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Question 1
Correct
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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: 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.
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This question is part of the following fields:
- Basic Sciences
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Question 2
Incorrect
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Which statement regarding microtubules is accurate in relation to Chédiak-Higashi syndrome?
Your Answer: They consist of beta tubulin subunits only
Correct Answer: They are arranged in a 9+2 formation in cilia
Explanation:Microtubules and Chédiak-Higashi Syndrome
Microtubules are made up of alpha and beta tubulin dimers that are arranged in a helix and can be added or removed to change the length. They are found in structures such as flagella, mitotic spindles, and cilia, where they have a 9+2 arrangement. These structures are important for cell movement and division. Chemotherapy agents, such as taxanes, target microtubules and are used in breast cancer treatment.
Chédiak-Higashi syndrome is a rare inherited immunodeficiency disorder caused by mutations in the LYST gene. This condition is characterized by neutrophil inclusions, albinism, recurrent infections, and peripheral neuropathy. The neutrophil inclusions are thought to be caused by abnormal microtubule function, which affects the immune system’s ability to fight infections. While there is no cure for Chédiak-Higashi syndrome, treatment focuses on managing symptoms and preventing infections.
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This question is part of the following fields:
- Basic Sciences
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Question 3
Correct
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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: 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.
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This question is part of the following fields:
- Basic Sciences
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Question 4
Incorrect
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A 70-year-old male smoker complains of calf pain.
The GP performs a clinical test by raising the patient's legs and observing for the angle at which there is blanching. After one minute, the legs are lowered over the side of the couch so that they are fully dependent with feet on the floor. Reactive hyperaemia is observed.
Which clinical test does this describe?Your Answer: Trendelenburg's test
Correct Answer: Buerger's test
Explanation:Tests for Assessing Arterial and Venous Circulation, Hip Dysfunction, and Meniscal Tear
Buerger’s test is a method used to evaluate the arterial circulation of the lower limb. The test involves observing the angle at which blanching occurs, with a lower angle indicating a higher likelihood of arterial insufficiency. Additionally, the degree of reactive hyperaemia on dependency of the limb after one minute is another positive sign of arterial insufficiency during the test.
Another test used to assess circulation is the Ankle-Brachial Pressure Index (ABPI), which involves using blood pressure cuffs to determine the degree of claudication. McMurray’s test, on the other hand, is used to evaluate for a meniscal tear within the knee joint.
Perthe’s test is a method used to assess the patency of the deep femoral vein prior to varicose vein surgery. Lastly, Trendelenburg’s test is used to evaluate hip dysfunction. These tests are important in diagnosing and treating various conditions related to circulation and joint function.
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This question is part of the following fields:
- Basic Sciences
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Question 5
Correct
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What are the defining features of an amino acid?
Your Answer: It has the formula H2N - CHR - COOH where R is the variable group
Explanation:The Versatility of Amino Acids and its Applications in Electrophoresis
Amino acids are the building blocks of proteins and are composed of a basic structure of H2N – CHR – COOH, where R represents the variable group that distinguishes one amino acid from another. The simplest amino acid is glycine, where the R group is just H. Amino acids are capable of forming complex and useful molecules due to their dipolar or amphoteric nature, which makes them simultaneously acidic and basic. In solution, they form zwitterions, which can act as either an acid or a base depending on the pH of the solution. This versatility of amino acids is what allows for the process of electrophoresis, which separates proteins based on their charge in a solution. By using solutions of different pH, different proteins can be assessed, making it a useful tool in the diagnosis of bone marrow malignancies like myeloma.
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This question is part of the following fields:
- Basic Sciences
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Question 6
Incorrect
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As part of your general practice placement, you have been tasked with conducting an audit on the duration of solid food introduction in the practice population. You review the data for the last six infants born within the practice:
6 months, 7 months, 8 months, 9 months, 10 months, 11 months.
What is the variance value for the duration of solid food introduction in the practice population?Your Answer: 17.6
Correct Answer: 74.9
Explanation:Variance and Standard Deviation in Breast Feeding Duration
Variance is a statistical measure that indicates how spread out a set of data is. In the case of breast feeding duration, variance can help us understand how much the duration varies from the mean. The formula for variance involves squaring the difference between each data point and the mean, then dividing the sum by n-1, where n is the total number of data points. In a sample population, n-1 is a better estimate of variance than n because it accounts for the variability within the sample.
