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Biochemistry Part 01 MCQs

1. Biochemistry primarily studies
a. Chemical processes in tissues
b. Mechanical processes in organs
c. Electrical activity of neurons
d. Psychological behavior
Answer: a
2. The “protoplasm” mentioned in biochemistry refers to
a. Extracellular fluid
b. Cell cytoplasm plus nucleus
c. Collagen fibers
d. Blood plasma
Answer: b
3. In organized metabolic reactions we remain healthy; disorganization leads to
a. Improved immunity
b. Illness or death
c. Faster growth
d. Increased strength
Answer: b
4. Biochemistry emerged as an independent discipline in the
a. 18th century
b. Early 19th century
c. Late 19th century
d. Second half of the 20th century
Answer: d
5. Biochemists aided the discovery of vitamins’ roles in
a. Structural proteins only
b. Clinical therapies for rickets, pellagra, beriberi, scurvy, pernicious anemia
c. Mechanical properties of enzymes
d. DNA sequencing
Answer: b
6. On hydrolysis carbohydrates yield
a. Amino acids
b. Polyhydroxy aldehydes or ketones
c. Fatty acids
d. Nucleotides
Answer: b
7. General formula of a simple carbohydrate is
a. CnH2n
b. Cn(H2O)n
c. CnH2nO
d. CnO2H
Answer: b
8. Rhamnose (C6H12O5) is an exception to the formula because it lacks
a. Carbon
b. One “H2O” unit
c. Oxygen
d. A ketone group
Answer: b
9. Functional groups in carbohydrates include
a. Amines and phosphates
b. Aldehyde (-CHO) and keto (C = O)
c. Sulfhydryl only
d. Ether exclusively
Answer: b
10. The most abundant plant polysaccharide is
a. Glycogen
b. Starch
c. Cellulose
d. Glycosaminoglycan
Answer: c
11. Glucose is a(n)
a. Ketose
b. Disaccharide
c. Aldose
d. Polysaccharide
Answer: c
12. Fructose is sweetest because it is a
a. Monosaccharide, ketose
b. Disaccharide, aldose
c. Polysaccharide
d. Amino sugar
Answer: a
13. Sucrose on hydrolysis yields
a. Two glucoses
b. Glucose + fructose
c. Glucose + galactose
d. Two fructoses
Answer: b
14. Glycogen is the storage polysaccharide in
a. Plants only
b. Animals only
c. Both plants and animals
d. Bacteria
Answer: b
15. Lipids are insoluble in water but soluble in
a. Ethanol
b. Benzene, chloroform, ether
c. Saline
d. Glycerol
Answer: b
16. A triglyceride is formed by esterification of fatty acids to
a. Cholesterol
b. Glycerol
c. Sphingosine
d. Phosphate
Answer: b
17. Saturated fatty acids contain
a. At least one double bond
b. No double bonds
c. A keto group
d. An aromatic ring
Answer: b
18. Cholesterol is a precursor for
a. Vitamin C
b. Steroid hormones
c. DNA
d. Amino acids
Answer: b
19. The peptide bond links
a. Two monosaccharides
b. Fatty acids to glycerol
c. Two amino acids
d. Nucleotides
Answer: c
20. Hemoglobin’s quaternary structure is composed of
a. One polypeptide chain
b. Two alpha and two beta chains
c. RNA + protein
d. Lipid + protein
Answer: b
21. Enzymes are biological catalysts that
a. Are consumed in reactions
b. Speed up reactions without being consumed
c. Lower reaction rate
d. Change reaction equilibrium
Answer: b
22. Most enzymes are proteins except some RNA catalysts called
a. Ribozymes
b. Liposomes
c. Metalloproteins
d. Glycoproteins
Answer: a
23. Cofactors are
a. Protein portions of enzymes
b. Inorganic ions needed for enzyme activity
c. Vitamin D derivatives
d. Substrate analogues
Answer: b
24. A holoenzyme =
a. Apoenzyme + prosthetic group
b. Enzyme – substrate complex
c. Inactive precursor
d. Allosteric inhibitor
Answer: a
25. Michaelis–Menten kinetics describe the effect of
a. pH on activity
b. Substrate concentration on rate
c. Temperature on rate
d. Cofactor binding
Answer: b
26. Digestion of starch begins with
a. Pepsin in stomach
b. Salivary amylase in mouth
c. Lipase in duodenum
d. Lactase in colon
Answer: b
27. The pH optimum for pepsin is about
a. 1–2
b. 4–5
c. 7–8
d. 10–11
Answer: a
28. Competitive enzyme inhibition can be overcome by
a. Increasing substrate concentration
b. Decreasing pH
c. Lowering temperature
d. Removing cofactors
Answer: a
29. A vitamin is
a. Produced in large amounts by humans
b. An essential micronutrient
c. A macronutrient
d. A mineral
Answer: b
30. Vitamin C deficiency causes
a. Rickets
b. Scurvy
c. Pellagra
d. Beriberi
Answer: b
31. Vitamin D promotes
a. Insulin secretion
b. Calcium absorption in gut
c. Collagen synthesis
d. Red blood cell breakdown
Answer: b
32. Niacin (B3) is part of the coenzymes
a. FAD, FMN
b. NAD, NADP
c. CoA
d. Thiamine pyrophosphate
Answer: b
33. Pernicious anemia arises from deficiency of
a. Vitamin A
b. Vitamin B12
c. Vitamin C
d. Vitamin K
Answer: b
34. In DNA the base thymine pairs with
a. Adenine
b. Cytosine
c. Guanine
d. Uracil
Answer: a
35. The enzyme that makes cDNA from mRNA is
a. DNA polymerase
b. RNA polymerase
c. Reverse transcriptase
d. Ligase
Answer: c
36. A buffer system in plasma is
a. NaCl–HCl
b. HCO3−–H2CO3
c. NH4+–NH3
d. H2O–O2
Answer: b
37. Respiratory compensation for acidosis involves
a. Increasing ventilation to blow off CO2
b. Retaining CO2
c. Excreting HCO3−
d. Producing ketones
Answer: a
38. Major intracellular cation is
a. Na+
b. K+
c. Ca2+
d. Cl−
Answer: b
39. Insulin is secreted by the
a. Alpha cells of pancreas
b. Beta cells of pancreas
c. Adrenal cortex
d. Parathyroids
Answer: b
40. Thyroid hormone is derived from
a. Tryptophan
b. Tyrosine
c. Histidine
d. Phenylalanine
Answer: b
41. Oxytocin causes milk ejection by acting on
a. Myoepithelial cells
b. Hepatocytes
c. Neurons
d. Chondrocytes
Answer: a
42. Human growth hormone is a
a. Steroid
