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  • Question 1 - Cranial nerves VI, VII, VIII enter/exit the base of the brain at the:...

    Correct

    • Cranial nerves VI, VII, VIII enter/exit the base of the brain at the:

      Your Answer: Ponto-medullary junction

      Explanation:

      Cranial nerves III, IV and V exit from the pons, VI, VII, VIII exit from the pontomedullary junction and cranial nerve IX, X, XI, XII exit from the medulla.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      12.6
      Seconds
  • Question 2 - 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
      5.1
      Seconds
  • Question 3 - A 30-year-old woman is admitted for drainage of an abscess in her left...

    Incorrect

    • A 30-year-old woman is admitted for drainage of an abscess in her left forearm. She has revealed that she was regular heroin user and has stopped for the past few days. Clinical signs are pointing towards opioid withdrawal. What is the next step in managing this patient?

      Your Answer: Ask her how much heroin she uses per day and give her a dose of methadone syrup equivalent to this

      Correct Answer: Give her 10 mg of methadone syrup and wait 60 min to determine its effect

      Explanation:

      The next step in managing this patient is to give 10 mg and continue administering in 10 mg increments each hour until symptoms are under control.Methadone alleviates opioid withdrawal symptoms and reduces cravings. Methadone is useful for detoxification from longer-acting opioids such as morphine or methadone itself.Methadone should be used with caution if the patient has:Respiratory deficiencyAcute alcohol dependenceHead injuryTreatment with monoamine oxidase inhibitors (MAOIs)Ulcerating colitis or Crohn’s diseaseSevere hepatic impairmentThe dose must be reviewed on a daily basis and adjusted based upon how well the symptoms are controlled and the presence of side effects. The greater the dose of opioids used by the patient, the greater the dose of methadone required to control withdrawal symptoms. To avoid the risk of overdose in the first days of treatment The recommended dosing of methadone is 30mg in two doses of 15mg morning and evening.It is important to note that a methadone dose equivalent to what the patient reports they are taking should never be given. It is rare to need more than 40 mg per 24 hours: beware of overdosing which can lead to respiratory arrest.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      49
      Seconds
  • Question 4 - Where would one normally find venous valves? ...

    Correct

    • Where would one normally find venous valves?

      Your Answer: Saphenous vein

      Explanation:

      The intima of the limb veins is folded at intervals to form venous valves that prevent retrograde flow. There are no valves present in the very small veins, the great veins, or the veins in the brain and viscera.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.3
      Seconds
  • Question 5 - Which of the following provides the sympathetic nervous supply to the stomach? ...

    Correct

    • Which of the following provides the sympathetic nervous supply to the stomach?

      Your Answer: Coeliac plexus

      Explanation:

      Parasympathetic innervation to the stomach is from the vagus nerve and the sympathetic innervation is from the coeliac plexus.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      10.5
      Seconds
  • Question 6 - A 22-year-old university student is admitted after taking drugs at a night club....

    Correct

    • A 22-year-old university student is admitted after taking drugs at a night club. Which of the following features suggest she had taken ecstasy (MDMA)?

      Your Answer: A pyrexia of 40°C

      Explanation:

      MDMA commonly known as ecstasy or molly, is a psychoactive drug primarily used as a recreational drug. The desired effects include altered sensations, increased energy, empathy, and pleasure. Features of MDMA abuse include hyponatraemia, tachycardia, hyperventilation, and hyperthermia.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      8.9
      Seconds
  • Question 7 - Where is the carotid sinus located? ...

    Correct

    • Where is the carotid sinus located?

      Your Answer: After the bifurcation of the carotid artery, on the internal carotid

      Explanation:

      The carotid sinus is a small dilation in the internal carotid artery just above its bifurcation into the external and internal carotid branch. Baroreceptors are present at this dilation.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      16.8
      Seconds
  • Question 8 - An 18 year old boy, thin with a tall stature, and a high...

    Incorrect

    • An 18 year old boy, thin with a tall stature, and a high arched palate arrives at the hospital with a spontaneous pneumothorax. He is accompanied by his brother who has a similar appearance. You suspect Marfan's Syndrome. The gene encoding which of the following proteins is defective in this condition?