For example, if the variance of breast feeding duration is 74.9 months, this indicates that the duration is widely distributed from the mean of 17.6 months. A smaller variance, such as 4.5 months, would indicate that the duration varies less and is closer to the mean. The standard deviation, which is the square root of the variance, is also important in the spread of data. In a normal distribution, 95% of observations will fall within two standard deviations of the mean.
In the case of breast feeding duration, the mean is 17.6 months, indicating that babies are breast fed for an average of 15 and a half months. The median, which is the middle number in the data set, is 15 months, meaning that half of the babies were breast fed for 15 months. variance and standard deviation can help us better understand the distribution of breast feeding duration and other medical measurements.
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This question is part of the following fields:
- Basic Sciences
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Question 7
Correct
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While taking a patient's medical history, you discover that their family has a strong history of a certain disease. Autosomal dominant diseases are often caused by defects in structural genes and typically present in early adulthood, affecting both males and females equally. Which of the following diseases does not follow an autosomal dominant pattern of inheritance?
Your Answer: Haemochromatosis
Explanation:Abnormal Binding Proteins and Iron Deposition: A Genetic Disorder
Abnormal binding proteins can lead to the deposition of iron in the body, resulting in various health complications. This genetic disorder is inherited in an autosomal recessive manner. The deposition of iron can cause cardiomyopathy, cirrhosis, pancreatic failure due to fibrosis, and skin pigmentation.
In general, disorders that affect metabolism or DNA replication on a cellular or genetic level tend to be autosomal recessive. On the other hand, genetic disorders that affect the structure of the body on a larger level are usually autosomal dominant. While there may be exceptions to these rules, they can serve as a helpful guide for exam preparation. Proper of this genetic disorder can aid in its diagnosis and management.
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This question is part of the following fields:
- Basic Sciences
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Question 8
Correct
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A 65-year-old patient with suspected spinal cord compression has been admitted to the neurosurgical team for an urgent MRI of the spine. Which particle's magnetic properties does magnetic resonance imaging rely predominantly upon?
Your 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 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. The process of aligning the magnetic vectors of the protons and then recording their energy release is repeated many times to create a detailed image of the body’s internal structures.
Overall, MRI scanners use the magnetic properties of hydrogen ions to create detailed images of the human body. This non-invasive imaging technique has revolutionized medical diagnosis and treatment, allowing doctors to see inside the body without the need for surgery.
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This question is part of the following fields:
- Basic Sciences
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Question 9
Correct
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A couple in their late 30s come to the clinic seeking information about the risk of their three children inheriting Huntington's disease. The husband has recently been diagnosed with the disease, while the wife is not affected. What is the likelihood, expressed as a percentage, that their children will inherit the disease?
Your Answer: 50%
Explanation:Huntington’s Disease
Huntington’s disease is a genetic disorder that typically appears later in life and is characterized by symptoms such as chorea, cognitive decline, and personality changes. It is an autosomal dominant disease, meaning that there is a 50% chance of passing it on to offspring. If the gene is inherited from an unaffected parent, the child will not be affected. This is different from autosomal recessive inheritance, where both parents must pass on the gene for it to affect their children.
The disease is caused by an increase in the length of a repeating trinucleotide sequence (CAG) in the Huntington protein. This sequence can change in length through generations, and longer sequences are associated with earlier onset of symptoms (genetic anticipation). Since Huntington’s disease usually presents itself after people have already started their families, there are many issues associated with genetic testing.
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This question is part of the following fields:
- Basic Sciences
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Question 10
Incorrect
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Of which cellular structure is the fibrillar centre a component?
Your Answer: The endoplasmic reticulum
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.
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This question is part of the following fields:
- Basic Sciences
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Question 11
Incorrect
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What is the composition of enzymes found in lysosomes?