b. Peptide
c. Amino acid
d. Lipid
Answer: b
43. Peptide bond formation releases
a. Water
b. CO2
c. NH3
d. H2O2
Answer: a
44. The P–O bond in ATP is
a. Low energy
b. High energy
c. Ionic
d. Peptide
Answer: b
45. The net ATP yield from oxidation of one glucose (glycolysis + TCA + ETC) is about
a. 4
b. 12
c. 30–32
d. 100
Answer: c
46. Triglycerides yield more energy per gram than carbs because they have more
a. C–H bonds
b. C–O bonds
c. P–O bonds
d. N–H bonds
Answer: a
47. Cholesterol is integral to
a. Mitochondrial matrix
b. Cell membranes
c. Actin filaments
d. RNA formation
Answer: b
48. An amphipathic lipid in membranes is
a. Triglyceride
b. Phospholipid
c. Cholesterol exclusively
d. Wax
Answer: b
49. The first product of fatty acid β-oxidation is
a. Acetyl-CoA
b. Malonyl-CoA
c. Propionyl-CoA
d. Succinyl-CoA
Answer: a
50. Glycolysis occurs in
a. Mitochondrial matrix
b. Cytosol
c. Nucleus
d. Endoplasmic reticulum
Answer: b
51. In the hexose monophosphate shunt NADPH is produced for
a. Oxidative phosphorylation
b. Biosynthetic reductions
c. ATP synthesis
d. Ribosome assembly
Answer: b
52. The Cori cycle links muscle and liver by transporting
a. Lactate
b. Urea
c. Ammonia
d. FAs
Answer: a
53. The rate-limiting enzyme of cholesterol synthesis is
a. HMG-CoA reductase
b. Lipase
c. ATP–citrate lyase
d. Cholesterol esterase
Answer: a
54. Essential fatty acids include
a. Oleic acid only
b. Linoleic and α-linolenic acids
c. Palmitic acid
d. Stearic acid
Answer: b
55. The α-helix is an example of protein
a. Primary structure
b. Secondary structure
c. Tertiary structure
d. Quaternary structure
Answer: b
56. An example of a conjugated protein is
a. Albumin
b. Hemoglobin (heme + globin)
c. Collagen
d. Insulin
Answer: b
57. Denaturation breaks
a. Peptide bonds
b. Disulfide bridges, H-bonds, ionic bonds
c. Glycosidic bonds
d. Phosphodiester bonds
Answer: b
58. Enzyme units are often expressed as
a. mg/dL
b. μmol product/min
c. g/L
d. molarity
Answer: b
59. Km in Michaelis–Menten kinetics is the substrate concentration at half-maximal
a. Reaction velocity
b. Enzyme concentration
c. Inhibitor concentration
d. pH
Answer: a
60. Allosteric enzymes differ from Michaelis–Menten enzymes by having
a. Single active site
b. Multiple subunits and regulatory sites
c. No sensitivity to effectors
d. Only competitive inhibition
Answer: b
61. Competitive inhibitors bind the active site and increase apparent
a. Vmax only
b. Km only
c. Both Vmax and Km
d. Neither Vmax nor Km
Answer: b
62. In noncompetitive inhibition, Vmax
a. Increases
b. Decreases
c. Unchanged
d. Becomes zero
Answer: b
63. Vitamin B2 (riboflavin) is converted into
a. NADH
b. FAD, FMN
c. CoA
d. Thiamine pyrophosphate
Answer: b
64. Pellagra’s dermatitis, diarrhea, dementia, death triad is due to B3 deficiency, also called
a. Beriberi
b. Scurvy
c. Pellagra
d. Rickets
Answer: c
65. The anti-haemorrhagic vitamin is
a. A
b. C
c. D
d. K
Answer: d
66. Vitamin E protects membranes by trapping
a. Hydroxides
b. Peroxyl radicals
c. CO2
d. H2O
Answer: b
67. Thiamine deficiency causes
a. Megaloblastic anemia
b. Beriberi, Wernicke–Korsakoff
c. Rickets
d. Scurvy
Answer: b
68. The cofactor TPP is derived from
a. Niacin
b. Thiamine
c. Riboflavin
d. Biotin
Answer: b
69. Pernicious anemia is treated with
a. Oral iron
b. Intramuscular B12
c. Vitamin D
d. Niacin
Answer: b
70. A quick test for vitamin C deficiency is
a. Serum folate
b. Urine chromatography
c. Serum ascorbate level
d. Skin biopsy
Answer: c
71. DNA double helix rotations per turn ≈
a. 5
b. 10
c. 20
d. 30
Answer: b
72. In recombinant DNA work, vectors carry foreign DNA into
a. Animals only
b. Host cells (bacteria, yeast)
c. Soil
d. DNA polymerase
Answer: b
73. Restriction enzymes cut DNA at
a. Specific palindromic sequences
b. Random sites
c. Promoters
d. Ribonucleotides
Answer: a
74. DNA ligase joins
a. RNA strands
b. Okazaki fragments, vector + insert
c. Fatty acids
d. Proteins
Answer: b
75. Reverse transcriptase synthesizes cDNA from
a. Genomic DNA
b. mRNA
c. tRNA
d. rRNA
Answer: b
76. A genomic library contains
a. All mRNAs of a cell
b. All genomic DNA fragments
c. Only exons
d. Only plasmid DNA
Answer: b
77. cDNA libraries lack
a. Introns
b. Exons
c. Promoters
d. Poly-A tails
Answer: a
78. PCR amplifies DNA using
a. DNA ligase
b. Taq polymerase
c. Reverse transcriptase
d. RNase
Answer: b
79. Acid–base balance is regulated by buffers, lungs, kidneys. Lungs adjust
a. Urine pH
b. CO2 exhalation
c. Sodium retention
d. Bicarbonate synthesis
Answer: b
80. A normal arterial pH is about
a. 6.8
b. 7.4
c. 7.8
d. 8.2
Answer: b
81. Respiratory acidosis shows
a. Low CO2, high pH
b. High CO2, low pH
c. High HCO3–, high pH
d. Low HCO3–, high pH
Answer: b
82. Metabolic alkalosis is characterized by
a. ↓ HCO3–, ↓ pH
b. ↑ HCO3–, ↑ pH
c. ↑ CO2, ↓ pH
d. ↓ CO2, ↓ pH
Answer: b
83. Major extracellular anion is
a. Na+
b. K+
c. Cl–
d. Ca2+
Answer: c
84. Hyperkalemia most likely causes
a. Muscle weakness, arrhythmias
b. Tetany
c. Alkalosis
d. Polyuria
Answer: a
85. Insulin promotes uptake of
a. Glucose, K+ into cells
b. Calcium only
c. Sodium only
d. Urea
Answer: a
86. ADH increases water reabsorption in
a. Proximal tubule
b. Collecting duct
c. Loop of Henle
d. Glomerulus
Answer: b
87. Erythropoietin is produced by
a. Liver
b. Kidney
c. Bone marrow
d. Pituitary
Answer: b
88. Parathyroid hormone raises serum calcium by all EXCEPT
a. ↑ bone resorption
b. ↑ renal Ca2+ reabsorption
c. ↑ intestinal Ca2+ absorption (via active D)
