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  • Question 1 - Which protein in the HIV genome is responsible for binding to the host...

    Incorrect

    • Which protein in the HIV genome is responsible for binding to the host CD4 cells?

      Your Answer: p32

      Correct Answer: gp120

      Explanation:

      HIV can infect a variety of immune cells such as CD4+ T cells, macrophages, and microglial cells. HIV-1 entry to macrophages and CD4+ T cells is mediated through interaction of the virion envelope glycoproteins (gp120) with the CD4 molecule on the target cells and also with chemokine coreceptors.

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      30.7
      Seconds
  • Question 2 - A 35-year-old man was brought to the ER with acute confusion. He's a...

    Correct

    • A 35-year-old man was brought to the ER with acute confusion. He's a known case of bipolar disorder under treatment with mood stabilizers. Blood investigations revealed lithium toxicity. A decision is made to start the patient on sodium bicarbonate. What is the rationale behind the use of sodium bicarbonate in this patient?

      Your Answer: Increases urine alkalinity

      Explanation:

      The rationale behind the use of sodium bicarbonate is that it increases the alkalinity of the urine promoting lithium excretion. The preferred treatment in severe cases would be haemodialysis.Lithium is a mood-stabilizing drug used most commonly prophylactically in bipolar disorder but also as an adjunct in refractory depression. It has a very narrow therapeutic range (0.4-1.0 mmol/L) and a long plasma half-life being excreted primarily by the kidneys. Lithium toxicity generally occurs following concentrations > 1.5 mmol/L.Toxicity may be precipitated by dehydration, renal failure, diuretics (especially Bendroflumethiazide), ACE inhibitors, NSAIDs and metronidazole.Features of toxicityCoarse tremor (a fine tremor is seen in therapeutic levels)HyperreflexiaAcute confusionSeizureComaManagementMild-moderate toxicity may respond to volume resuscitation with normal salineHaemodialysis may be needed in severe toxicitySodium bicarbonate is sometimes used but there is limited evidence to support this. By increasing the alkalinity of the urine it promotes lithium excretion.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      19.2
      Seconds
  • Question 3 - Regarding blood supply to the heart; ...

    Correct

    • Regarding blood supply to the heart;

      Your Answer: Coronary arteries fill as the heart relaxes

      Explanation:

      The heart muscles acts like the skeletal muscle in the fact that it also compress the vessels during contraction. As the pressure in the ventricle is slightly greater than in the aorta the coronary vessels collapse during systole. Blood flows through them during the diastole phase of contraction.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      13.3
      Seconds
  • Question 4 - Which of the following statements is true regarding herpes simplex virus type I:...

    Incorrect

    • Which of the following statements is true regarding herpes simplex virus type I:

      Your Answer: It remains latent in the cervical dorsal root ganglion.

      Correct Answer: More than half of the population is infected.

      Explanation:

      HSV-1 is often acquired orally during childhood. It may also be sexually transmitted, including contact with saliva, such as kissing and mouth-to-genital contact (oral sex). HSV-2 is primarily a sexually transmitted infection, but rates of HSV-1 genital infections are increasing. HSVs may persist in a quiescent but persistent form known as latent infection, notably in neural ganglia. HSV-1 tends to reside in the trigeminal ganglia, while HSV-2 tends to reside in the sacral ganglia, but these are tendencies only, not fixed behaviour. The virus can be reactivated by illnesses such as colds and influenza, eczema, emotional and physical stress, gastric upset, fatigue or injury, by menstruation and possibly exposure to bright sunlight. Genital Herpes may be reactivated by friction. Shingles is due to a reactivation of varicella zoster virus (VZV).

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      74.9
      Seconds
  • Question 5 - In the microanatomy of the pituitary gland, the pituicytes present are in fact...

    Incorrect

    • In the microanatomy of the pituitary gland, the pituicytes present are in fact modified forms of which cells?