Your Answer: Peroxidases
Correct Answer: Acid hydrolases
Explanation:Lysosomes: The Digestive System of the Cell
Lysosomes are organelles that come from the Golgi apparatus and are enclosed by a membrane. They are responsible for breaking down various biological macromolecules such as proteins, nucleic acids, carbohydrates, and lipids. Lysosomes contain acid hydrolases, which are enzymes that cleave chemical bonds by adding water and function at an acidic pH of around 5. They are involved in digesting foreign agents that are internalized by the cell and breaking down other cellular organelles like mitochondria, allowing for their components to be recycled.
The acidic pH within lysosomes is maintained by a proton pump in the lysosomal membrane, which imports protons from the cytosol coupled to ATP hydrolysis. This acidic environment is necessary for the activity of the acid hydrolases. D-amino acid oxidases and peroxidases are not found in lysosomes but in peroxisomes. Alcohol dehydrogenases and ATPases are not involved in digestion but in other cellular functions. Alcohol dehydrogenases catalyze the interconversion between alcohols and aldehydes or ketones with the reduction of NAD+ to NADH, while ATPases catalyze the breakdown of ATP into ADP and a phosphate ion, releasing energy for the cell’s functions.
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This question is part of the following fields:
- Basic Sciences
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Question 12
Correct
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Which form of vitamin D is the most active in the human body?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 13
Correct
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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: 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.
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This question is part of the following fields:
- Basic Sciences
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Question 14
Incorrect
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What is the primary means of transportation for vitamin D in the human body?
Your Answer: In blood, bound to albumin
Correct Answer: In blood, bound to the group specific component
Explanation:The Role of UV Light and Vitamin D in Calcium and Phosphate Regulation
In order for the body to produce Vitamin D3, UV light at a specific wavelength is required to convert cholesterol in the skin. Vitamin D2 and D3 are then transported in the bloodstream bound to the Vitamin-D Binding Protein and undergo further modifications in the liver and kidney to become the active form, 1,25 (OH)2Vitamin D. This active form plays a crucial role in regulating calcium and phosphate concentrations in the body.
1,25 (OH)2Vitamin D increases calcium absorption in the duodenum and inhibits the secretion and synthesis of PTH, which helps to maintain calcium concentrations. It also increases phosphate absorption in the jejunum and ileum, which is important for maintaining phosphate concentrations. Additionally, 1,25 (OH)2Vitamin D promotes bone turnover by stimulating both osteoblast and osteoclast activity.
Overall, the production and activation of Vitamin D through UV light and dietary sources is essential for proper calcium and phosphate regulation in the body.
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This question is part of the following fields:
- Basic Sciences
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Question 15
Incorrect
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At what stage of meiosis does the process of homologous recombination occur?
Your Answer: Telophase II
Correct Answer: Prophase I
Explanation:Homologous Recombination: A Mechanism for DNA Repair and Genetic Variation
Homologous recombination is a process that allows for the exchange of nucleotide sequences between two similar or identical DNA molecules. This occurs during meiosis, specifically during the second phase of prophase I, where sister chromatids swap sequences. The primary purpose of homologous recombination is to accurately repair harmful double-strand DNA breaks. This process results in new combinations of DNA sequences that provide genetic variation in daughter cells and, ultimately, the organism’s offspring.
In prokaryotic organisms such as bacteria and viruses, homologous recombination occurs during horizontal gene transfer. This process involves the exchange of genetic material between different strains and species. Homologous recombination plays a crucial role in the evolution of these organisms by allowing for the acquisition of new traits and adaptations.
Overall, homologous recombination is a vital mechanism for DNA repair and genetic variation. It ensures the accuracy of DNA replication and contributes to the diversity of life on Earth.
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This question is part of the following fields:
- Basic Sciences
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Question 16
Correct
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What significance do leucine, lysine, and phenylalanine hold?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 17
Incorrect
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What function does vitamin E serve in the body?
Your Answer: Autoimmune surveillance
Correct Answer: Antioxidant
Explanation:Vitamin E and its Functions
Several substances are classified as vitamin E, with alpha-tocopherol being the most common, accounting for 90% of human vitamin E. Alpha-tocopherol is composed of two carbon rings and a long saturated hydrocarbon chain, making it hydrophobic. It has an aromatic ring with an OH- group attached to it. Other substances with vitamin E activity include other tocopherols and tocotrienols, all of which act as antioxidants. Alpha-tocopherol is particularly important in cell membranes, preventing the peroxidation of unsaturated fatty acids by free radicals. It also has other functions, such as regulating gene transcription, inhibiting clotting formation, reducing proliferation of vascular smooth muscle, and playing a role in immunity.