d. ↓ calcitriol production
Answer: d
89. Calcitonin from thyroid parafollicular cells lowers Ca2+ by
a. Inhibiting osteoclasts
b. Promoting GI calcium absorption
c. Increasing renal reabsorption
d. Increasing PTH
Answer: a
90. Glucagon’s primary action in liver is to
a. Inhibit gluconeogenesis
b. Stimulate glycogenolysis, gluconeogenesis
c. Convert glycerol to triglyceride
d. Increase lipogenesis
Answer: b
91. The primary messenger for insulin is
a. cAMP
b. Ca2+ only
c. Glucose
d. Cl–
Answer: a
92. Steroid hormones act by binding
a. Membrane receptor, cAMP
b. Intracellular nuclear receptors
c. Ion channels
d. G-protein i receptors only
Answer: b
93. An example of steroid hormone is
a. Insulin
b. Cortisol
c. Glucagon
d. Epinephrine
Answer: b
94. Thyroid hormones require iodine for synthesis of
a. T3, T4
b. A, D
c. E only
d. B12
Answer: a
95. The average adult needs about ________ mg of sodium per day.
a. 1–2 g
b. 10–20 mg
c. 100–200 mg
d. 0.5 mg
Answer: a
96. Water makes up about ________ % of total body weight.
a. 10
b. 30
c. 60
d. 90
Answer: c
97. Hypernatremia often presents with
a. Cellular swelling
b. Confusion, irritability, coma
c. Tachycardia
d. Hypotension only
Answer: b
98. Metabolic acidosis compensation via respiration shows
a. Decreased ventilation
b. Increased ventilation
c. No change
d. Hypokalemia
Answer: b
99. A major intracellular buffer is
a. HCO3−
b. Hemoglobin
c. Phosphate
d. Protein
Answer: c
100. A key organ for long-term acid–base regulation is the
a. Liver
b. Kidney
c. Lung
d. Pancreas
Answer: b
101. In glycolysis, the first committed step is catalyzed by:
a. Hexokinase
b. Phosphofructokinase-1
c. Pyruvate kinase
d. Aldolase
Answer: b
102. Fructose-2,6-bisphosphate allosterically activates:
a. Hexokinase
b. Pyruvate kinase
c. Phosphofructokinase-1
d. Fructose-1,6-bisphosphatase
Answer: c
103. In the liver, the “high-Km” hexokinase isoform is called:
a. Hexokinase I
b. Hexokinase II
c. Glucokinase
d. Fructokinase
Answer: c
104. The enzyme that produces NADH in the glyceraldehyde-3-phosphate step is:
a. Phosphoglycerate kinase
b. Glyceraldehyde-3-phosphate dehydrogenase
c. Enolase
d. Aldolase
Answer: b
105. The net ATP yield of anaerobic glycolysis per glucose is:
a. 1
b. 2
c. 4
d. 6
Answer: b
106. Lactate dehydrogenase regenerates NAD+ by converting pyruvate into:
a. Acetyl-CoA
b. Oxaloacetate
c. Lactate
d. Alanine
Answer: c
107. The Citric Acid Cycle occurs in the:
a. Cytosol
b. Mitochondrial matrix
c. Nucleus
d. Endoplasmic reticulum
Answer: b
108. The rate-limiting enzyme of the TCA cycle is:
a. Citrate synthase
b. Isocitrate dehydrogenase
c. α-Ketoglutarate dehydrogenase
d. Succinate dehydrogenase
Answer: b
109. α-Ketoglutarate dehydrogenase requires all EXCEPT:
a. TPP (thiamine pyrophosphate)
b. FAD
c. NAD+
d. Biotin
Answer: d
110. Succinate dehydrogenase is unique because it also participates in:
a. Glycolysis
b. Electron transport chain
c. Urea cycle
d. Fatty acid synthesis
Answer: b
111. The major proton pump complexes in ETC are I, III and:
a. Complex II
b. Complex IV
c. Complex V
d. Cytochrome c only
Answer: b
112. ATP synthase is also known as:
a. Complex III
b. Complex IV
c. Complex V
d. Cytochrome c
Answer: c
113. The P:O ratio approximates the ATP generated per pair of electrons passing to:
a. Oxygen
b. NADH
c. FADH2
d. ADP
Answer: a
114. In oxidative phosphorylation, the chemiosmotic theory was proposed by:
a. Warburg
b. Krebs
c. Mitchell
d. Gibbs
Answer: c
115. Fatty acid β-oxidation occurs in the:
a. Cytosol
b. Mitochondrial matrix
c. Peroxisome only
d. Nucleus
Answer: b
116. The carnitine shuttle transports fatty acyl groups into mitochondria by:
a. Simple diffusion
b. Esterifying them to carnitine
c. Binding to CoA in cytosol
d. Converting to ketone bodies
Answer: b
117. Ketone bodies (acetoacetate, β-hydroxybutyrate) are produced by the:
a. Brain
b. Liver
c. Muscle
d. Kidney
Answer: b
118. The major site of gluconeogenesis is the:
a. Muscle
b. Kidney
c. Liver
d. Brain
Answer: c
119. Gluconeogenesis bypasses pyruvate kinase by first converting oxaloacetate to:
a. Phosphoenolpyruvate
b. Malate
c. Citrate
d. Acetyl-CoA
Answer: b
120. The Cori cycle shuttles lactate from muscle to the liver, converting it back to:
a. Pyruvate
b. Glucose
c. Ketone bodies
d. Alanine
Answer: b
121. The hexose monophosphate shunt provides NADPH for:
a. Oxidative phosphorylation
b. Fatty acid synthesis, detoxification
c. Amino acid catabolism
d. Glycogen breakdown
Answer: b
122. Glucose-6-phosphate dehydrogenase deficiency causes:
a. Megaloblastic anemia
b. Hemolytic anemia under oxidative stress
c. Hypoglycemia
d. Rickets
Answer: b
123. Glycogen phosphorylase deficiency in muscle leads to:
a. Pompe disease
b. McArdle disease
c. von Gierke disease
d. Hers disease
Answer: b
124. Glycogen synthase is activated by:
a. cAMP
b. Glucose-6-phosphate
c. Glucagon
d. Epinephrine
Answer: b
125. Urea is synthesized primarily in the:
a. Kidney
b. Liver
c. Muscle
d. Pancreas
Answer: b
126. The first nitrogen in urea originates from ammonia; the second from:
a. Glutamate
b. Aspartate
c. Alanine
d. Carbamoyl phosphate
Answer: b
127. The vitamin derivative required in transamination is:
a. NAD+
b. Biotin
c. Pyridoxal phosphate (B6)
d. Thiamine pyrophosphate
Answer: c
128. Phenylketonuria arises from deficiency of:
a. Tyrosine hydroxylase
b. Phenylalanine hydroxylase
c. Homogentisate oxidase
d. Branched‐chain α-keto acid dehydrogenase
Answer: b
129. Maple syrup urine disease is due to defect in:
a. Urea cycle
b. Phenylalanine metabolism
c. Branched-chain α-keto acid dehydrogenase
d. Homogentisate oxidase
Answer: c
130. In Alopecia areata, the autoimmune attack primarily targets:
a. Keratinocytes
b. Melanocytes
c. Hair follicles
d. Sebaceous glands
Answer: c
131. Lipoprotein lipase is activated by:
a. Insulin
b. Glucagon
c. Epinephrine
d. Thyroxine