      Your Answer: Elastin

      Correct Answer: Fibrillin-1

      Explanation:

      A variety of proteins compose the structure of microfibrils, the most prominent of which are the two fibrillins. Fibrillin-1 a scaffolding protein is encoded by FBN1 on human chromosome 15q21 and fibrillin-2 is encoded by FBN2 on 5q23. Mutations in FBN1 produce Marfan syndrome, a pleiotropic autosomal dominant connective tissue disorder with prominent manifestations in the skeleton, eye and cardiovascular system. A number of conditions related to Marfan syndrome are also due to FBN1 mutations.

    • This question is part of the following fields:

      • Connective Tissue
      • Medicine
      25.9
      Seconds
  • Question 9 - The conversion of haem to bilirubin is catalysed by which of these enzymes?...

    Correct

    • The conversion of haem to bilirubin is catalysed by which of these enzymes?

      Your Answer: Biliverdin reductase

      Explanation:

      Bilirubin is created by the activity of biliverdin reductase on biliverdin, a green tetrapyrrolic bile pigment that is also a product of haem catabolism.

    • This question is part of the following fields:

      • Hepatobiliary
      • Medicine
      11.3
      Seconds
  • Question 10 - Which one of the following is not part of the WHO diagnostic criteria...

    Correct

    • Which one of the following is not part of the WHO diagnostic criteria for the metabolic syndrome?

      Your Answer: High LDL

      Explanation:

      The World Health Organization 1999 criteria require the presence of any one of diabetes mellitus, impaired glucose tolerance, impaired fasting glucose or insulin resistance, AND two of the following:

      • Blood pressure: ≥ 140/90 mmHg
      • Dyslipidaemia: triglycerides (TG): ≥ 1.695 mmol/L and high-density lipoprotein cholesterol (HDL-C) ≤ 0.9 mmol/L (male), ≤ 1.0 mmol/L (female)
      • Central obesity: waist: hip ratio > 0.90 (male); > 0.85 (female), or body mass index > 30 kg/m2
      • Microalbuminuria: urinary albumin excretion ratio ≥ 20 µg/min or albumin: creatinine ratio ≥ 30 mg/g

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.3
      Seconds
  • Question 11 - The length of DNA is generally measured in terms of the number of:...

    Incorrect

    • The length of DNA is generally measured in terms of the number of:

      Your Answer: Nucleotides

      Correct Answer: Base pairs

      Explanation:

      As DNA is made up of nucleotides, its length is measured by the number of base pairs in the DNA molecules.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      7.3
      Seconds
  • Question 12 - Which of the following factors is directly responsible for the breakdown of fibrinogen...

    Correct

    • Which of the following factors is directly responsible for the breakdown of fibrinogen to fibrin?

      Your Answer: Thrombin

      Explanation:

      Prothrombin (coagulation factor II) is proteolytically cleaved to form thrombin in the coagulation cascade, the clotting process. Thrombin in turn acts as a serine protease that converts soluble fibrinogen into insoluble strands of fibrin, as well as catalysing many other coagulation-related reactions.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      17.4
      Seconds
  • Question 13 - Which of the following is a granulocyte? ...

    Correct

    • Which of the following is a granulocyte?

      Your Answer: Eosinophil

      Explanation:

      Granulocytes are a category of white blood cells characterized by the presence of granules in their cytoplasm. There are three principal types of granulocytes, distinguished by their appearance under Wright’s stain:

      • Basophil granulocytes
      • Eosinophil granulocytes
      • Neutrophil granulocytes

    • This question is part of the following fields:

      • Haematology
      • Medicine
      7.8
      Seconds
  • Question 14 - The febrile response to PGE2 will be impaired with the knockout of which...

    Correct

    • The febrile response to PGE2 will be impaired with the knockout of which one of the following prostaglandin receptors?

      Your Answer: Ep3

      Explanation:

      Prostaglandin EP3 receptor is a receptor for prostaglandin E2. Fever occurs as a result of the action of prostaglandin E2 and requires EP3 receptors in the preoptic area. Therefore, if there is an absence of EP3 receptors, fever caused by prostaglandin E2 will not occur.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.9
      Seconds
  • Question 15 - Which one of the following statements regarding epidemiological measures is correct? ...

    Correct

    • Which one of the following statements regarding epidemiological measures is correct?

