RGUHS MBBS Biochemistry October 2025 (1024 CBME)
1024Rajiv Gandhi University of Health Sciences · Biochemistry · 2025 · October · CBME
Questions (30)
- 1.A 5 year old child was brought to the hospital with complaints of slow growth and pain in bones. On examination, he was anaemic, had frontal bossing, bowing of legs and swelling of costochondral junction. Following are his laboratory findings: Serum calcium: 8.6 mg/ dL, Serum phosphorous: 2.6 mg/dL, and Serum alkaline phosphatase: 700 U/L. a) Mention the vitamin deficiency in this child. b) Describe the Sources, Formation, Biochemical functions and recommended dietary allowance (RDA) of above vitamin.10 Marks
- 2.Explain the factors affecting enzyme activity. Mention two therapeutic importance of enzymes.10 Marks
- 3.A 44 year old male presented with chest pain. Family history shows that his father died of a heart attack at the age of 46 years, and his elder brother also had a heart attack at the same age. The patient reports that he gets chest pain occasionally with ambulation and is not able to climb stairs without significant chest pain and shortness of breath. His Serum cholesterol was 440.0 mg/dl. a) What is the probable cause for hyperlipidemia in this case? b) Name two hyperlipoproteinemias along with their biochemical defect. c) Mention one lipid lowering drug along with its mechanism of action5 Marks
- 4.A 25 year old female during her second pregnancy had a glucose tolerance test and her results are as follows. Fasting glucose level: 125 mg/dL, first hour glucose level: 210 mg/dL, and second hour glucose level: 170 mg/dL. a) Interpret the above laboratory findings. b) Name the types of diabetes mellitus. c) Mention the biochemical tests used to monitor diabetes and its complications.5 Marks
- 5.Define Basal metabolic rate. Discuss the factors affecting it.5 Marks
- 6.Classify phospholipids. Write their functions.5 Marks
- 7.Describe electron transport chain. Mention two inhibitors of electron transport chain.5 Marks
- 8.List five subcellular organelles and enumerate their functions.5 Marks
- 9.Write the causes and laboratory findings in Iron deficiency anemia.5 Marks
- 10.Define and Classify carbohydrates with examples.5 Marks
- 11.Mention the mechanisms involved in maintenance of blood pH.3 Marks
- 12.List the hormones involved in homeostasis of calcium.3 Marks
- 13.What is hypernatremia? Mention two clinical conditions associated with hypernatremia.3 Marks
- 14.Mention the cause and clinical features of scurvy.3 Marks
- 15.Enumerate three coenzymes with their functions.3 Marks
- 16.HDL – cholesterol is called good cholesterol - justify.3 Marks
- 17.List the biologically important Products obtained from cholesterol.3 Marks
- 18.What is Metabolic acidosis? Mention two causes for it.3 Marks
- 19.Mention three proteins present in extracellular matrix.3 Marks
- 20.Mention the key enzymes catalyzing irreversible steps in gluconeogenesis.3 Marks
- 21.The end product of glycolysis in erythrocytes is A. NADPH B. Lactate C. Pyruvate D. Carbon dioxide1 Mark
- 22.Reference range for total serum calcium is A. 0.6-1.4 mg/dl B. 9-11 mg/dl C. 15-40 mg/dl D. 70-110 mg/dl1 Mark
- 23.Glucose level in plasma is increased by A. Gluconeogenesis B. Glycolysis C. Glycogen synthesis D. Glycosuria1 Mark
- 24.Koilonychia or spoon nail is seen in A. Iron deficiency anaemia B. Megaloblastic anaemia C. Scurvy D. Rickets1 Mark
- 25.Ketone bodies are mainly produced in A. Brain B. Liver C. Erythrocytes D. Skeletal muscles1 Mark
- 26.Calories generated per gram of fat is A. 4 kcal B. 5 kcal C. 8 kcal D. 9 kcal1 Mark
- 27.Methionine is a limiting amino acid in A. Cereals B. Maize and corn C. Pulses D. Tapioca1 Mark
- 28.Administration of diuretics cause loss of potassium, which may lead to A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis1 Mark
- 29.When pH falls by 1 unit, hydrogen ion concentration A. Remains same B. Increases by 2 times C. Increases by 7 times D. Increases by 10 times1 Mark
- 30.Major intracellular cation is A. Magnesium B. Potassium C. Sodium D. Calcium1 Mark
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