-
Question 1
Correct
-
If both the noradrenergic and the cholinergic systems are blocked in the heart, the rate will be approximately:
Your Answer: 100/min
Explanation:The normal heart beat is about 70/min. This is due to a predominant parasympathetic activity. If sympathetic activity was unopposed the heart rate would have been 150/min. When both the noradrenergic and cholinergic systems are blocked the heart rate is 100/min. This is the normal firing rate of the SA node.
-
This question is part of the following fields:
- Cardiovascular
- Medicine
-
-
Question 2
Correct
-
Which of the following is responsible for converting inactive cortisone to active cortisol in the adrenal gland?
Your Answer: 11βHSD type 1
Explanation:11β-Hydroxysteroid dehydrogenase, also known as HSD-11β or 11β-HSD, is a group of enzymes which catalyse the interconversion of active cortisol and corticosterone with inert cortisone and 11-dehydrocorticosterone.
-
This question is part of the following fields:
- Endocrinology
- Medicine
-
-
Question 3
Correct
-
In RFLP (restriction fragment length polymorphism), the DNA fragments are separated by length through a process known as:
Your Answer: Agarose gel electrophoresis
Explanation:Samples of DNA from individuals are broken into pieces by restriction enzymes and the fragments are separated according to their lengths via gel electrophoresis. Although now largely obsolete due to the rise of inexpensive DNA sequencing technologies, RFLP analysis was the first DNA profiling technique inexpensive enough to see widespread application.
-
This question is part of the following fields:
- Genetics
- Medicine
-
-
Question 4
Incorrect
-
The interior of lysosomes is kept at a pH of around 5 by the action of:
Your Answer: Na/H exchanger
Correct Answer: H+ ATPase
Explanation:The lysosome maintains its pH differential by pumping in protons (H+ ions) from the cytosol across the membrane via proton pumps and chloride ion channels. Vacuolar H+-ATPases are responsible for transport of protons, while the counter transport of chloride ions is performed by ClC-7 Cl−/H+ antiporter.
-
This question is part of the following fields:
- Cell Biology
- Medicine
-
-
Question 5
Incorrect
-
Which of the following proteins are NOT synthesized in the liver?
Your Answer:
Correct Answer: Steroid
Explanation:Human steroidogenesis occurs in a number of locations:- Corticosteroids are produced in the adrenal cortex.- Oestrogen and progesterone are made primarily in the ovary and the placenta during pregnancy, and testosterone in the testes.- Testosterone is also converted to oestrogen to regulate the supply of each in females and males.- Some neurons and glia in the central nervous system (CNS) express the enzymes required for the local synthesis of pregnant neurosteroids, de novo or from peripheral sources.
-
This question is part of the following fields:
- Gastrointestinal
- Medicine
-
-
Question 6
Incorrect
-
On which presynaptic receptor does noradrenalin act to inhibit noradrenalin secretion?
Your Answer:
Correct Answer: Α2 receptor
Explanation:Adregenic receptors are A1, A2, B1, B2, B3. Out of these, the function of the A2 receptor is inhibition of transmitter release including nor adrenalin and acetylcholine of the autonomic nervous system.
-
This question is part of the following fields:
- Medicine
- Neurology
-
-
Question 7
Incorrect
-
A 22 year old man is being evaluated for chronic lower backache. Which of the following would most strongly point towards the diagnosis of ankylosing spondylitis?
Your Answer:
Correct Answer: Reduced lateral flexion of the lumbar spine
Explanation:Ankylosing spondylitis (spondylarthritis) is a chronic inflammatory disease of the axial skeleton that leads to partial or even complete fusion and rigidity of the spine. Males are disproportionately affected and upwards of 90% of patients are positive for the HLA-B27 genotype, which predisposes to the disease. The most characteristic early finding is pain and stiffness in the neck and lower back, caused by inflammation of the vertebral column and the sacroiliac joints. The pain typically improves with activity and is especially prominent at night. Other articular findings include tenderness to percussion and displacement of the sacroiliac joints (Mennell’s sign), as well as limited spine mobility, which can progress to restrictive pulmonary disease. The most common extra-articular manifestation is acute, unilateral anterior uveitis. Diagnosis is primarily based on symptoms and x-ray of the sacroiliac joints, with HLA-B27 testing and MRI reserved for inconclusive cases. There is no curative treatment, but regular physiotherapy can slow progression of the disease. Additionally, NSAIDs and/or tumour necrosis factor-α inhibitors may improve symptoms. In severe cases, surgery may be considered to improve quality of life. The spine adopts a bamboo shape, not lordosis. The pain usually improves as the day progresses. leg raise test causes pain in cases of meningitis etc not in this case.
-
This question is part of the following fields:
- Connective Tissue
- Medicine
-
-
Question 8
Incorrect
-
A study is carried out to assess the efficacy of a new anti-epileptic drug for children with absence seizures. The total number of the children selected for the study was 400, from which 150 children were assigned to take the new drug and 250 children were assigned in the control group. After a period of four months, only 15 children taking the new drug had a seizure compared to 100 children from the control group who had seizure. What is the correct value regarding the relative risk reduction?
Your Answer:
Correct Answer: 75%
Explanation:Relative risk reduction (RRR) tells you by how much the treatment reduced the risk of bad outcomes relative to the control group who did not have the treatment. In the previous example, the relative risk reduction of fever and rash in the group of the children on the intervention was 40 per cent (1 – 0.6 = 0.4 or 40 per cent). RRR = (EER -CER) / CER = (0.1 – 0.4) / 0.4 = -0.75 or 75% reduction.
-
This question is part of the following fields:
- Medicine
- Research Skills
-
-
Question 9
Incorrect
-
What happens first during depolarisation of the membrane potential?
Your Answer:
Correct Answer: Gated Na channels open allowing the influx of Na
Explanation:Generation of an action potential in response to a stimulus is a result of a previously maintained resting membrane potential (RMP). Generation of resting membrane potential is mediated mainly by potassium ions. Several membrane proteins maintain RMP by transport of ions in and out of cell. Na+/K+ ATPase pump maintains a concentration gradient of Na+ and K+ ions. Na+ concentration in extracellular fluid is higher compared to intracellular fluid and K+ ion concentration is higher intracellularly. Generation of an action potential facilitates opening of Na+ ion channels which allow for Na+ to diffuse inside the cell according to the concentration gradient.
-
This question is part of the following fields:
- Medicine
- Neurology
-
-
Question 10
Incorrect
-
What is the function of the BK channel on the vascular smooth muscle membrane?
Your Answer:
Correct Answer: Massive K+ efflux, increasing membrane potential, and shutting off the voltage gated Ca2+ channel
Explanation:BK channels, also known as large-conductance calcium-activated potassium channels, play a critical role in regulating vascular smooth muscle tone. When BK channels open, they allow a large efflux of potassium ions (K+) out of the cell. This efflux of K+ causes the membrane potential to become more negative (hyperpolarization), which in turn leads to the closure of voltage-gated calcium channels. The closure of these calcium channels reduces the influx of calcium ions (Ca2+) into the smooth muscle cells, resulting in decreased intracellular calcium levels and subsequent relaxation of the smooth muscle.
Thus, BK channels promote smooth muscle relaxation by hyperpolarizing the membrane and reducing the activity of voltage-gated Ca2+ channels.
-
This question is part of the following fields:
- Cardiovascular
- Medicine
-
SESSION STATS - PERFORMANCE PER SPECIALTY