Answer: a
132. The rate-limiting enzyme of cholesterol biosynthesis is:
a. Acetyl-CoA carboxylase
b. HMG-CoA reductase
c. Squalene synthase
d. Cholesterol oxidase
Answer: b
133. Statins lower cholesterol by inhibiting:
a. Pancreatic lipase
b. HMG-CoA reductase
c. LDL receptor
d. CETP
Answer: b
134. Familial hypercholesterolemia is due to lack of functional:
a. Lipoprotein lipase
b. HMG-CoA reductase
c. LDL receptors
d. HDL receptors
Answer: c
135. HDL mediates reverse cholesterol transport via:
a. CETP
b. LCAT
c. Apolipoprotein B
d. ATGL
Answer: b
136. ApoB-100 is essential for:
a. VLDL assembly
b. HDL maturation
c. Lipoprotein lipase activity
d. CETP exchange
Answer: a
137. Beta-oxidation of an odd-chain fatty acid yields propionyl-CoA which enters TCA as:
a. Acetyl-CoA
b. Succinyl-CoA
c. Pyruvate
d. Oxaloacetate
Answer: b
138. Ketone bodies can be used for fuel by all EXCEPT:
a. Liver
b. Brain
c. Muscle
d. Kidney
Answer: a
139. The cori cycle protects muscle from lactic acidosis by:
a. Exporting glucose
b. Converting lactate to glucose in liver
c. Using lactate as fuel in muscle
d. Converting lactate to alanine
Answer: b
140. The palmitate shuttle for FA synthesis exports citrate from mitochondria in exchange for:
a. Oxaloacetate
b. Malate
c. Acetate
d. Pyruvate
Answer: b
141. Acetyl-CoA carboxylase is allosterically activated by:
a. Palmitoyl-CoA
b. Citrate
c. AMP
d. Glucagon
Answer: b
142. The glyoxylate cycle occurs in:
a. Bacteria only
b. Plants and bacteria
c. Animals
d. Fungi only
Answer: b
143. The primary amino acid for nitrogen transport from muscle to liver is:
a. Glutamine
b. Alanine
c. Aspartate
d. Serine
Answer: b
144. Ammonia is detoxified in the brain mainly by:
a. Urea cycle
b. Glutamine synthetase
c. Glutamate dehydrogenase
d. Carbamoyl phosphate synthetase I
Answer: b
145. Carbamoyl phosphate synthetase II acts in:
a. Urea cycle
b. Pyrimidine synthesis (cytosol)
c. Purine synthesis
d. Fatty acid oxidation
Answer: b
146. The pyrimidine ring is built on the ribose-5-phosphate backbone in:
a. Purine synthesis
b. Pyrimidine synthesis
c. Glycolysis
d. Pentose phosphate path
Answer: b
147. De novo purine synthesis is inhibited by:
a. AMP, GMP feedback
b. UTP feedback
c. CTP feedback
d. IMP depletion
Answer: a
148. Xanthine oxidase inhibitors (allopurinol) treat gout by blocking:
a. Purine synthesis
b. Uric acid formation
c. Urea cycle
d. Pyrimidine salvage
Answer: b
149. DNA replication in eukaryotes requires a short RNA primer made by:
a. DNA polymerase I
b. Primase
c. Ligase
d. Helicase
Answer: b
150. Telomerase maintains chromosome ends by adding repeats using:
a. DNA
b. RNA template
c. Reverse transcriptase activity
d. DNA ligase
Answer: c
151. Cyclin D binds CDK4 to promote progression through:
a. G1/S checkpoint
b. G2/M checkpoint
c. S phase progression
d. Metaphase
Answer: a
152. p53 induces expression of p21, which inhibits:
a. Cyclin E–CDK2
b. Cyclin B–CDK1
c. Cyclin A–CDK2
d. Cyclin D–CDK4
Answer: a
153. The intrinsic apoptotic pathway is initiated by:
a. Death receptor activation
b. DNA damage and mitochondrial cytochrome c release
c. Granzyme B from cytotoxic T cells
d. TNF-α binding
Answer: b
154. Bcl-2 family proteins regulate apoptosis by controlling:
a. Caspase activation
b. Mitochondrial membrane permeability
c. DNA fragmentation
d. Death receptor clustering
Answer: b
155. In receptor tyrosine kinase signaling, adaptor protein Grb2 binds to:
a. SH2 domain on phosphorylated RTK
b. GTP-bound Ras
c. PI3K
d. JAK
Answer: a
156. The MAPK cascade includes Ras, Raf, MEK and:
a. ERK
b. PI3K
c. AKT
d. JNK
Answer: a
157. G-protein-coupled receptors activate Gα subunits by exchanging GDP for:
a. ATP
b. cGMP
c. GTP
d. GDP
Answer: c
158. Adenylyl cyclase catalyzes conversion of ATP to:
a. cAMP
b. ATP
c. cGMP
d. GTP
Answer: a
159. Phospholipase C cleaves PIP2 into DAG and:
a. IP3
b. cAMP
c. PI3P
d. PIP3
Answer: a
160. IP3 stimulates release of Ca2+ from:
a. Endoplasmic reticulum
b. Golgi apparatus
c. Mitochondria
d. Lysosomes
Answer: a
161. The first line of defense in innate immunity includes:
a. Natural killer cells
b. Antibodies
c. Complement proteins
d. Memory T cells
Answer: c
162. Toll-like receptors recognize pathogen-associated molecular patterns and are located on:
a. Nuclear membrane
b. Cell surface or endosomal membranes
c. Mitochondrial membrane
d. Cytosol only
Answer: b
163. Neutrophils kill bacteria primarily by:
a. Phagocytosis and respiratory burst
b. Antibody production
c. Complement activation
d. Cytotoxic granule release
Answer: a
164. Presentation of endogenous antigens occurs via MHC class:
a. I
b. II
c. III
d. IV
Answer: a
165. CD8+ T cells recognize peptides bound to:
a. MHC I
b. MHC II
c. MHC III
d. MHC IV
Answer: a
166. B cells undergo somatic hypermutation and class switching in the:
a. Bone marrow
b. Thymus
c. Germinal centers of lymph nodes
d. Spleen white pulp
Answer: c
167. IgG is the only immunoglobulin that:
a. Crosses the placenta
b. Has a pentameric structure
c. Exists as a dimer
d. Activates mast cells
Answer: a
168. Complement component C3b is an opsonin that facilitates:
a. Phagocytosis
b. Membrane attack complex formation
c. Chemotaxis
d. B cell activation
Answer: a
169. Toll-like receptor 4 recognizes:
a. Lipopolysaccharide
b. Flagellin
c. Double-stranded RNA
d. Unmethylated CpG DNA
Answer: a
170. Natural killer cells detect infected cells by binding those with low levels of:
a. MHC I
b. MHC II
c. IgG
d. CD4
Answer: a
171. Polymerase chain reaction requires all EXCEPT:
a. DNA template
b. DNA primers
c. dNTPs
d. Topoisomerase
Answer: d
172. In Southern blotting, DNA fragments are separated by:
a. Agarose gel electrophoresis
b. SDS-PAGE
c. Two-dimensional gel
d. Isoelectric focusing
Answer: a
173. Northern blotting is used to detect:
a. RNA
b. DNA
c. Protein
d. Lipids
Answer: a
