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Question 1
Incorrect
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What controls the specific stages of the cell cycle?
Your Answer: The on/off activity of cyclases and cyclase-dependent kinases
Correct Answer: Cyclins and cyclin-dependent kinases
Explanation:Regulation of the Cell Cycle by Cyclins and Cyclin-Dependent Kinases
The cell cycle is controlled by the activity of proteins known as cyclins and phosphorylating enzymes called cyclin-dependent kinases (CDKs). Cyclins and CDKs combine to form an activated heterodimer, where cyclins act as the regulatory subunits and CDKs act as the catalytic subunits. Neither of these molecules is active on their own. When a cyclin binds to a CDK, the CDK phosphorylates other target proteins, either activating or deactivating them. This coordination leads to the entry into the next phase of the cell cycle. The specific proteins that are activated depend on the different combinations of cyclin-CDK. Additionally, CDKs are always present in cells, while cyclins are produced at specific points in the cell cycle in response to other signaling pathways.
In summary, the cell cycle is regulated by the interaction between cyclins and CDKs. This interaction leads to the phosphorylation of target proteins, which ultimately controls the progression of the cell cycle.
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This question is part of the following fields:
- Basic Sciences
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Question 2
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. The MRI technique primarily relies on the magnetic properties of which particle?
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 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.
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This question is part of the following fields:
- Basic Sciences
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Question 3
Incorrect
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A 50-year-old male comes to the clinic complaining of abdominal swelling, nausea, and mild jaundice. He has a history of regular alcohol consumption, drinking two 330ml bottles of lager per day (3% ABV) and a 75cl bottle of 12% ABV wine per week.
What is the approximate number of units of alcohol this man consumes per week? Round to the nearest unit.Your Answer: 21 units
Correct Answer: 23 units
Explanation:Calculating Units of Alcohol
To calculate the number of units of alcohol in a drink, you need to multiply the percentage of alcohol (ABV) by the volume in millilitres and then divide by 1000. However, there are potential pitfalls to watch out for when answering questions about units of alcohol. For example, if the consumption is presented as a daily amount, you need to multiply by 7 to get the weekly amount. Additionally, if the volume is presented in centilitres, you need to convert it to millilitres before performing the calculation.
For instance, let’s say you want to calculate the units of alcohol in a bottle of lager. If the ABV is 3% and the volume is 330ml, the calculation would be 3% x 330ml divided by 1000, which equals 0.99 units rounded up to 1 unit. If the person drinks two bottles a day, that’s 2 units per day or 14 units per week. Similarly, if the person drinks one bottle of wine per week, and the ABV is 12% and the volume is 750ml, the calculation would be 12% x 750ml divided by 1000, which equals 9 units per bottle.
It’s important to be aware of potential pitfalls when calculating units of alcohol, such as checking the units of volume and adjusting for duration. By this simple calculation, you can be prepared for any question that may come up in an exam setting. The UK recommendations for alcohol consumption are no more than 14 units per week for both sexes. While calculating units of alcohol may seem daunting, with practice and preparation, you can confidently tackle any question that comes your way.
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This question is part of the following fields:
- Basic Sciences
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Question 4
Correct
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What is the end result of meiosis in a cell?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 5
Incorrect
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What is the primary factor that increases the risk of thiamine (vitamin B1) deficiency?
Your Answer: Vegetarians
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.
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This question is part of the following fields:
- Basic Sciences
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Question 6
Correct
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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: 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 7
Correct
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During which stage of the cell cycle does the replication of DNA occur?
Your 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.
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This question is part of the following fields:
- Basic Sciences
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Question 8
Incorrect
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You are evaluating a geriatric patient in the emergency department who has fallen and needs a venous cannula for fluid resuscitation. To ensure maximum flow into the vein, you plan to apply the Hagen-Poiseuille equation to select an appropriate cannula size. Which of the following statements is true according to this law?
Your Answer: Flow is proportional to the radius of the cannula squared
Correct Answer: Flow will be faster through a shorter cannula
Explanation:Poiseuille’s Equation and Fluid Flow in Cylinders
Poiseuille’s equation is used to describe the flow of non-pulsatile laminar fluids through a cylinder. The equation states that the flow rate is directly proportional to the pressure driving the fluid and the fourth power of the radius. Additionally, it is inversely proportional to the viscosity of the fluid and the length of the tube. This means that a short, wide cannula with pressure on the bag will deliver fluids more rapidly than a long, narrow one.
It is important to note that even small changes in the radius of a tube can greatly affect the flow rate. This is because the fourth power of the radius is used in the equation. Therefore, any changes in the radius will have a significant impact on the flow rate. Poiseuille’s equation is crucial in determining the optimal conditions for fluid delivery in medical settings.
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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 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 10
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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