      Your Answer: Stem cells

      Correct Answer: Astrocytes

      Explanation:

      Pituicytes are glial cells present in the pars nervosa, the posterior pituitary gland. Their irregular shape resembles that of astrocytes, and their cytoplasm also has intermediate filaments. They differ from astrocytes in that they have large cytoplasmic lipid droplets.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      30.6
      Seconds
  • Question 6 - Antibiotic resistance may happen by: ...

    Correct

    • Antibiotic resistance may happen by:

      Your Answer: By enzymes which inactivate the drug

      Explanation:

      The three main mechanisms of antibiotic resistance are, enzymatic degradation of antibacterial drugs, alteration of bacterial proteins that are antimicrobial targets, and changes in membrane permeability to antibiotics.

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      26.4
      Seconds
  • Question 7 - HCL is secreted by which cells in the stomach ...

    Correct

    • HCL is secreted by which cells in the stomach

      Your Answer: Parietal cells

      Explanation:

      Parietal cells are the epithelial cells that secrete hydrochloric acid (HCl) and intrinsic factor. These cells are located in the gastric glands found in the lining of the fundus and in the body of the stomach.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      3.2
      Seconds
  • Question 8 - The energy needed for glycogen synthesis comes from which compound? ...

    Correct

    • The energy needed for glycogen synthesis comes from which compound?

      Your Answer: UTP

      Explanation:

      Glycogen synthesis is, unlike its breakdown, endergonic—it requires the input of energy. Energy for glycogen synthesis comes from uridine triphosphate (UTP)

    • This question is part of the following fields:

      • Medicine
      • Metabolism
      4.9
      Seconds
  • Question 9 - What does a deficiency of adenosine deaminase lead to? ...

    Correct

    • What does a deficiency of adenosine deaminase lead to?

      Your Answer: SCID

      Explanation:

      Severe combined immunodeficiency, SCID, also known as alymphocytosis, Glanzmann–Riniker syndrome, severe mixed immunodeficiency syndrome, and thymic alymphoplasia,[1] is a rare genetic disorder characterized by the disturbed development of functional T cells and B cells. Most cases of SCID are due to mutations in the gene encoding the common gamma chain (γc), a protein that is shared by the receptors for interleukins. The second most common form of SCID after X-SCID is caused by a defective enzyme, adenosine deaminase (ADA), necessary for the breakdown of purines.

    • This question is part of the following fields:

      • Medicine
      • Metabolism
      4.5
      Seconds
  • Question 10 - Pacemaker cells in the SA node and the AV node are connected by?...

    Correct

    • Pacemaker cells in the SA node and the AV node are connected by?

      Your Answer: Gap junctions

      Explanation:

      Gap junctions allows for rapid propagation of the action potential from one cell to the other. The cells of the heart are connected by gap junctions.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.3
      Seconds
  • Question 11 - The blood supply to the liver is by ...

    Correct

    • The blood supply to the liver is by

      Your Answer: Hepatic artery and hepatic portal vein

      Explanation:

      The liver receives a dual blood supply from the hepatic portal vein and hepatic arteries. The hepatic portal vein delivers approximately 75% of the liver’s blood supply, and carries venous blood drained from the spleen, gastrointestinal tract, and its associated organs. The hepatic arteries supply arterial blood to the liver, accounting for the remaining quarter of its blood flow.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      2.4
      Seconds
  • Question 12 - Portal vein receives its blood from all the following except: ...

    Correct

    • Portal vein receives its blood from all the following except:

      Your Answer: Kidney

      Explanation:

      The portal vein receives blood from the intestines via the superior and inferior mesenteric veins, from stomach via the gastric veins and from the spleen and pancreas via splenic vein. The kidney is supplied by the renal artery and drains into the renal vein into the inferior venacava.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6
      Seconds
  • Question 13 - Which enzyme is responsible for the formation of the active endopeptidases from their...

    Correct

    • Which enzyme is responsible for the formation of the active endopeptidases from their inactive precursors?