      Your Answer: Cross-sectional surveys can be used to estimate the prevalence of a condition in the population

      Explanation:

      The incidence rate is the number of new cases per population at risk in a given time period. For example, if a population initially contains 1,000 non-diseased persons and 28 develop a condition over two years of observation, the incidence proportion is 28 cases per 1,000 persons per two years, i.e. 2.8% per two years.Prevalence is the proportion of a particular population found to be affected by a medical condition (typically a disease or a risk factor such as smoking or seat-belt use). It is derived by comparing the number of people found to have the condition with the total number of people studied, and is usually expressed as a fraction, as a percentage, or as the number of cases per 10,000 or 100,000 people.Incidence should not be confused with prevalence, which is the proportion of cases in the population at a given time rather than rate of occurrence of new cases. Thus, incidence conveys information about the risk of contracting the disease, whereas prevalence indicates how widespread the disease is.

    • This question is part of the following fields:

      • Medicine
      • Research Skills
      40.8
      Seconds
  • Question 16 - Stem cell characteristics include the following except ...

    Incorrect

    • Stem cell characteristics include the following except

      Your Answer: Plasticity

      Correct Answer: Differentiation and proliferation into progenitor cells committed to multiple cell lines

      Explanation:

      The classical definition of a stem cell requires that it possess two properties:Self-renewal: the ability to go through numerous cycles of cell division while maintaining the undifferentiated state.Potency: the capacity to differentiate into specialized cell types. In the strictest sense, this requires stem cells to be either totipotent or pluripotent to be able to give rise to any mature cell type

    • This question is part of the following fields:

      • Haematology
      • Medicine
      38.2
      Seconds
  • Question 17 - The principal enzyme of lipid digestion is: ...

    Correct

    • The principal enzyme of lipid digestion is:

      Your Answer: Lipase

      Explanation:

      Lipase is the principle enzyme that digest lipids. Amylase digest carbohydrates. Colipase is a co-enzyme that optimize the activity of lipase. Trypsin digest proteins and cholesterol esterase digest cholesterol.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      2.9
      Seconds
  • Question 18 - A 25-year-old male presented to accident and emergency 4 days ago, following an...

    Correct

    • A 25-year-old male presented to accident and emergency 4 days ago, following an intentional paracetamol overdose. He had taken 20x 500mg tablets, all at once. He denies any alcohol intake. Blood investigations 4 hours after ingestion showed:Paracetamol: 14 mg/lINR: 1Liver enzymes: No abnormality detectedBilirubin: Mild elevationHe was seen by the mental health team and discharged. The blood investigations were repeated:Bilirubin: Within normal limitsUrea: 21 mmol/lCreatinine: 300 µmol/lWhat is the likely cause of these results?

      Your Answer: Delayed paracetamol nephrotoxicity

      Explanation:

      The most likely cause for these results is delayed paracetamol nephrotoxicity.The blood investigations of this patient are highly suggestive of acute kidney injury. Paracetamol overdose is well known to cause hepatotoxicity, but not for its delayed nephrotoxicity, especially in significant overdose. Appropriate monitoring of a patient’s blood tests is important.Management:NAC (N-Acetyl cysteine) has a clear role in preventing acetaminophen-induced liver necrosis. Although NAC has not been proven to be harmful to the kidney, its role in patients without hepatoxicity and only isolated renal dysfunction is uncertain.Other options:-There are no features in the history that are suggestive of dehydration and pre-renal AKI presenting in this manner in a 25-year-old would be very unusual.- Minimal change nephropathy typically presents with a nephrotic picture of kidney injury.- Berger’s more commonly presents with isolated haematuria.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      33.2
      Seconds
  • Question 19 - Cholinergic vagal supply to the SA and AV nodes results in slowing of...

    Correct

    • Cholinergic vagal supply to the SA and AV nodes results in slowing of the heart rate via:

      Your Answer: M2 muscarinic receptors

      Explanation:

      M2 muscarinic receptors are the receptors for the parasympathetic system to the SA and the AV node.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.5
      Seconds
  • Question 20 - The AV Node: ...