174. Western blotting detects specific proteins using:
a. Antibodies
b. Probes
c. Restriction enzymes
d. Radiolabeled nucleotides
Answer: a
175. CRISPR-Cas9 genome editing uses guide RNA and:
a. Cas9 nuclease
b. dCas9 inactive form
c. RNA polymerase
d. Reverse transcriptase
Answer: a

176. Microarrays analyze gene expression by measuring:
a. mRNA hybridization to probes on a chip
b. Protein levels by mass spectrometry
c. DNA methylation only
d. Chromatin structure
Answer: a
177. A reporter gene assay often uses luciferase to monitor:
a. Promoter activity
b. Protein–protein interactions
c. RNA splicing
d. DNA replication
Answer: a
178. In flow cytometry, forward scatter correlates with:
a. Cell size
b. Granularity
c. Fluorescence intensity
d. Cell viability
Answer: a
179. FACS sorts cells based on:
a. Light scattering and fluorescence
b. Electrical impedance only
c. Magnetic beads
d. Density gradient
Answer: a
180. DNA sequencing by the Sanger method uses:
a. Dideoxynucleotides
b. Reverse transcriptase
c. RNA polymerase
d. Restriction enzymes
Answer: a
181. The dose at which 50% of subjects exhibit a response is:
a. EC50
b. ED50
c. TD50
d. LD50
Answer: b
182. A noncompetitive antagonist:
a. Decreases Vmax without affecting Km
b. Increases Km without affecting Vmax
c. Decreases both Km and Vmax
d. Has no effect on Vmax
Answer: a
183. The volume of distribution (Vd) is the ratio of drug amount to:
a. Plasma concentration
b. Urine concentration
c. Tissue binding
d. Clearance
Answer: a
184. Drug clearance (Cl) is calculated by:
a. Rate of elimination / plasma concentration
b. Dose / AUC
c. Vd / half-life
d. Km / Vmax
Answer: a
185. Phase I drug metabolism primarily involves:
a. Oxidation, reduction, hydrolysis
b. Conjugation
c. Excretion unchanged
d. Glycosylation
Answer: a
186. Cytochrome P450 enzymes are located mainly in the:
a. Liver endoplasmic reticulum
b. Mitochondrial matrix
c. Cytosol
d. Golgi apparatus
Answer: a
187. The half-life (t1/2) of a drug depends on Vd and:
a. Clearance
b. Bioavailability
c. Absorption rate
d. Protein binding
Answer: a
188. Agonist efficacy refers to:
a. Maximum response achievable
b. Affinity for receptor
c. Rate of dissociation
d. Volume of distribution
Answer: a
189. Binding of T3 and T4 to nuclear receptors modulates:
a. Gene transcription
b. Ion channel opening
c. cAMP production
d. G-protein activation
Answer: a
190. Cortisol exerts its effects by:
a. Altering gene transcription via glucocorticoid receptor
b. Activating adenylate cyclase
c. Binding membrane receptors only
d. Inhibiting JAK-STAT pathway
Answer: a
191. The primary thyroid hormone produced by the thyroid gland is:
a. T4 (thyroxine)
b. T3 (triiodothyronine)
c. rT3 (reverse T3)
d. Calcitonin
Answer: a
192. Parathyroid hormone increases serum calcium by:
a. Increasing bone resorption
b. Increasing urinary calcium excretion
c. Decreasing vitamin D activation
d. Inhibiting osteoclasts
Answer: a
193. Insulin stimulates glucose uptake in muscle by translocating:
a. GLUT4 transporters to the cell surface
b. GLUT2 to the membrane
c. SGLT1 to the cell surface
d. GLUT1 to the membrane
Answer: a
194. Glucagon acts through a Gs-coupled receptor to increase:
a. cAMP
b. IP3
c. DAG
d. Calcium
Answer: a
195. Growth hormone release is stimulated by:
a. GHRH and ghrelin
b. Somatostatin
c. IGF-1 feedback
d. Cortisol
Answer: a
196. Prolactin release is inhibited by:
a. Dopamine
b. Oxytocin
c. TRH
d. CRH
Answer: a
197. ADH (vasopressin) acts on the kidney’s collecting duct via:
a. V2 receptors, increasing water reabsorption
b. V1 receptors, increasing sodium reabsorption
c. V2 receptors, decreasing water reabsorption
d. V1 receptors, increasing potassium secretion
Answer: a
198. The renin-angiotensin-aldosterone system is activated by:
a. Low renal perfusion pressure
b. High sodium delivery
c. Increased atrial stretch
d. High blood pressure
Answer: a
199. Aldosterone increases sodium reabsorption and potassium secretion in:
a. Distal tubule and collecting duct
b. Proximal tubule
c. Loop of Henle
d. Glomerulus
Answer: a
200. Erythropoietin is primarily produced by cells in the:
a. Renal interstitium of peritubular fibroblasts
b. Liver Kupffer cells
c. Bone marrow stromal cells
d. Spleen macrophages
Answer: a

201. The resting membrane potential of a typical neuron is approximately:
a. –90 mV
b. –70 mV
c. –55 mV
d. +30 mV
Answer: b
202. The upstroke (phase 0) of a neuronal action potential is primarily due to:
a. Na+ influx
b. K+ efflux
c. Ca2+ influx
d. Cl– influx
Answer: a
203. The absolute refractory period results from inactivation of:
a. K+ channels
b. Na+ channels
c. Ca2+ channels
d. Cl– channels
Answer: b
204. Saltatory conduction occurs at the:
a. Nodes of Ranvier
b. Neuromuscular junction
c. Dendritic spines
d. Myelin sheath internodes
Answer: a
205. At the neuromuscular junction, acetylcholine is degraded by:
a. Acetylcholinesterase
b. Choline acetyltransferase
c. Butyrylcholinesterase
d. Monoamine oxidase
Answer: a
206. Smooth muscle contraction is regulated by:
a. Ca2+–calmodulin activation of myosin light-chain kinase
b. Troponin binding Ca2+
c. Ryanodine receptor activation
d. Dihydropyridine receptor
Answer: a
207. The plateau phase (phase 2) of the cardiac action potential is due to:
a. Ca2+ influx
b. K+ efflux
c. Na+ influx
d. Cl– influx
Answer: a
208. The Frank–Starling law states that stroke volume increases with:
a. Increased preload
b. Increased afterload
c. Increased heart rate
d. Increased contractility
Answer: a
209. The primary pacemaker of the heart is located in the:
a. Sinoatrial (SA) node
b. Atrioventricular (AV) node
c. Purkinje fibers
d. Bundle of His
Answer: a
210. In blood, the majority of CO2 is transported as:
a. Bicarbonate (HCO3–)
b. Dissolved CO2
c. Carbaminohemoglobin
d. Carbon monoxide complex
Answer: a
211. A rightward shift of the oxyhemoglobin dissociation curve occurs with:
a. Increased 2,3-BPG
b. Increased pH
c. Decreased temperature
d. Decreased CO2
Answer: a
212. The primary muscle of quiet inspiration is the:
a. Diaphragm
b. Internal intercostals
c. External intercostals
d. Rectus abdominis
Answer: a
213. The glomerular filtration barrier includes all EXCEPT:
a. Fenestrated endothelium
b. Basement membrane
c. Podocyte foot processes
d. Parietal layer of Bowman’s capsule
Answer: d
214. The majority of filtered glucose is reabsorbed in the:
a. Proximal convoluted tubule
b. Loop of Henle
c. Distal convoluted tubule
d. Collecting duct
Answer: a
215. Aldosterone increases sodium reabsorption primarily by upregulating:
a. Epithelial sodium channels (ENaC)
b. Na+–K+–2Cl– cotransporter (NKCC)
c. Na+/K+ ATPase
d. Aquaporin-2 channels
Answer: a
216. Gastric parietal cells secrete hydrogen ions via:
a. H+/K+ ATPase
b. Na+/H+ exchanger
c. Carbonic anhydrase
d. K+/Cl– cotransporter
Answer: a
217. Gastric chief cells secrete:
a. Pepsinogen
b. Hydrochloric acid
c. Mucus
d. Intrinsic factor
Answer: a
218. Bile acids are synthesized from:
a. Cholesterol
b. Triglycerides
c. Phospholipids
d. Amino acids
Answer: a
219. Pancreatic exocrine secretion is stimulated by:
a. Cholecystokinin (CCK) and secretin
b. Gastrin
c. Motilin
d. Substance P
Answer: a
220. Hepatic portal vein blood is:
a. Nutrient-rich and oxygen-poor
b. Oxygen-rich and nutrient-poor
c. Nutrient-rich and oxygen-rich
d. Nutrient-poor and oxygen-poor
Answer: a
221. The largest lymphoid organ in the body is the:
a. Spleen
b. Thymus
c. Lymph node
d. Tonsil
Answer: a
222. The intrinsic coagulation pathway is initiated by:
a. Contact activation of factor XII
b. Tissue factor exposure
c. Platelet adhesion
d. Fibrinogen conversion
Answer: a
223. Vitamin K is required for γ-carboxylation of:
a. Prothrombin (factor II) and factors VII, IX, X
b. Fibrinogen
c. Factor XI
d. Factor V
Answer: a
224. Aplastic anemia is characterized by:
a. Pancytopenia with hypocellular bone marrow
b. Hemolysis
c. Microcytic RBCs
d. Megaloblastic changes
Answer: a
225. Thalassemias result from mutations in:
a. Globin chains of hemoglobin
b. Porphyrin synthesis
c. Heme iron insertion
d. Erythropoietin receptor
Answer: a
226. Sickle cell anemia is caused by a:
a. Point mutation in the β-globin gene
b. Frameshift insertion in α-globin
c. Nonsense mutation in γ-globin
d. Deletion of δ-globin
Answer: a
227. The osmotic fragility test is positive in:
a. Hereditary spherocytosis
b. G6PD deficiency
c. Immune hemolytic anemia
d. Sickle cell disease
Answer: a
228. Eosinophils are primarily involved in:
a. Parasitic infections and allergic reactions
b. Bacterial phagocytosis
c. Antiviral defense
d. Clot stabilization
Answer: a
229. The humoral immune response is mediated by:
a. B cells and antibodies
b. T cells and macrophages
c. Natural killer cells
d. Complement only
Answer: a
230. Natural killer cells target cells lacking:
a. MHC I
b. Antibody coating
c. Complement proteins
d. T-cell receptors
Answer: a
231. Bacterial cell wall peptidoglycan is composed of:
a. N-acetylglucosamine and N-acetylmuramic acid
b. Lipopolysaccharide
c. Teichoic acids only
d. Phospholipids
Answer: a
232. Gram-positive bacteria are characterized by:
a. Thick peptidoglycan layer
b. Outer membrane
c. Lipopolysaccharide-rich outer layer
d. Periplasmic space only
Answer: a
233. β-Lactam antibiotics inhibit:
a. Transpeptidase (DD-transpeptidase)
b. DNA gyrase
c. 30S ribosomal subunit
d. Dihydrofolate reductase
Answer: a
234. Chloramphenicol binds to the:
a. 50S ribosomal subunit
b. 30S ribosomal subunit
c. DNA-dependent RNA polymerase
d. Peptidoglycan synthesis enzymes
Answer: a
235. Mycobacterium tuberculosis is classically:
a. Acid-fast bacillus
b. Gram-negative cocci
c. Spore-forming rod
d. Catalase-negative
Answer: a
236. HIV primarily infects:
a. CD4+ T cells
b. B cells
c. Neutrophils
d. Erythrocytes
Answer: a
237. Influenza virus uncoating is triggered by:
a. Low pH in the endosome
b. Cytosolic proteases
c. Neutral pH in the ER
d. Capsid phosphorylation
Answer: a
238. Antigenic shift in influenza results from:
a. Reassortment of segmented genome
b. Point mutations in hemagglutinin
c. Recombination with bacterial DNA
d. Deletion of neuraminidase gene
Answer: a
239. PCR amplification requires:
a. Thermal cycling
b. Constant temperature
c. UV light activation
d. Magnetic beads
Answer: a
240. Southern blotting detects:
a. Specific DNA sequences
b. Specific RNA sequences
c. Proteins
d. Lipids
Answer: a
241. Mendel’s first law is the law of:
a. Segregation
b. Independent assortment
c. Dominance
d. Linkage
Answer: a
242. Hardy–Weinberg equilibrium requires all EXCEPT:
a. No selection
b. Large population
c. Non-random mating
d. No mutation
Answer: c
243. Trisomy 21 (Down syndrome) usually arises from nondisjunction of:
a. Chromosome 21
b. Chromosome 18
c. Chromosome X
d. Chromosome 13
Answer: a
244. Epigenetic gene silencing often involves:
a. DNA methylation
b. Point mutation
c. Chromosomal translocation
d. RNA splicing
Answer: a
245. Tumor suppressor genes follow:
a. Knudson’s two-hit hypothesis
b. Single-hit activation
c. Oncogene activation pattern
d. Haploinsufficiency only
Answer: a
246. Oncogenes typically arise via:
a. Gain-of-function mutations
b. Loss-of-function mutations
c. Deletion of both alleles
d. Enhanced DNA repair
Answer: a
247. BRCA1 mutations increase the risk of:
a. Breast and ovarian cancer
b. Prostate cancer
c. Lung cancer
d. Melanoma
Answer: a
248. Carcinomas originate from:
a. Epithelial cells
b. Connective tissue
c. Lymphoid tissue
d. Nervous tissue
Answer: a
249. Sarcomas arise from:
a. Mesenchymal (connective) tissue
b. Epithelial tissue
c. Lymphoid tissue
d. Neural tissue
Answer: a
250. Cancer staging commonly uses the:
a. TNM system
b. Gleason score
c. Apgar score
d. Child–Pugh score
Answer: a