      Your Answer: Enterokinase

      Explanation:

      Enterokinase is a brush border enzyme of the duodenum that activates proteolytic enzymes for further digestion of proteins. Trypsinogen is converted to trypsin by the action of enterokinase. Trypsin and chymotrypsin are secreted by the pancreatic acinar cells and are enzymes that aid in protein digestion. Pepsin is secreted by chief cells of gastric mucosa. Procarboxydase is the inactive form of carboxypeptidase which is converted to its active form by trypsin and is secreted by pancreatic acinar cells.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.4
      Seconds
  • Question 14 - During strenuous exercise the following arterial change can take place in a fit...

    Incorrect

    • During strenuous exercise the following arterial change can take place in a fit athlete:

      Your Answer: CO2 can increase

      Correct Answer: No change takes place

      Explanation:

      The changes which occur in arterial pH, PO2 and PCO2 values during exercise are usually small. Arterial PO2 often rises slightly because of hyperventilation although it may eventually fall at high work rates. During vigorous exercise, when sufficient oxygen for flux through the Krebs cycle is not available, the increased reliance on glycolysis results in increased accumulation of lactic acid, which initially leads to an increase in PaCO2 . However, this is counteracted by the stimulation of ventilation and as a result PaCO2 is decreased. This provides some respiratory compensation for further lactic acid production and prevents a decline in blood pH, which remains nearly constant during moderate exercise.

    • This question is part of the following fields:

      • Medicine
      • Respiratory
      109.8
      Seconds
  • Question 15 - The posterior aspect of the interventricular septum is supplied by: ...

    Incorrect

    • The posterior aspect of the interventricular septum is supplied by:

      Your Answer: A branch of the left coronary artery

      Correct Answer: A branch of the right coronary artery

      Explanation:

      The posterior aspect of the heart is supplied by the posterior interventricular artery which is a branch of the right coronary artery.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      10.7
      Seconds
  • Question 16 - An 18-year-old young lady is brought to the ER by her mother. She...

    Correct

    • An 18-year-old young lady is brought to the ER by her mother. She was found, lying on the floor having consumed an unidentified quantity of her mother's prescription pills with alcohol. The patient's mother is a known hypertensive under treatment. On examination, the patient was found to be lethargic, hypotensive with a BP of 70/50 mmHg, and bradycardic with a pulse rate of 38 bpm. A finger prick glucose is 3.2 mmol/L. Which TWO among the following are the most appropriate steps for the initial management of this patient?

      Your Answer: Glucagon and isoprenaline

      Explanation:

      The most appropriate steps of initial management include iv glucagon and iv isoprenaline.The most likely diagnosis in the above scenario (decreased conscious level, profound hypertension, and bradycardia) is β-blocker toxicity/overdose. Bronchospasm rarely occurs in an overdose of β-blockers, except where there is a history of asthma.Immediate management is to give iv glucagons (50–150μg/kg) followed by infusion to treat hypotension and isoprenaline or atropine to treat bradycardia. Where patients fail to respond to these measures, temporary pacing may be required. If the patient is seen within the first 4 hours of the overdose, gastric lavage may be of value.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      20.5
      Seconds
  • Question 17 - Which of the following is an incorrect statement regarding the structure of DNA?...

    Correct

    • Which of the following is an incorrect statement regarding the structure of DNA?

      Your Answer: The two strands of DNA are held together by cysteine bonds.

      Explanation:

      The two strands of DNA are held together by hydrogen bonds formed between the nucleotide bases.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      28.3
      Seconds
  • Question 18 - A 75-year-old man has presented to the clinic with a complaint of disturbed...

    Correct

    • A 75-year-old man has presented to the clinic with a complaint of disturbed sleep. The physician has prescribed temazepam. Which of the following best describes the mechanism of action of this drug?

      Your Answer: Enhances the effect of gamma-aminobutyric acid

      Explanation:

      Temazepam is an orally available benzodiazepine used in the therapy of insomnia. The soporific activity of the benzodiazepines is mediated by their ability to enhance gamma-aminobutyric acid (GABA) mediated inhibition of synaptic transmission through binding to the GABA-A receptor.The recommended initial dose for insomnia is 7.5 mg before bedtime, increasing as needed to a maximum dose of 30 mg. The most common side effects of temazepam are dose-related and include daytime drowsiness, lethargy, ataxia, dysarthria, and dizziness.Tolerance develops to these side effects, but tolerance may also develop to the effects on insomnia.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      14.9
      Seconds
  • Question 19 - Arachidonic acid is converted to: ...

    Correct

    • Arachidonic acid is converted to:

      Your Answer: Prostaglandin H2

      Explanation:

      The enzymes cyclooxygenase-1 and -2 (i.e. prostaglandin G/H synthase 1 and 2 {PTGS1 and PTGS2}) metabolize arachidonic acid to Prostaglandin G2 and prostaglandin H2.

    • This question is part of the following fields:

      • Immunology
      • Medicine
      32.5
      Seconds
  • Question 20 - During strenuous exercise the PO2 of mixed venous blood is: ...

    Incorrect

    • During strenuous exercise the PO2 of mixed venous blood is:

      Your Answer: 15 mmHg

      Correct Answer: 25 mmHg

      Explanation:

      During strenuous exercise the PO2 of mixed venous blood is less than 30 mmHg.

    • This question is part of the following fields:

      • Medicine
      • Respiratory
      14.9
      Seconds
  • Question 21 - Which of the following enzymes is mainly responsible for the hydrolysis of polysaccharide...

    Correct

    • Which of the following enzymes is mainly responsible for the hydrolysis of polysaccharide 1:6a linkages?

      Your Answer: Isomaltase

      Explanation:

      Isomaltase is mainly responsible for hydrolysis of 1:6α linkages. Along with maltase and sucrase, it also breaks down maltotriose and maltose.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      10.8
      Seconds
  • Question 22 - Which statement about antithrombin III is true? ...

    Incorrect

    • Which statement about antithrombin III is true?

      Your Answer: Its activity is inhibited by heparin.

      Correct Answer: It inhibits particularly factor II and X

      Explanation:

      Antithrombin inactivates its physiological target enzymes, Thrombin (Factor II), Factor Xa and Factor IXa. ATIII binds to thrombin and then forms the thrombin-anti thrombin complex or TAT complex. This is a major natural pathway of anticoagulation. This binding of thrombin to AT is greatly enhanced in the presence of heparin.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      22.3
      Seconds
  • Question 23 - A 71-year-old woman residing in a nursing home for a couple of years...

    Incorrect

    • A 71-year-old woman residing in a nursing home for a couple of years complains of drooling of saliva and sudden difficulty in swallowing while eating. She is a known hypertensive on treatment. What would be your next step?

      Your Answer: Laryngoscopy

      Correct Answer: Endoscopy

      Explanation:

      Dysphagia or difficulty in swallowing. Endoscopy allows for visual examination of the oesophagus and is indicated in patients with dysphagia to determine the underlying aetiology, exclude malignant and premalignant conditions, assess the need for therapy, and perform therapy including dilation.

    • This question is part of the following fields:

      • Geriatrics
      • Medicine
      56.6
      Seconds
  • Question 24 - In which stage of mitosis are the chromosomes most obvious or prominent? ...

    Correct

    • In which stage of mitosis are the chromosomes most obvious or prominent?

      Your Answer: Metaphase

      Explanation:

      Prophase begins when the nucleus envelope disintegrates and the chromosomes start to condense. The chromosomes consist of two sister chromatids that are joined at a constriction known as centromere. When the cell reaches the metaphase the chromosomes are completely condensed and ready to align on the equatorial plate.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      4.4
      Seconds
  • Question 25 - What is the most important determinant of ECF volume? ...

    Correct

    • What is the most important determinant of ECF volume?

      Your Answer: The amount of sodium in the ECF

      Explanation:

      The volume of the ECF is determined primarily by the total amount of osmotically active solute in the ECF. The composition of the ECF is discussed in Chapter 1. Because Na+ and Cl− are by far the most abundant osmotically active solutes in ECF, and because changes in Cl− are to a great extent secondary to changes in Na+, the amount of Na+ in the ECF is the most important determinant of ECF volume.

    • This question is part of the following fields:

      • Medicine
      • Renal
      43.8
      Seconds
  • Question 26 - The following products of the vascular endothelium produce vasodilation except: ...

    Incorrect

    • The following products of the vascular endothelium produce vasodilation except:

      Your Answer: Vascular endothelial growth factor

      Correct Answer: Endothelin

      Explanation:

      Endothelin: This is incorrect in the context of vasodilation. Endothelin is actually a potent vasoconstrictor produced by the endothelium, leading to the narrowing of blood vessels and increased blood pressure.

      Nitrous oxide (Nitric oxide): This is correct for vasodilation. Nitric oxide is a powerful vasodilator produced by the endothelium, which helps relax and widen blood vessels.

      Prostacyclin: This is correct for vasodilation. Prostacyclin (PGI2) is a vasodilator and inhibits platelet aggregation, helping to maintain blood flow and reduce clot formation.

      Endothelial-derived hyperpolarizing factor (EDHF): This is correct for vasodilation. EDHF causes vasodilation by hyperpolarizing the smooth muscle cells of blood vessels.

      Vascular endothelial growth factor (VEGF): This is correct for vasodilation. VEGF primarily promotes the growth of new blood vessels but also has vasodilatory effects through nitric oxide production.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      37.6
      Seconds
  • Question 27 - In the malaria life cycle , parasites which remain dormant in the liver...

    Correct

    • In the malaria life cycle , parasites which remain dormant in the liver are known as :

      Your Answer: Hypnozoites

      Explanation:

      The life-cycles of Plasmodium species involve several different stages both in the insect and the vertebrate host. These stages include sporozoites, which are injected by the insect vector into the vertebrate host’s blood. Sporozoites infect the host liver, giving rise to merozoites and (in some species) hypnozoites. These move into the blood where they infect red blood cells. In the red blood cells, the parasites can either form more merozoites to infect more red blood cells, or produce gametocytes which are taken up by insects which feed on the vertebrate host. In the insect host, gametocytes merge to sexually reproduce. After sexual reproduction, parasites grow into new sporozoites, which move to the insect’s salivary glands, from which they can infect a vertebrate host bitten by the insect

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      10.6
      Seconds
  • Question 28 - When looking at the JVP what does the c wave signify: ...

    Incorrect

    • When looking at the JVP what does the c wave signify:

      Your Answer: Isovolumetric ventricular relaxation

      Correct Answer: Isovolumetric ventricular contraction

      Explanation:

      The C wave signifies a rise in the atrial pressure during isovolumetric contraction due to the tricuspid valve bulging into the atria.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      55.7
      Seconds
  • Question 29 - Concerning S3, which of the following statements is INCORRECT? ...

    Correct

    • Concerning S3, which of the following statements is INCORRECT?

      Your Answer: Coincide with atrial contraction

      Explanation:

      A third heart sound also called a ventricular gallop occurs at the beginning of diastole after S2 and is lower in pitch than S1 or S2 as it is not of valvular origin. The third heart sound is benign in youth, some trained athletes, and sometimes in pregnancy but if it re-emerges later in life it may signal cardiac problems, such as a failing left ventricle as in dilated congestive heart failure (CHF). S3 is thought to be caused by the oscillation of blood back and forth between the walls of the ventricles initiated by blood rushing in from the atria. The reason the third heart sound does not occur until the middle third of diastole is probably that during the early part of diastole, the ventricles are not filled sufficiently to create enough tension for reverberation. It may also be a result of tensing of the chordae tendineae during rapid filling and expansion of the ventricle. In other words, an S3 heart sound indicates increased volume of blood within the ventricle. An S3 heart sound is best heard with the bell-side of the stethoscope (used for lower frequency sounds). A left-sided S3 is best heard in the left lateral decubitus position and at the apex of the heart, which is normally located in the 5th left intercostal space at the midclavicular line. A right-sided S3 is best heard at the lower-left sternal border. The way to distinguish between a left and right-sided S3 is to observe whether it increases in intensity with inhalation or exhalation. A right-sided S3 will increase on inhalation, while a left-sided S3 will increase on exhalation.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      23.4
      Seconds
  • Question 30 - With regards to P53, which statement is NOT true? ...

    Correct

    • With regards to P53, which statement is NOT true?

      Your Answer: P53 is a RNA binding protein

      Explanation:

      P53 is a tumour suppressor gene. It is not an RNA binding protein. It has been implicated in almost all tumours. It regulates the progression from G1 to the S phase of the cell cycle and is activated in response to damaged DNA.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      11.7
      Seconds
  • Question 31 - Which structure forms the major part of the sternocostal surface of the heart?...

    Incorrect

    • Which structure forms the major part of the sternocostal surface of the heart?

      Your Answer: Right atrium

      Correct Answer: Right ventricle

      Explanation:

      The anterior (sternocostal) surface is formed mainly by the right ventricle.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      13.9
      Seconds
  • Question 32 - Which enzyme facilitates the function of pancreatic lipase by increasing exposure of its...

    Correct

    • Which enzyme facilitates the function of pancreatic lipase by increasing exposure of its active site?

      Your Answer: Colipase

      Explanation:

      Colipase is a co enzyme that optimize the activity of lipase by facilitating the exposure of its active sites.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      21.5
      Seconds
  • Question 33 - Changes in cadherin expression are associated with ...

    Incorrect

    • Changes in cadherin expression are associated with

      Your Answer: Activation of apoptosis in the cell.

      Correct Answer: Tumour metastatic potential

      Explanation:

      Cadherins play a role in maintaining cell and tissue structure, and in cellular movement. The E-cadherin–catenin complex plays a key role in cellular adhesion; loss of this function has been associated with greater tumour metastasis.

    • This question is part of the following fields:

      • Cell Biology
      • Medicine
      24.1
      Seconds
  • Question 34 - What is the name of the area that indicates the site of active...

    Correct

    • What is the name of the area that indicates the site of active B lymphocyte proliferation?

      Your Answer: Germinal centre

      Explanation:

      The cortex of the lymph node consists of the lymphoid nodules and sinusoids and posses a germinal centre from which B cells proliferate.

    • This question is part of the following fields:

      • Immunology
      • Medicine
      7.8
      Seconds
  • Question 35 - What is the mechanism of action of carbimazole? ...

    Correct

    • What is the mechanism of action of carbimazole?

      Your Answer: Inhibition of the iodination of tyrosine

      Explanation:

      Carbimazole is used to treat hyperthyroidism. Carbimazole is a pro-drug as after absorption it is converted to the active form, methimazole. Methimazole prevents thyroid peroxidase enzyme from coupling and iodinating the tyrosine residues on thyroglobulin, hence reducing the production of the thyroid hormones T3 and T4 (thyroxine).

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      5.5
      Seconds
  • Question 36 - Bile acids will be prevented from being absorbed by resection of which part...

    Correct

    • Bile acids will be prevented from being absorbed by resection of which part of the gastrointestinal tract?

      Your Answer: Ileum

      Explanation:

      Bile acids (also called bile salts) are produced in the liver, secreted into the biliary system, stored in the gallbladder and are released after meals stimulated by cholecystokinin. They are important for the digestion and absorption of fats (lipids) in the small intestine. Usually over 95% of the bile acids are absorbed in the terminal ileum and are taken up by the liver and resecreted.

    • This question is part of the following fields:

      • Medicine
      • Metabolism
      7.9
      Seconds
  • Question 37 - Di and tri peptides are absorbed via a different mechanism as amino acids,...

    Correct

    • Di and tri peptides are absorbed via a different mechanism as amino acids, this is due to the working of which transporter?

      Your Answer: PEPT 1

      Explanation:

      GLUT and SGLT are glucose transporters. Peptides which are longer that four amino acids are not absorbed. There is abundant absorption of di and tri peptidases in the small intestine. They are absorbed into the epithelial cells of the small intestine via a transporter called PepT1 by co-transport with H+ ions.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5.2
      Seconds
  • Question 38 - Where does the SA node develop? ...

    Correct

    • Where does the SA node develop?

      Your Answer: From structures on the right side of the embryo.

      Explanation:

      The SA node develops from the right side of the embryo and the AV node from the left. This is the reason why in adults the right vagus supplies the SA node and the left vagus supplies the AV node.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      20.1
      Seconds
  • Question 39 - Which glucose transporter is responsible for the uptake of dietary glucose from the...

    Correct

    • Which glucose transporter is responsible for the uptake of dietary glucose from the gut?

      Your Answer: SGLT1

      Explanation:

      SGLT 1 is responsible for the uptake of glucose via secondary active transport from the small intestine and the renal tubules.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      15.3
      Seconds
  • Question 40 - Which of the following phases in depolarization and repolarization of cardiac muscle cells...

    Correct

    • Which of the following phases in depolarization and repolarization of cardiac muscle cells are caused by the inactivation of Na+ channels?

      Your Answer: Phase 1 : rapid repolarization

      Explanation:

      Phase 0 is caused by the sodium current. Voltage gated sodium channels open leading to the influx of sodium into the cardiac muscle cell. Phase 1 is the rapid transient repolarization phase which is caused by the inactivation of the voltage gated sodium channels and opening of the voltage gated potassium channels along with opening of the slow calcium channels. Phase 2 which is the plateau is caused by opening of the slow calcium channels. Phase 4 is caused by closing of the slow calcium channels and opening of the potassium channels leading to efflux of potassium leading to the establishment of the resting membrane potential.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      74.1
      Seconds
  • Question 41 - What are the three main structures in the portal triad (portal space)? ...

    Correct

    • What are the three main structures in the portal triad (portal space)?

      Your Answer: Branch of hepatic artery, branch of portal vein, bile ductules

      Explanation:

      A portal triad (also known as portal field, portal area, or portal tract) is a distinctive arrangement in the liver. It is a component of the hepatic lobule. It consists of the following five structures:

      • Proper hepatic artery
      • Hepatic portal vein
      • Common bile duct
      • Lymphatic vessels
      • Branch of the vagus nerve

    • This question is part of the following fields:

      • Hepatobiliary
      • Medicine
      19.8
      Seconds
  • Question 42 - The chief cells of the stomach secrete which of the following? ...

    Correct

    • The chief cells of the stomach secrete which of the following?

      Your Answer: Pepsinogens

      Explanation:

      A gastric chief cell (or peptic cell, or gastric zymogenic cell) is a type of cell in the stomach that releases pepsinogen and gastric lipase.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      4.6
      Seconds
  • Question 43 - Translation usually begins at which codon? ...

    Incorrect

    • Translation usually begins at which codon?

      Your Answer: UAA

      Correct Answer: AUG

      Explanation:

      The start codon is the first codon of a messenger RNA (mRNA) transcript translated by a ribosome. The start codon always codes for methionine in eukaryotes and the most common start codon is AUG.

    • This question is part of the following fields:

      • Medicine
      • Metabolism
      13.5
      Seconds
  • Question 44 - Which of the following associations is false? ...

    Correct

    • Which of the following associations is false?

      Your Answer: Mandibular nerve – foramen lacerum

      Explanation:

      – The olfactory nerves pass through the cribriform plate- The maxillary division of the trigeminal nerve passes through the foramen rotundum- The facial nerve passes through the stylomastoid foramen- The mandibular division of the trigeminal nerve pass through the foramen ovale- The glossopharyngeal nerve passes through the jugular foramen.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      7.1
      Seconds
  • Question 45 - Which of the following is true with regard to the acini? ...

    Correct

    • Which of the following is true with regard to the acini?

      Your Answer: The central zone (Zone III) is the least oxygenated

      Explanation:

      The acini are divided into zone I (periportal), zone II (transition zone), and zone III (pericentral). Cells located close to the portal triad or peripheral zone which consist of an arteriole from the hepatic artery are the most oxygenated cells. Cells in the central zone (III) are least oxygenated and mainly receive blood supply from the central vein which is a branch of hepatic vein.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      15
      Seconds
  • Question 46 - A 72 year old female, known with rheumatoid arthritis for last 17 years,...

    Incorrect

    • A 72 year old female, known with rheumatoid arthritis for last 17 years, presents with recurrent attacks of red eyes with a sensation of grittiness. Which of the following is most likely cause of the red eyes?

      Your Answer: keratitis

      Correct Answer: keratoconjunctivitis sicca

      Explanation:

      Rheumatoid arthritis is an inflammatory systemic disease associated with some extraarticular manifestations. Keratoconjunctivitis sicca, episcleritis, scleritis, corneal changes, and retinal vasculitis are the most common ocular complications among extraarticular manifestations of RA. The overall prevalence of keratoconjunctivitis sicca also known as dry eye syndrome among patients of RA is 21.2% and is the most common with sense of grittiness in the eyes.

    • This question is part of the following fields:

      • Connective Tissue
      • Medicine
      15.7
      Seconds
  • Question 47 - The following are examples of the functions of the vascular endothelium except: ...

    Correct

    • The following are examples of the functions of the vascular endothelium except:

      Your Answer: Tumour suppression

      Explanation:

      Vascular endothelium has many important functions including regulation of vascular tone, molecular exchange between blood and tissue compartments, hemostasis and signaling for the immune regulation and inflammation. Depending on specific tissue needs and local stresses, endothelial cells are capable of evoking either antithrombotic or prothrombotic events. Tumor suppression is related to genes, or anti-oncogenes, that regulate a cell during cell division and replication.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      16.6
      Seconds
  • Question 48 - The sympathetic supply to the stomach comes from the: ...

    Correct

    • The sympathetic supply to the stomach comes from the:

      Your Answer: Celiac plexus

      Explanation:

      The vagus nerve supplies the stomach and up to proximal two-thirds of the large intestine and has parasympathetic stimulation. The sympathetic chain which begins at the level of he 1st thoracic vertebra and extends up to 3rd lumbar vertebra gives off the celiac plexus which mainly supplies the stomach. The mesenteric plexus mainly supplies the small intestine and is located below the celiac plexus in the sympathetic chain.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      3.1
      Seconds
  • Question 49 - The primary auditory cortex is: ...

    Correct

    • The primary auditory cortex is:

      Your Answer: Brodmann area 41

      Explanation:

      A Brodmann area in the brain is defined by cytoarchitecture, histology and organization of cells:Primary Sensory 3,1,2Primary Motor 4Premotor 6Primary Visual 17Primary Auditory 41Brocas 44

    • This question is part of the following fields:

      • Medicine
      • Neurology
      13.7
      Seconds
  • Question 50 - What percentage of blood to the liver is supplied by hepatic artery? ...

    Correct

    • What percentage of blood to the liver is supplied by hepatic artery?

      Your Answer: 25%

      Explanation:

      The liver receives a dual blood supply from the hepatic portal vein and hepatic arteries. The hepatic portal vein delivers approximately 75% of the liver’s blood supply, and carries venous blood drained from the spleen, gastrointestinal tract, and its associated organs. The hepatic arteries supply arterial blood to the liver, accounting for the remaining quarter of its blood flow.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      2.6
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Infectious Diseases (2/4) 50%
Medicine (36/50) 72%
Pharmacology (4/4) 100%
Cardiovascular (6/10) 60%
Endocrinology (0/1) 0%
Gastrointestinal (12/12) 100%
Metabolism (3/4) 75%
Respiratory (0/2) 0%
Genetics (3/3) 100%
Immunology (2/2) 100%
Haematology (0/1) 0%
Geriatrics (0/1) 0%
Renal (1/1) 100%
Cell Biology (0/1) 0%
Hepatobiliary (1/1) 100%
Neurology (2/2) 100%
Connective Tissue (0/1) 0%
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