    Incorrect

    • The AV Node:

      Your Answer: It is a complex spindle shaped structure located in the interventricular septum

      Correct Answer: It decelerates impulses passing to the ventricles

      Explanation:

      The action potentials in the sinoatrial (SA) and atrioventricular (AV) nodes are largely due to Ca2+, with no contribution by Na+ influx. The depolarization continues to conduct slowly through the atrioventricular (AV) node. The AV node is located in the right posterior portion of the interatrial septum. This is small and bean-shaped. The atrial conductive system is organized so that the cardiac impulse does not travel from the atria into the ventricles too rapidly; this delay allows the atria to empty before ventricular contraction begins. It is the AV node and its adjacent conductive fibers that delay this transmission into the ventricles. Conduction through the AV Node is represented on the ECG by the PR interval.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      27.8
      Seconds
  • Question 21 - In the normal adult, haematopoiesis is present ...

    Correct

    • In the normal adult, haematopoiesis is present

      Your Answer: Axial skeleton and proximal ends of long bones

      Explanation:

      In children, haematopoiesis occurs in the marrow of the long bones such as the femur and tibia. In adults, it occurs mainly in the pelvis, cranium, vertebrae, and sternum.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      8.5
      Seconds
  • Question 22 - Which one of the following transporters is involved in facilitated diffusion? ...

    Correct

    • Which one of the following transporters is involved in facilitated diffusion?

      Your Answer: GLUT2

      Explanation:

      GLUT 2 is a bidirectional transporter, allowing glucose to flow in 2 directions via facilitated diffusion. Is expressed by renal tubular cells, liver cells and pancreatic beta cells. It is also present in the basolateral membrane of the small intestine epithelium.

    • This question is part of the following fields:

      • Cell Biology
      • Medicine
      5.3
      Seconds
  • Question 23 - The predominant site in the lymph node where T lymphocytes are found is:...

    Incorrect

    • The predominant site in the lymph node where T lymphocytes are found is:

      Your Answer: Medulla

      Correct Answer: Paracortex

      Explanation:

      Paracortex is found between the cortex and the medulla and it is composed of a non-nodular type of arrangement that is mostly made up of T cells.

    • This question is part of the following fields:

      • Immunology
      • Medicine
      27.7
      Seconds
  • Question 24 - Which of the following cancers is responsible in producing osteoblastic bone metastases instead...

    Incorrect

    • Which of the following cancers is responsible in producing osteoblastic bone metastases instead of osteolytic?

      Your Answer: Choriocarcinoma in either gender

      Correct Answer: Prostate adenocarcinoma

      Explanation:

      Osteoblastic (or sclerotic) bone metastases, characterized by deposition of new bone, present in prostate cancer, carcinoid, small cell lung cancer, Hodgkin lymphoma or medulloblastoma.

    • This question is part of the following fields:

      • Connective Tissue
      • Medicine
      22.7
      Seconds
  • Question 25 - What is the blood supply to the liver? ...

    Correct

    • What is the blood supply to the liver?

      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. Oxygen is provided from both sources; approximately half of the liver’s oxygen demand is met by the hepatic portal vein, and half is met by the hepatic arteries

    • This question is part of the following fields:

      • Hepatobiliary
      • Medicine
      5.7
      Seconds
  • Question 26 - The brainstem contains which of the following structures? ...

    Correct

    • The brainstem contains which of the following structures?

      Your Answer: The midbrain, pons and medulla

      Explanation:

      Brain stem is the base of the brain that connects the brain to the spinal cord. It consists of the mid brain, pons and medulla oblongata.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      17.5
      Seconds
  • Question 27 - Which one of the following is able to move across cell membranes by...

    Correct

    • Which one of the following is able to move across cell membranes by passive diffusion?

      Your Answer: CO2

      Explanation:

      The cell membrane is permeable to water molecules and a few other small, uncharged, molecules like oxygen (O2) and carbon dioxide (CO2). Larger molecules like glucose or charged ions are unable to cross passively.

    • This question is part of the following fields:

      • Cell Biology
      • Medicine
      5.7
      Seconds
  • Question 28 - A 79-year-old woman has a waddling gait. History reveals enuresis and change in...

    Incorrect

    • A 79-year-old woman has a waddling gait. History reveals enuresis and change in behaviour. What is the most likely diagnosis?

      Your Answer: Parkinsons

      Correct Answer: Normal pressure hydrocephalus

      Explanation:

      The waddling gait and behaviour change are attributes of normal pressure hydrocephalus along with loss of bladder control which commonly happens with elder age.

    • This question is part of the following fields:

      • Geriatrics
      • Medicine
      13.9
      Seconds
  • Question 29 - The collection of genes that are termed the major histocompatibility complex (MHC) are...

    Incorrect

    • The collection of genes that are termed the major histocompatibility complex (MHC) are found on:

      Your Answer: Long arm of chromosome 6

      Correct Answer: Short arm of chromosome 6

      Explanation:

      Histocompatibility, or tissue compatibility, is the property of having the same, or sufficiently similar, alleles of a set of genes called human leukocyte antigens (HLA). HLA is the human form of the major histocompatibility complex (MHC) genes found in all vertebrates. On a population level there is a great number of different alleles at each HLA locus on the short arm of chromosome 6

    • This question is part of the following fields:

      • Immunology
      • Medicine
      6.9
      Seconds
  • Question 30 - Regarding carbohydrates absorption; ...

    Correct

    • Regarding carbohydrates absorption;

      Your Answer: Intestinal absorption of sugars is inhibited by the drug phlorizin

      Explanation:

      The main role of insulin is in the uptake of glucose from blood to tissues where it is metabolised. Glycose transporters in the intestines do not depend on the action of insulin. Phlorizin is a competitive inhibitor of SGLT1 and SGLT2 because it competes with glucose for the binding site, reducing intestinal and renal glucose transport.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      19.8
      Seconds
  • Question 31 - How many molecules of myosin attach to actin at any given time? ...

    Incorrect

    • How many molecules of myosin attach to actin at any given time?

      Your Answer: 2

      Correct Answer: 1

      Explanation:

      1 molecule of myosin binds to actin at any give time.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      5.2
      Seconds
  • Question 32 - Which one of the following features is least associated with primary hyperparathyroidism? ...

    Correct

    • Which one of the following features is least associated with primary hyperparathyroidism?

      Your Answer: Sensory loss

      Explanation:

      The signs and symptoms of primary hyperparathyroidism are those of hypercalcemia. They are classically summarized by stones, bones, abdominal groans, thrones and psychiatric overtones.

      Stones refers to kidney stones, nephrocalcinosis, and diabetes insipidus (polyuria and polydipsia). These can ultimately lead to renal failure.

      Bones refers to bone-related complications: osteitis fibrosa cystica, osteoporosis, osteomalacia, and arthritis.

      Abdominal groans refers to gastrointestinal symptoms of constipation, indigestion, nausea and vomiting. Hypercalcemia can lead to peptic ulcers and acute pancreatitis.

      Thrones refers to polyuria and constipation

      Psychiatric overtones refers to effects on the central nervous system. Symptoms include lethargy, fatigue, depression, memory loss, psychosis, ataxia, delirium, and coma.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.7
      Seconds
  • Question 33 - Which of the following drugs requires plasma level monitoring? ...

    Correct

    • Which of the following drugs requires plasma level monitoring?

      Your Answer: Vancomycin

      Explanation:

      All patients require plasma-vancomycin measurement (after 3 or 4 doses if renal function normal, earlier if renal impairment). There is a risk of nephrotoxicity including renal failure, interstitial nephritis and ototoxicity.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      5.7
      Seconds
  • Question 34 - The haemostatic plug formation in response to injured blood vessel wall is stimulated...

    Correct

    • The haemostatic plug formation in response to injured blood vessel wall is stimulated by exposure of which substance to platelets?

      Your Answer: Collagen

      Explanation:

      When the endothelium is damaged, the normally isolated, underlying collagen is exposed to circulating platelets, which bind directly to collagen with collagen-specific glycoprotein Ia/IIa surface receptors. This adhesion is strengthened further by von Willebrand factor (vWF), which is released from the endothelium and from platelets.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      10.9
      Seconds
  • Question 35 - Which of the given adverse effects should be anticipated following the administration of...

    Incorrect

    • Which of the given adverse effects should be anticipated following the administration of an anticholinesterase?

      Your Answer: Tachycardia and lacrimation

      Correct Answer: Bradycardia and miosis

      Explanation:

      Bradycardia and miosis should be anticipated following the administration of anticholinesterases.Anticholinesterase agents include the following medications:- Pyridostigmine, neostigmine, and edrophonium which play a significant role in the diagnosis and the management of myasthenia gravis.- Rivastigmine, galantamine and donepezil are cholinesterase inhibitors found to be significantly useful in the management of Alzheimer’s disease.Mechanism of action and pharmacological effects:Inhibition of cholinesterase increases the level and the duration of action of acetylcholine within the synaptic cleft. Thus, cholinergic effects such as a reduction in heart rate (bradycardia), miosis (pupillary constriction), increased secretions, increased gastrointestinal motility and reduction in BP may occur with anticholinesterases.Toxins such as organophosphates and carbamates also are primarily anticholinergic and cause the following typical SLUDGE symptoms:- Salivation- Lacrimation- Urination- Diaphoresis- Gastrointestinal upset- Emesis

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      275.2
      Seconds
  • Question 36 - The average end diastolic volume in a healthy individual’s ventricle is? ...

    Correct

    • The average end diastolic volume in a healthy individual’s ventricle is?

      Your Answer: 130 ml

      Explanation:

      The end diastolic volume in a healthy individual is about 130 ml.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      5.1
      Seconds
  • Question 37 - The first enzyme carbohydrates encounter in the digestive tract is? ...

    Correct

    • The first enzyme carbohydrates encounter in the digestive tract is?

      Your Answer: Amylase

      Explanation:

      Carbohydrate digesting enzymes are known as amylase. Salivary amylase or ptyalin is the first enzyme to begin carbohydrate digestion in he oral cavity. Amylose is a component of carbohydrates and is not an enzyme. Isomaltase, maltase and sucrase are enzymes found in the small intestines that digest disaccharides like maltose and sucrose to monosaccharides.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5.9
      Seconds
  • Question 38 - Which is primarily responsible for the conversion of T4 to T3 in the...

    Incorrect

    • Which is primarily responsible for the conversion of T4 to T3 in the periphery?

      Your Answer: Iodotyrosine deiodinase

      Correct Answer: Deiodinase 1

      Explanation:

      Type 1 iodothyronine deiodinase, also known simply as deiodinase 1, is an enzyme which can produce both triiodothyronine (active form) or inactivate metabolites from T4. It is responsible for almost 80% of the conversion of peripheral T4 to T3. Iodothyronine deiodinases are not to be confused with iodotyrosine deiodinases, which are also part of the deiodinase enzymes.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      11.3
      Seconds
  • Question 39 - Which of the following antiarrhythmic drugs may be used in the treatment of...

    Incorrect

    • Which of the following antiarrhythmic drugs may be used in the treatment of long QT syndrome?

      Your Answer: Sotalol

      Correct Answer: Atenolol

      Explanation:

      Beta-blockers are the mainstay of treatment in long QT syndrome. Implantable cardioverter-defibrillators are the most effective treatment in genotypes with a high risk of recurrence.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      14.9
      Seconds
  • Question 40 - The process of DNA amplification and quantification is called: ...

    Correct

    • The process of DNA amplification and quantification is called:

      Your Answer: PCR

      Explanation:

      PCR/polymerase chain reaction is a procedure carried out in a test tube that can be used on the smallest amount of DNA to amplify it, allowing for millions of copies of specific nucleotides to be made.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      4
      Seconds
  • Question 41 - Cholinergic nerves from the vagus innervate the SA and AV nodes via which...

    Correct

    • Cholinergic nerves from the vagus innervate the SA and AV nodes via which receptor in the heart?

      Your Answer: M2 receptor

      Explanation:

      M2 receptor is found in the heart. M3 and M4 are associated with smooth muscle.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      3.4
      Seconds
  • Question 42 - Where is intrinsic factor secreted? ...

    Correct

    • Where is intrinsic factor secreted?

      Your Answer: Gastric parietal cells

      Explanation:

      Intrinsic factor (IF), also known as gastric intrinsic factor (GIF), is a glycoprotein produced by the parietal cells of the stomach. It is necessary for the absorption of vitamin B12 (cobalamin) later on in the small intestine.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      33.7
      Seconds
  • Question 43 - Which of the following are responsible for the 4th heart sound? ...

    Correct

    • Which of the following are responsible for the 4th heart sound?

      Your Answer: Ventricular hypertrophy

      Explanation:

      The fourth heart sound is not normally audible in a normal adult. It occurs as a consequence of ventricular hypertrophy. It is caused by filling of the ventricle in atrial systole.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      11
      Seconds
  • Question 44 - Which vitamin plays a major role in the metabolism of many amino acids?...

    Incorrect

    • Which vitamin plays a major role in the metabolism of many amino acids?

      Your Answer: Vitamin B1

      Correct Answer: Vitamin B6

      Explanation:

      Vitamin B6 is part of the vitamin B group, and its active form, pyridoxal 5′-phosphate (PLP) serves as a coenzyme in many enzyme reactions in amino acid, glucose, and lipid metabolism.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      4.2
      Seconds
  • Question 45 - The main efferent input of the posterior pituitary gland comes from: ...

    Correct

    • The main efferent input of the posterior pituitary gland comes from:

      Your Answer: Paracrine hormones secreted from the hypothalamus via axons.

      Explanation:

      The posterior pituitary or neurohypophysis consists of a collection of axonal projections emerging from the hypothalamus. It releases hormones directly from these axonal endings into circulation; these hormones are oxytocin and vasopressin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      11.7
      Seconds
  • Question 46 - Which enzyme deficiency can lead to ammonia intoxication? ...

    Incorrect

    • Which enzyme deficiency can lead to ammonia intoxication?

      Your Answer: Amino acyl transferase

      Correct Answer: Ornithine transcarbamylase

      Explanation:

      Ornithine transcarbamylase deficiency also known as OTC deficiency is the most common urea cycle disorder in humans. Ornithine transcarbamylase, the defective enzyme in this disorder is the final enzyme in the proximal portion of the urea cycle, responsible for converting carbamoyl phosphate and ornithine into citrulline. OTC deficiency is inherited in an X-linked recessive manner, meaning males are more commonly affected than females.

    • This question is part of the following fields:

      • Medicine
      • Metabolism
      8.2
      Seconds
  • Question 47 - Cholesterol is synthesized in all of these organs EXCEPT? ...

    Correct

    • Cholesterol is synthesized in all of these organs EXCEPT?

      Your Answer: Stomach

      Explanation:

      The liver primarily synthesizes about 20-25% of the total daily cholesterol. Cholesterol is also synthesized to smaller extents in the adrenal glands, reproductive organs (as cholesterol is the precursor of sex hormones), skin and is also produced in the intestines.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      8.7
      Seconds
  • Question 48 - Coronary blood flow occurs in? ...

    Correct

    • Coronary blood flow occurs in?

      Your Answer: Diastole

      Explanation:

      Coronary arteries are unique in that they fill during diastole, when not occluded by valve cusps nor compressed by myocardial contraction).

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      2.5
      Seconds
  • Question 49 - Absolute refractory period in a cardiac action potential graph occurs during. ...

    Incorrect

    • Absolute refractory period in a cardiac action potential graph occurs during.

      Your Answer: Plateau phase

      Correct Answer: All of the above

      Explanation:

      Absolute refractory period (ARP): the cell is completely unexcitable to a new stimulus and occurs from phase 0 – 2 i.e. depolarisation, early repolarisation and plateau phase.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      10.3
      Seconds
  • Question 50 - Regarding restriction fragment length polymorphisms (RFLP) and Gene Knockout Mouse Models. All are...

    Incorrect

    • Regarding restriction fragment length polymorphisms (RFLP) and Gene Knockout Mouse Models. All are true except:

      Your Answer: Knockout models are important in studying roles of sequenced genes with unknown function

      Correct Answer: In knockout mouse models a gene is turned on through targeted mutation

      Explanation:

      In RFLP, polymorphism occurs in 98% of the non coding genome, resulting in no phenotypical change in the organism. A gene is not turned on by a mutation, rather the mutation at the restriction site will alter the DNA and the DNA will now form fragments of different lengths. PCR is a better technique than RFLP.

      A knockout, as related to genomics, refers to the use of genetic engineering to inactivate or remove one or more specific genes from an organism. Scientists create knockout organisms to study the impact of removing a gene from an organism, which often allows them to then learn something about that gene’s function.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      15.7
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Medicine (33/50) 66%
Neurology (2/2) 100%
Gastrointestinal (6/6) 100%
Pharmacology (3/5) 60%
Cardiovascular (7/11) 64%
Connective Tissue (0/2) 0%
Hepatobiliary (2/2) 100%
Endocrinology (4/5) 80%
Genetics (1/3) 33%
Haematology (5/7) 71%
Research Skills (1/1) 100%
Cell Biology (2/2) 100%
Immunology (0/2) 0%
Geriatrics (0/1) 0%
Metabolism (0/1) 0%
Passmed