Despite claims that taking vitamin E can reduce the risk of heart disease, cancer, and enhance sexual performance, there is currently no strong evidence to support these claims.
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This question is part of the following fields:
- Basic Sciences
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Question 18
Correct
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What is a primary function of vitamin A?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 19
Correct
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What is the primary role of the nuclear membrane?
Your Answer: To regulate transport of molecules in and out of the nucleus
Explanation:The Role of the Nucleus and Nuclear Envelope in Cell Function
The nucleus is a crucial component of eukaryotic cells, serving as the control centre for the cell. It is characterised by a membrane-enclosed structure that contains the cell’s chromosomes and is heavily involved in regulating gene transcription and protein synthesis. The nuclear envelope, which consists of an outer and inner membrane, plays a critical role in regulating the movement of molecules in and out of the nucleus. This is achieved through nuclear pores on the surface of the envelope, which allow the passage of water-soluble molecules. While the incorrect answer options describe minor roles of the nuclear envelope, its primary function is to act as a regulatory barrier for anything that enters or exits the nucleus. Overall, the nucleus and nuclear envelope are essential components of cell function, playing a critical role in regulating gene expression and maintaining cellular homeostasis.
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This question is part of the following fields:
- Basic Sciences
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Question 20
Correct
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During which phase of aerobic respiration is FADH2 generated?
Your Answer: Krebs cycle
Explanation:The Krebs Cycle and the Role of FADH2
The Krebs cycle is a crucial part of aerobic respiration in cells. It involves a series of reactions that convert acetate, derived from carbohydrates, fats, and proteins, into carbon dioxide and energy in the form of ATP. Additionally, the Krebs cycle produces precursors for some amino acids and reducing agents like NADH and FADH2 that are involved in other metabolic pathways.
FAD is a redox cofactor that plays a vital role in the Krebs cycle. It receives two electrons from the sixth reaction of the cycle, where succinate dehydrogenase converts succinate into fumarate by removing two hydrogen atoms and attaching them onto FAD. This process results in FAD gaining two electrons and reducing into FADH2.
FADH2 then donates the electrons to the electron transport chain, which is another part of cellular respiration. This mechanism helps compensate for the relatively low amount of ATP produced by the Krebs cycle (2.5 molecules of ATP per turn) compared to the electron transport chain (26-28 molecules of ATP). Overall, the Krebs cycle and the role of FADH2 are essential for generating energy in cells.
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This question is part of the following fields:
- Basic Sciences
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Question 21
Incorrect
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What is the estimated percentage of oxygen in the blood that is attached to haemoglobin?
Your Answer: 80%
Correct Answer: 100%
Explanation:Calculation of Oxygen in Blood
The majority of oxygen in the blood is bound to haemoglobin, with the exact amount varying based on the oxygen saturation and haemoglobin level. To calculate the amount of oxygen per litre of blood, the formula (13.9 × Hb × sats/100) + (PaO2 × 0.03) can be used. For example, an average man with an Hb of 14, saturations of 98% on room air, and a PaO2 of 12 would have 191 ml of oxygen per litre of blood. It is important to note that only 0.36 ml of this oxygen is dissolved in the blood.
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This question is part of the following fields:
- Basic Sciences
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Question 22
Correct
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What is the most common method of assessing nutritional status in adults?
Your Answer: Body mass index
Explanation:The Body Mass Index as a Measure of Nutritional Status
The measurement and assessment of nutritional status can be challenging, and there is no single test that can provide a complete picture. However, the body mass index (BMI) is a commonly used measurement in clinical practice. The BMI is calculated by dividing a person’s weight in kilograms by their height in meters squared. This measure is used to assess adiposity and nutritional status, and it is simple and quick to calculate and interpret.
Although the BMI is a convenient measure, it has limitations for assessing obesity in individual patients. It is best used to track trends in an individual patient’s BMI over time. In some cases, the BMI may overestimate fat mass in patients who are very tall or have a high proportion of lean tissue due to an active lifestyle. Additionally, the BMI may not be accurate for athletes and children.