251. Atrial natriuretic peptide exerts its effects via which second messenger?
a. cAMP
b. cGMP
c. IP3
d. DAG
Answer: b
252. Cardiac output is defined as:
a. Stroke volume × Heart rate
b. Peripheral vascular resistance × Mean arterial pressure
c. End-diastolic volume – End-systolic volume
d. Systemic vascular resistance × Blood pressure
Answer: a
253. The area enclosed by the left ventricular pressure-volume loop represents:
a. Stroke volume
b. Stroke work
c. Ejection fraction
d. End-diastolic volume
Answer: b
254. Hepatic stellate (Ito) cells primarily store:
a. Glycogen
b. Vitamin A
c. Bilirubin
d. Ferritin
Answer: b
255. Kupffer cells are resident macrophages in the:
a. Hepatic sinusoids
b. Portal tract stroma
c. Bile canaliculi
d. Central vein
Answer: a
256. Proximal convoluted tubule epithelial cells are characterized histologically by:
a. Microvilli brush border
b. Squamous flattened cells
c. Sparse mitochondria and few microvilli
d. Ciliated epithelium
Answer: a
257. Alport syndrome is due to mutation in type ___ collagen.
a. I
b. III
c. IV
d. V
Answer: c
258. Goodpasture syndrome involves autoantibodies against:
a. Alveolar and glomerular basement membranes
b. Type I collagen
c. Desmosomal cadherins
d. Podocyte slit-diaphragm proteins
Answer: a
259. Membranous nephropathy is characterized by subepithelial:
a. Immune complex deposits
b. Electron-lucent “spikes” on BM
c. Podocyte foot process effacement only
d. Crescent formation
Answer: a
260. Minimal change disease features diffuse podocyte:
a. Foot process effacement
b. Basement membrane thickening
c. Subendothelial immune deposits
d. Mesangial matrix expansion
Answer: a
261. Diabetic nephropathy often shows nodular glomerulosclerosis known as:
a. Kimmelstiel–Wilson nodules
b. Mallory bodies
c. Councilman bodies
d. Negri bodies
Answer: a
262. WAGR syndrome (Wilms tumor, Aniridia, GU malformation, mental Retardation) is due to deletion of the ___ gene on chromosome 11.
a. WT1
b. NF1
c. RB1
d. TP53
Answer: a
263. The liability threshold model explains inheritance of:
a. Multifactorial quantitative traits
b. Mendelian single-gene disorders
c. Chromosomal nondisjunction syndromes
d. X-linked recessive diseases
Answer: a
264. Penetrance refers to the proportion of individuals with a genotype who:
a. Express the associated phenotype
b. Show variable severity of disease
c. Carry de novo mutations
d. Have gene dosage effects
Answer: a
265. Expressivity describes the:
a. Degree of phenotypic variation among individuals with the same genotype
b. Proportion of affected family members
c. Frequency of new mutations
d. Inheritance pattern of a gene
Answer: a
266. Pleiotropy occurs when one gene:
a. Influences multiple distinct phenotypic traits
b. Is located on multiple chromosomes
c. Controls a single trait only
d. Has no phenotypic effect
Answer: a
267. Nondisjunction during meiosis I yields two gametes with:
a. n+1 and two with n−1
b. All with n
c. One with 2n and three with n
d. One with n and three with n+1
Answer: a
268. A Robertsonian translocation involves fusion of:
a. Two acrocentric chromosomes at the centromere
b. Two metacentric chromosomes
c. The X and Y chromosomes
d. Chromosome arms without centromeres
Answer: a
269. Fluorescence in situ hybridization (FISH) uses:
a. Fluorescent DNA probes to detect specific chromosomal sequences
b. Radioactive probes in a Southern blot
c. Antibody probes in a Western blot
d. DNA polymerase in PCR amplification
Answer: a
270. Sanger DNA sequencing relies on incorporation of:
a. Dideoxynucleotides
b. Standard deoxynucleotides
c. RNA nucleotides
d. DNA ligase
Answer: a
271. Next-generation sequencing differs from Sanger sequencing by:
a. Massive parallelization of DNA reads
b. Using only dideoxynucleotides
c. Requiring bacterial cloning of templates
d. Exclusively sequencing RNA
Answer: a
272. Adenoviral vectors used in gene therapy:
a. Remain episomal and do not integrate
b. Integrate into the host genome
c. Have >100 kb packaging capacity
d. Elicit no immune response
Answer: a
273. Retroviral vectors require which enzyme to integrate into host DNA?
a. Reverse transcriptase
b. DNA polymerase I
c. RNA polymerase II
d. DNA ligase
Answer: a
274. siRNA mediates gene silencing by:
a. Degrading complementary mRNA via the RISC complex
b. Promoting DNA methylation
c. Acetylating histones
d. Blocking ribosomal subunits
Answer: a
275. DNA methylation in mammals occurs primarily at:
a. CpG dinucleotides
b. AT-rich regions
c. Telomeric repeats
d. Histone proteins
Answer: a
276. Histone acetylation is generally associated with:
a. Transcriptional activation
b. DNA methylation
c. Chromatin condensation
d. Gene silencing
Answer: a
277. MicroRNAs (miRNAs) regulate gene expression by:
a. Binding to target mRNAs and inhibiting translation
b. Enhancing mRNA splicing
c. Promoting DNA replication
d. Cleaving genomic DNA
Answer: a
278. The RAS oncogene encodes a:
a. GTP-binding protein (GTPase)
b. Tyrosine kinase receptor
c. Transcription factor
d. Cyclin-dependent kinase
Answer: a
279. The p53 tumor suppressor activates transcription of ___ to induce cell cycle arrest.
a. p21
b. Cyclin D
c. MDM2
d. Telomerase
Answer: a
280. Caspase-3, an executioner caspase, primarily:
a. Cleaves cellular substrates during apoptosis
b. Phosphorylates Bcl-2
c. Activates NF-κB
d. Inhibits cytochrome c release
Answer: a
281. Autophagy involves formation of:
a. Autophagosomes that fuse with lysosomes
b. Apoptotic bodies
c. Nuclear envelopes
d. Death-inducing signaling complexes
Answer: a
282. Acute inflammation is characterized predominantly by:
a. Neutrophil infiltration
b. Lymphocyte proliferation
c. Plasma cell accumulation
d. Eosinophil predominance
Answer: a
283. Chronic inflammation is marked by:
a. Macrophages and lymphocytes
b. Neutrophils only
c. Basophils only
d. Eosinophils exclusively
Answer: a
284. Granuloma formation requires activated:
a. Macrophages (epithelioid histiocytes)
b. Fibroblasts only
c. Neutrophils exclusively
d. Eosinophils only
Answer: a
285. Caseous necrosis is classically seen in:
a. Tuberculosis
b. Wet gangrene
c. Fat necrosis
d. Fibrinoid necrosis
Answer: a
286. Fibrinoid necrosis is characteristic of:
a. Immune complex–mediated vasculitis
b. Coagulative necrosis
c. Liquefactive necrosis
d. Fat necrosis
Answer: a
287. Liquefactive necrosis is typical of:
a. Brain infarction
b. Myocardial infarction
c. Tuberculous lymph nodes
d. Fat tissue
Answer: a
288. Coagulative necrosis is usually seen in:
a. Myocardial infarction
b. Brain infarction
c. Abscess formation
d. Pancreatitis
Answer: a
289. Pancreatic fat necrosis often leads to saponification due to release of:
a. Lipases
b. Proteases
c. Amylases
d. Elastases
Answer: a
290. Atherosclerotic plaques develop in the:
a. Tunica intima of large arteries
b. Tunica media of veins
c. Capillaries
d. Lymphatic vessels
Answer: a
291. Hepatic steatosis (fatty change) is characterized by accumulation of:
a. Triglycerides in hepatocytes
b. Glycogen in stellate cells
c. Bilirubin in bile ducts
d. Iron in Kupffer cells
Answer: a
292. Cirrhosis histologically shows regenerative nodules surrounded by:
a. Fibrous septa
b. Fatty infiltration
c. Hemochromatosis
d. Mallory bodies only
Answer: a
293. Acute pancreatitis is diagnosed by elevated serum:
a. Amylase and lipase
b. ALT and AST only
c. Alkaline phosphatase
d. Creatine kinase
Answer: a
294. Chronic pancreatitis is characterized by:
a. Irreversible fibrosis and calcifications
b. Reversible edema
c. Granulomatous inflammation
d. Viral inclusion bodies
Answer: a
295. Metabolic acidosis is defined by:
a. Decreased HCO3– and decreased pH
b. Increased HCO3– and pH
c. Normal anion gap only
d. Elevated PaCO2 only
Answer: a
296. The anion gap is calculated as:
a. Na+ – (Cl– + HCO3–)
b. K+ – (Na+ + HCO3–)
c. Cl– – (Na+ + HCO3–)
d. Ca2+ – (Cl– + HCO3–)
Answer: a
297. Respiratory compensation for metabolic acidosis involves:
a. Hyperventilation to lower PaCO2
b. Hypoventilation to raise PaCO2
c. Increased renal H+ excretion only
d. Decreased tidal volume
Answer: a
298. Metabolic alkalosis can result from:
a. Vomiting and diuretic use
b. Diarrhea
c. Respiratory depression
d. Lactic acidosis
Answer: a
299. In acute respiratory acidosis, kidneys compensate by:
a. Excreting H+ and reabsorbing HCO3–
b. Increasing ventilation
c. Decreasing renal H+ excretion
d. Lowering tubular HCO3– reabsorption
Answer: a
300. A mixed acid-base disorder is suspected when:
a. Compensation is inadequate for the primary disturbance
b. pH remains within normal range
c. Compensatory response exactly matches expected
d. No primary acid-base disturbance is present
Answer: a
301. The movement of water across semipermeable membranes driven by osmotic gradients is known as:
a. Diffusion
b. Osmosis
c. Facilitated diffusion
d. Active transport
Answer: b
302. Facilitated diffusion requires:
a. ATP hydrolysis
b. Carrier proteins
c. Ion pumps
d. Endocytosis
Answer: b
303. Primary active transport directly uses energy from:
a. ATP hydrolysis
b. Electrochemical gradients
c. Osmotic pressure
d. Phosphorylation by kinases
Answer: a
304. Na+/K+ ATPase transports:
a. 3 Na+ out and 2 K+ in per ATP
b. 2 Na+ out and 3 K+ in per ATP
c. 3 Na+ in and 2 K+ out per ATP
d. 2 Na+ in and 3 K+ out per ATP
Answer: a
305. In receptor-mediated endocytosis, which molecule binds LDL particles for internalization?
a. Transferrin
b. LDL receptor
c. Clathrin
d. Caveolin
Answer: b
306. Clathrin-coated pits are involved in:
a. Pinocytosis
b. Receptor-mediated endocytosis
c. Phagocytosis
d. Passive diffusion
Answer: b
307. Caveolae are flask-shaped invaginations rich in:
a. Cholesterol and caveolin
b. Clathrin and adaptin
c. Actin filaments
d. Spectrin
Answer: a
308. The classical complement pathway is initiated by:
a. Mannose-binding lectin
b. C-reactive protein binding
c. IgG or IgM binding to antigen
d. LPS recognition by C1
Answer: c
309. Mannose-binding lectin activates complement via:
a. Classical pathway
b. Alternative pathway
c. Lectin pathway
d. Terminal pathway
Answer: c
310. The kinin system generates bradykinin, leading to:
a. Vasoconstriction
b. Vasodilation and pain
c. Platelet aggregation
d. Complement activation
Answer: b
311. Bradykinin is degraded by:
a. ACE
b. Renin
c. Kallikrein
d. Plasmin
Answer: a
312. Prostaglandin E2 contributes to:
a. Gastric mucosal protection
b. Platelet aggregation
c. Vasoconstriction
d. Bronchospasm
Answer: a
313. Cyclooxygenase-2 (COX-2) selective inhibitors reduce:
a. GI ulceration
b. Renal blood flow
c. Platelet aggregation
d. Fever
Answer: a
314. In the JAK-STAT signaling pathway, cytokine binding leads to:
a. GTPase activation
b. STAT phosphorylation and dimerization
c. PI3K activation
d. MAPK inhibition
Answer: b
315. Toll-like receptor 9 recognizes:
a. dsRNA
b. LPS
c. CpG DNA
d. Flagellin
Answer: c
316. Dendritic cells present antigen to naïve T cells in:
a. Spleen only
b. Lymph nodes
c. Bone marrow
d. Thymus
Answer: b
317. Regulatory T cells express:
a. CD8 and perforin
b. CD4 and FoxP3
c. CD16 and CD56
d. CD19 and CD20
Answer: b
318. Memory B cells differ from plasma cells by:
a. High antibody secretion
b. Long lifespan and quick activation
c. MHC II downregulation
d. No surface Ig
Answer: b
319. Isoenzymes of creatine kinase include CK-MB, which is a marker for:
a. Liver disease
b. Myocardial infarction
c. Muscular dystrophy
d. Brain injury
Answer: b
320. Troponin I is more specific than CK-MB for:
a. Skeletal muscle injury
b. Acute myocardial infarction
c. Liver necrosis
d. Pulmonary embolism
Answer: b
321. Brain natriuretic peptide (BNP) levels rise in:
a. Acute pancreatitis
b. Heart failure
c. Hypertension
d. Hypovolemia
Answer: b
322. In heart failure, increased preload leads to:
a. Decreased end-diastolic volume
b. Increased stroke volume via Frank–Starling
c. Decreased contractility
d. Decreased ejection fraction
Answer: b
323. Loop diuretics act by inhibiting NKCC in:
a. Proximal tubule
b. Descending limb
c. Thick ascending limb of the loop of Henle
d. Collecting duct
Answer: c
324. Thiazide diuretics inhibit NCC in the:
a. Proximal tubule
b. Distal convoluted tubule
c. Loop of Henle
d. Collecting duct
Answer: b
325. Aldosterone antagonists such as spironolactone block:
a. ENaC directly
b. Mineralocorticoid receptor
c. Na+/K+ ATPase
d. 11β-HSD2 enzyme
Answer: b
326. Acetazolamide induces metabolic acidosis by:
a. Inhibiting carbonic anhydrase in the PCT
b. Blocking Na+/K+ ATPase
c. Increasing aldosterone secretion
d. Enhancing bicarbonate reabsorption
Answer: a
327. Most bicarbonate reabsorption occurs in the:
a. Proximal convoluted tubule
b. Loop of Henle
c. Distal tubule
d. Collecting duct
Answer: a
328. In osteoclasts, bone resorption is mediated by:
a. Osteoprotegerin
b. RANKL–RANK interaction
c. IGF-1 signaling
d. Osteocalcin
Answer: b
329. Vitamin D increases calcium absorption in the intestine by:
a. Upregulating calbindin
b. Inhibiting PTH
c. Blocking vitamin K
d. Binding osteoclast receptors
Answer: a
330. PTH secretion is inhibited by:
a. Hypocalcemia
b. Hyperphosphatemia
c. Hypercalcemia
d. Low magnesium
Answer: c
331. In type I hypersensitivity, sensitization requires:
a. IgG binding
b. Initial allergen exposure and IgE production
c. Complement activation
d. T-cell mediated cytotoxicity
Answer: b
332. Mast cell degranulation releases:
a. