presents with recurrent skin cancer and is diagnosed with xeroderma...

    Incorrect

    • A 10-year-old patient presents with recurrent skin cancer and is diagnosed with xeroderma pigmentosum. What is the defective biochemical mechanism in this disease?

      Your Answer:

      Correct Answer: DNA excision repair

      Explanation:

      Xeroderma Pigmentosum and DNA Repair

      Deoxyribonucleic acid (DNA) found in the skin cells can absorb ultraviolet (UV) light, which can cause the formation of pyrimidine dimers. These dimers are removed through a process called excision repair, where the damaged DNA is cut out and replaced with new DNA. However, if this process fails, it can lead to mutations in genes that suppress tumors or promote their growth, potentially leading to cancer.

      Xeroderma pigmentosum is a genetic disorder that is inherited in an autosomal recessive pattern. This means that an individual must inherit two copies of the mutated gene, one from each parent, to develop the disorder. Generally, disorders that affect metabolism or DNA replication on a cellular or genetic level are inherited in an autosomal recessive pattern. On the other hand, genetic disorders that affect larger structural components are usually inherited in an autosomal dominant pattern. While there are exceptions to these rules, they can serve as a helpful guide for exam preparation.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 18 - To what type of cell can mesenchymal stem cells transform? ...

    Incorrect

    • To what type of cell can mesenchymal stem cells transform?

      Your Answer:

      Correct Answer: Osteoblasts

      Explanation:

      Mesenchymal Cells: The Stem Cells of the Human Skeleton

      Mesenchymal cells are the primary stem cells of the human skeleton. These multipotent cells originate in the bone marrow and have the ability to differentiate into various cell types. Osteoblasts, responsible for bone formation, chondrocytes, which give rise to cartilage, and adipocytes, specialized in storing energy as fat, are some of the cells that mesenchymal cells can produce. Muscle cells, or myocytes, arise from muscle satellite cells, while skin cells come from epithelial stem cells. Neurons mostly arise from neural stem cells, although some may come from astrocytes. White blood cells, on the other hand, come from hematopoietic stem cells. Mesenchymal cells play a crucial role in the maintenance and repair of the human skeleton, making them an essential area of study in regenerative medicine.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 19 - What is the conversion of pyruvate before it enters the Krebs cycle? ...

    Incorrect

    • What is the conversion of pyruvate before it enters the Krebs cycle?

      Your Answer:

      Correct Answer: Acetyl-CoA

      Explanation:

      The Krebs cycle occurs in the mitochondrion and involves the conversion of acetyl-CoA to oxaloacetate. This cycle produces six NADH, two FADH, and two ATP for each molecule of glucose. Pyruvate is converted to acetyl-CoA before entering the Krebs cycle, and water and carbon dioxide are end products. Acetic acid itself has no role in the cycle, but its acetyl group is used to form acetyl-CoA. Some anaerobic bacteria can convert sugars to acetic acid directly.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 20 - What is the apoptotic event that occurs just before the formation of an...

    Incorrect

    • What is the apoptotic event that occurs just before the formation of an apoptosome?

      Your Answer:

      Correct Answer: Release of cytochrome c from mitochondria

      Explanation:

      Apoptosis and the Role of the Apoptosome

      Apoptosis, also known as programmed cell death, is a natural process that occurs in all multicellular organisms. It involves a series of changes in cell morphology, including membrane blebbing, cell shrinkage, nuclear fragmentation, chromatin condensation, and chromosomal DNA fragmentation. The formation of the apoptosome is a crucial part of the apoptosis cascade. It is a large protein structure that is triggered by the release of cytochrome c from the mitochondria in response to various stimuli, such as DNA damage, infections, or developmental signals.

      The apoptosome is formed when cytochrome c binds to Apaf-1, a cytosolic protein, in a 1:1 ratio. This triggers the recruitment and activation of the initiator pro-caspase-9, which then activates effector caspases, a family of apoptotic proteases, to initiate the apoptotic cascade. It is important to note that the activation of caspase-9 occurs only after the formation of the apoptosome.

      In summary, apoptosis is a natural process that occurs in multicellular organisms, and the apoptosome plays a crucial role in triggering the apoptotic cascade. the mechanisms behind apoptosis and the formation of the apoptosome can provide insights into various diseases and developmental processes.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 21 - During which stage of the cell cycle does the replication of DNA occur?...

    Incorrect

    • During which stage of the cell cycle does the replication of DNA occur?

      Your Answer:

      Correct Answer: S phase

      Explanation:

      The Five Phases of the Cell Cycle

      The cell cycle is a complex process that is divided into five main phases, each with its unique cellular events. The first phase is the G0 phase, which is a resting phase where the cell has stopped dividing and is out of the cell cycle. The second phase is the G1 phase, also known as interphase Gap 1, where cells increase in size, and a checkpoint control mechanism prepares the cell for DNA synthesis.

      The third phase is the S phase, where DNA replication occurs. The fourth phase is the G2 phase, also known as Gap 2, which is a gap between DNA synthesis and the onset of mitosis. During this phase, the cell continues to grow until it is ready to enter mitosis. Finally, the fifth phase is the M phase, also known as mitosis, where cell growth stops, and the cell focuses its energy to divide into two daughter cells.

      A checkpoint in the middle of mitosis, known as the metaphase checkpoint, ensures that the cell is prepared to complete division. the five phases of the cell cycle is crucial in how cells divide and grow.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 22 - What are the potential clinical consequences of a lack of vitamin E? ...

    Incorrect

    • What are the potential clinical consequences of a lack of vitamin E?

      Your Answer:

      Correct Answer: Ataxia

      Explanation:

      Vitamin E Deficiency

      Vitamin E deficiency is a rare condition that is more likely to occur in individuals with problems affecting the absorption of dietary fats. This includes those with a history of bowel surgery, pancreatic insufficiency, and cystic fibrosis. Premature infants are also at a higher risk of developing this deficiency as vitamin E does not easily cross the placenta. However, supplementation with vitamin E can reverse the damage in some cases.

      The effects of vitamin E deficiency can be severe and can cause spinocerebellar degeneration, which includes limb ataxia, loss of joint position sense, loss of sensation of vibration, and loss of deep tendon reflexes. Additionally, it can cause degeneration of retinal pigments, leading to blindness. In premature infants, it can cause haemolytic anaemia, thrombocytosis, and oedema.

      Overall, vitamin E deficiency is crucial in preventing and treating its effects. It is important to identify individuals who are at a higher risk of developing this deficiency and provide them with appropriate supplementation to prevent any long-term damage.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 23 - A premature baby is born and the anaesthetists are struggling to ventilate the...

    Incorrect

    • A premature baby is born and the anaesthetists are struggling to ventilate the lungs because of insufficient surfactant. How does Laplace's law explain the force pushing inwards on the walls of the alveolus caused by surface tension between two static fluids, such as air and water in the alveolus?

      Your Answer:

      Correct Answer: Inversely proportional to the radius of the alveolus

      Explanation:

      The Relationship between Alveolar Size and Surface Tension in Respiratory Physiology

      In respiratory physiology, the alveolus is often represented as a perfect sphere to apply Laplace’s law. According to this law, there is an inverse relationship between the size of the alveolus and the surface tension. This means that smaller alveoli experience greater force than larger alveoli for a given surface tension, causing them to collapse first. This phenomenon is similar to what happens when two balloons of different sizes are attached together, with the smaller balloon emptying into the larger one.

      In the lungs, this collapse of smaller alveoli can lead to atelectasis and collapse if surfactant is not present. Surfactant is a substance that reduces surface tension, making it easier to expand the alveoli and preventing smaller alveoli from collapsing. this relationship between alveolar size and surface tension is crucial in respiratory physiology, as it helps explain the importance of surfactant in maintaining proper lung function.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 24 - What is the cause of the symptoms of weakness, dermatitis, diarrhoea and dementia...

    Incorrect

    • What is the cause of the symptoms of weakness, dermatitis, diarrhoea and dementia in pellagra?

      Your Answer:

      Correct Answer: Deficiency of the vitamin niacin

      Explanation:

      Niacin Deficiency and Other Genetic Diseases

      Niacin, a vitamin present in two forms – nicotinamide and nicotinic acid, is found in a variety of plant and animal foodstuffs. However, in some cases, the form of the vitamin is not easily absorbed by the human body, leading to deficiency. This deficiency is common in areas where maize is the primary dietary carbohydrate. Additionally, niacin can be produced by the body from the amino acid tryptophan. Diseases that affect the availability of tryptophan, such as Hartnup disease and carcinoid syndrome, can also result in niacin deficiency.

      Pellagra is a condition that arises from niacin deficiency. It initially presents with non-specific symptoms such as nausea, fatigue, and reduced appetite, followed by pigmented dermatitis in sun-exposed areas, gastrointestinal disturbance, mood disturbance, and dementia in severe cases.

      Apart from niacin deficiency, genetic diseases affecting collagen synthesis, such as Ehlers Danlos, present with symptoms of fragile stretchy skin and joint hypermobility. Genetic diseases affecting haemoglobin, such as sickle cell anaemia, present with symptoms of pain, hepatosplenomegaly, shortness of breath, and anaemia. Deficiencies in B12 and folate can also lead to macrocytic anaemia, paresthesia, and lethargy.

      In conclusion, the causes and symptoms of niacin deficiency and other genetic diseases is crucial for early diagnosis and effective treatment. A balanced diet and regular medical check-ups can help prevent and manage these conditions.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 25 - What is the primary factor that increases the risk of thiamine (vitamin B1)...

    Incorrect

    • What is the primary factor that increases the risk of thiamine (vitamin B1) deficiency?

      Your Answer:

      Correct Answer: Chronic alcohol excess

      Explanation:

      Thiamine: Its Roles, Sources, Deficiency States, and Manifestations

      Thiamine is a vital nutrient that plays several roles in the body. It acts as a cofactor to enzymes involved in energy production, metabolism of branched chain amino acids, and regulation of nerve and muscle action potentials. It is found in many foods, including wheat, oats, and yeast-containing products. However, deficiency states can occur in chronic alcohol dependence, renal dialysis, and cultures that mainly consume white rice. The deficiency can manifest as ‘dry’ beriberi, which causes peripheral neuropathy, muscle weakness, fatigue, and reduced concentration, or ‘wet’ beriberi, which also involves heart failure and edema. In severe cases, Wernicke-Korsakoff syndrome can develop, which is an emergency requiring urgent IV replacement of thiamine. If left untreated, it can lead to irreversible amnesia, confabulation, and dementia. Therefore, all patients with alcohol-related admissions should be considered for Pabrinex, a B vitamin infusion.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 26 - At what stage of eukaryotic mitosis do the centromeres of chromosomes separate? ...

    Incorrect

    • At what stage of eukaryotic mitosis do the centromeres of chromosomes separate?

      Your Answer:

      Correct Answer: Anaphase

      Explanation:

      Chromosome Division during Anaphase

      Chromosomes are joined together in an X shape at the centromere. During anaphase, the centromeres break down and the chromosomes divide into two identical pairs called sister chromatids. These sister chromatids then move to opposite sides of the cell along a network of spindle fibres. When the cell divides during telophase, each daughter cell receives one sister chromatid from the parent cell. This ensures the accurate copying and propagation of genes. The process of chromosome division during anaphase is crucial for the proper distribution of genetic material in cells.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 27 - A man in his forties comes in with chest pain resembling a heart...

    Incorrect

    • A man in his forties comes in with chest pain resembling a heart attack and is diagnosed with a myocardial infarction. During his hospitalization, it is discovered that he has familial hypercholesterolemia but his triglyceride levels are normal. What is the underlying biochemical abnormality?

      Your Answer:

      Correct Answer: Defective LDL receptors

      Explanation:

      Lipid Metabolism and Transport in the Body

      The breakdown of triglycerides in the small intestine is facilitated by pancreatic lipase. These triglycerides are then transported to the liver and other parts of the body through chylomicrons.

      Very low-density lipoprotein (VLDL) is responsible for carrying triglycerides from the liver to peripheral tissues. When there is an overproduction of VLDL in the liver, it can lead to high levels of triglycerides in the body.

      Pure hypercholesterolaemia is a condition that arises due to a defect in the process of cholesterol uptake into cells. This process relies on apolipoprotein B-100 binding to LDL receptors and facilitating endocytosis. When this process is disrupted, it can lead to high levels of cholesterol in the body.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 28 - What RNA base pairs with adenine when synthesizing a complementary RNA strand from...

    Incorrect

    • What RNA base pairs with adenine when synthesizing a complementary RNA strand from DNA, using RNA polymerase to split the helix at specific points?

      Your Answer:

      Correct Answer: Uracil

      Explanation:

      Differences between DNA and RNA

      DNA and RNA differ in several ways. The primary sugar in DNA is deoxyribose, while in RNA it is ribose. Additionally, DNA is double stranded, while RNA is single stranded. This single stranded structure with un-paired bases allows for transcription to occur when the DNA bases are freed. Each base has a specific pairing, with guanine always binding to cytosine and adenine always binding to thymine in the DNA strand. During transcription, the same complementary RNA bases assemble with the DNA bases, except for thymine, which is not an RNA base. Instead, uracil serves as the RNA pyrimidine base equivalent of thymine. Finally, lysine is an amino acid coded for by the RNA base triplet AAA, where A represents adenine.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 29 - What is the primary function of riboflavin in the B vitamin group? ...

    Incorrect

    • What is the primary function of riboflavin in the B vitamin group?

      Your Answer:

      Correct Answer: Mopping up free radicals

      Explanation:

      The Role of Riboflavin in the Body

      Riboflavin, also known as vitamin B2, is a B-vitamin that plays a crucial role in the body. One of its functions is to act as an antioxidant, mopping up free radicals that can cause damage to cells. However, if the metabolites formed during this process are not excreted promptly, the free radicals can be generated again. Riboflavin is also involved in the production of blue-light sensitive pigments in the eye, which help establish the circadian rhythm. This function is not related to visual acuity.

      Riboflavin is found in a variety of foods, including milk and offal. Deficiency of this vitamin is rare, but when it does occur, it can cause non-specific effects on the skin and mucous membranes. There is no evidence of clear long-lasting damage from riboflavin deficiency. Overall, riboflavin is an important nutrient that plays a vital role in maintaining good health.

    • This question is part of the following fields:

      • Basic Sciences
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  • Question 30 - What are the primary constituents of the cytoskeleton in eukaryotic cells? ...

    Incorrect

    • What are the primary constituents of the cytoskeleton in eukaryotic cells?

      Your Answer:

      Correct Answer: Microfilaments, intermediate filaments and microtubules

      Explanation:

      The Eukaryotic Cytoskeleton: A Structural Support System

      The eukaryotic cytoskeleton is a network of structures that provide structural support to the cell. It helps the cell maintain its shape, protects it from external pressure, and performs intracellular transport. The cytoskeleton is made up of three major structures: microfilaments, intermediate filaments, and microtubules. Microfilaments are thin double helices made up of actin and are involved in pressure resistance and cell motility. Intermediate filaments have a more complex structure and maintain cell shape while bearing tension. Microtubules are hollow cylinders made up of alpha and beta tubulin proteins and are involved in intracellular transport, cell movement, and form the mitotic spindle during cytokinesis.

      Cilia, flagella, and lamellipodia are structures that are not part of the cell’s cytoskeleton but are made up of components of it and perform unique functions such as cell movement and extracellular sensing. Kinesin and dynein are motor proteins that support microtubule function. Microfilaments and alpha/beta microtubules are incorrect because they leave out intermediate filaments. Tubulin and actin are proteins of microtubules and microfilaments, respectively, but myosin is a motility protein involved in muscle contraction. The eukaryotic cytoskeleton is an essential component of the cell that provides structural support and enables various cellular functions.

    • This question is part of the following fields:

      • Basic Sciences
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