Other measurements, such as skin fold thickness and weight, can also be useful, but the BMI is generally considered the better option. The ponderal index is used specifically for children. It is important to note that albumin is not a reliable marker of nutritional status, as it can also be affected by inflammation.
Overall, the BMI is a widely used measure of nutritional status and is recommended by the World Health Organization. However, it is important to consider its limitations and use it in conjunction with other measurements to obtain a more complete picture of a patient’s nutritional status.
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This question is part of the following fields:
- Basic Sciences
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Question 23
Correct
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The Krebs or TCA cycle is a series of metabolic processes beginning with the synthesis of citrate from acetyl-CoA which results in a number of important metabolic products. Where in the cell does this cycle occur?
Your Answer: Mitochondria
Explanation:Cellular Processes and Organelles
Metabolic processes in the cell occur in specific locations. Acetyl-CoA production and the Krebs cycle take place in the mitochondrium, while glycolysis occurs in the cytoplasm. The nucleus is the central structure of the cell that contains DNA and is double membrane-bound. The rough endoplasmic reticulum is responsible for packaging and transporting proteins, while the smooth endoplasmic reticulum performs a similar function but lacks ribosomes.
It is important to understand where these processes occur in the cell to better understand their functions and how they contribute to the overall functioning of the cell. The mitochondrium is responsible for producing energy in the form of ATP, while the cytoplasm is where glucose is broken down during glycolysis. The nucleus is where genetic information is stored and replicated, and the endoplasmic reticulum is involved in protein synthesis and transport.
In summary, the cell is a complex system with various organelles that perform specific functions. where these processes occur in the cell is crucial to how they contribute to the overall functioning of the cell.
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This question is part of the following fields:
- Basic Sciences
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Question 24
Incorrect
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A 50-year-old female patient presents to the vascular clinic for evaluation of varicose veins. During the assessment, a test is conducted to determine the site of incompetence. The patient is instructed to lie down, and her legs are raised to empty the veins. A constricting band is then placed below the sapheno-femoral junction, and the patient is asked to stand up to observe for varicose vein filling. What is the name of this test?
Your Answer: Buerger's test
Correct Answer: Tourniquet test
Explanation:Tests for Varicose Veins and Arterial Insufficiency
The Trendelenburg and tourniquet tests are both used to evaluate the site of incompetence in varicose veins at the sapheno-femoral junction. During the Trendelenburg test, the examiner applies pressure with their fingers over the junction, while in the tourniquet test, a tourniquet is placed just below the junction. If the veins fill rapidly upon standing, it suggests that the sapheno-femoral junction is not the source of the incompetence.
Buerger’s test is used to assess the arterial circulation of the lower limb. The lower the angle at which blanching occurs, the more likely there is arterial insufficiency. This test is important in diagnosing peripheral artery disease.
The ankle-brachial pressure index (ABPI) is another test used to assess arterial insufficiency. Blood pressure cuffs are used to measure the systolic blood pressure in the ankle and arm. The ratio of the two pressures is calculated, and a lower ratio indicates a higher degree of claudication.
Finally, Perthe’s test is used to assess the patency of the deep femoral vein before varicose vein surgery. This test involves compressing the vein and observing the filling of the superficial veins. If the superficial veins fill quickly, it suggests that the deep femoral vein is patent and can be used for surgery.
In summary, these tests are important in diagnosing and evaluating varicose veins and arterial insufficiency. They help healthcare professionals determine the best course of treatment for their patients.
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This question is part of the following fields:
- Basic Sciences
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Question 25
Incorrect
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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: Proportional to the fourth power of the radius of the alveolus
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, and they will collapse first. This phenomenon explains why, when two balloons are attached together by their ends, the smaller balloon will empty into the bigger balloon.
In the lungs, this same principle applies to lung units, causing atelectasis and collapse when 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. Therefore, surfactant plays a crucial role in maintaining the proper functioning of the lungs and preventing respiratory distress. the relationship between alveolar size and surface tension is essential in respiratory physiology and can help in the development of treatments for lung diseases.
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This question is part of the following fields:
- Basic Sciences
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Question 26
Correct
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What role does vitamin K play in the body?
Your Answer: Activation of clotting factors II, VII, IX, X
Explanation:The Roles of Vitamin K in the Body
Vitamin K plays several important roles in the body. One of its main functions is to modify clotting factors II, VII, IX, and X through a process called carboxylation. This modification allows calcium to bind to the factors, which is necessary for them to participate in the clotting pathway. This principle is used in full blood counts to prevent clotting by adding EDTA, which chelates the calcium. Vitamin K also modifies osteocalcin and matrix proteins in bone, as well as nephrocalcin in the kidney, in a similar way.
In addition to its role in blood clotting and bone health, vitamin K is also important for nervous tissue development and growth. However, vitamin K antagonists such as warfarin are sometimes used as anticoagulants to prevent blood clots. It is important to follow guidelines and instructions carefully when using these medications. Overall, vitamin K plays a crucial role in maintaining the health and function of various systems in the body.
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This question is part of the following fields:
- Basic Sciences
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Question 27
Correct
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What is the apoptotic event that occurs just before the formation of an apoptosome?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 28
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A 32-year-old snowboarder presents to the Emergency department complaining of pain and swelling around the first metacarpophalangeal joint (MCP joint) following a fall during practice.
Upon examination, there is significant swelling and bruising on the ulnar side of the joint.
What is the most probable injury that the patient has sustained?Your Answer: Ulnar collateral ligament
Explanation:Skier’s Thumb: A Common Injury in Winter Sports
Skier’s thumb, also known as gamekeeper’s thumb, is a common injury that occurs in winter sports. It is caused by damage or rupture of the ulnar collateral ligament, which is located at the base of the thumb. This injury can result in acute swelling and gross instability of the thumb. In severe cases where a complete tear of the ligament is suspected, an MRI may be necessary to confirm the diagnosis, and surgical repair may be required.
Once the acute swelling has subsided, treatment for skier’s thumb typically involves immobilization in a thumb spica. This is the standard therapy for cases of partial rupture.
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This question is part of the following fields:
- Basic Sciences
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Question 29
Correct
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What occurs during metaphase II of meiosis?
Your Answer: The cell's chromosomes attach to the meiotic spindle to divide into chromatids
Explanation:The Process of Meiosis
Meiosis is a complex process that involves two major cycles. The first cycle, meiosis I, condenses the reproductive cell’s DNA into chromosomes that are then replicated, creating two pairs of each original chromosome. These pairs are then separated, and the cell divides with one chromosome in each daughter cell. The second cycle, meiosis II, splits the chromosomes into individual chromatids, which are then separated as in meiosis I. This separation is facilitated by a spindle, a set of parallel fibers that attach to the center of each chromosome and split into two, making the chromatids travel on the polar opposite sides of the cell. The cell then divides again, giving rise to four haploid daughter cells.
During meiosis II, the chromosomes align on the spindle in metaphase II. Tetrads separate during anaphase I and line up during metaphase I. Sister chromatids separate on the meiotic spindle during anaphase II. Finally, chromosomes uncoil and lengthen at the end of meiosis, in telophase II. This process is essential for the production of gametes and the continuation of sexual reproduction in many organisms.
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This question is part of the following fields:
- Basic Sciences
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Question 30
Correct
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What is the primary role of the nucleus in a eukaryotic cell?
Your Answer: To regulate gene transcription and translation
Explanation:The Nucleus: Control Centre of the Cell
The nucleus is the control centre of the cell, responsible for regulating gene transcription from DNA into mRNA and from mRNA into peptide/protein synthesis. Eukaryotic cells have a membrane-enclosed organised nucleus, while prokaryotic cells lack this structure. The nuclear structure consists of an outer and inner nuclear membrane that form the nuclear envelope, which has nuclear pores allowing the movement of water-soluble molecules. Inside the nucleus is the nucleoplasm containing the nuclear lamina, a dense fibrillar network that acts as a skeleton and regulates DNA replication and cell division. The nucleus also contains nucleoli, structures involved in the formation of ribosomes responsible for mRNA translation.
Although the incorrect answer options above describe processes in which the nucleus is involved, none of them constitutes its main function within the cell.
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This question is part of the following fields:
- Basic Sciences
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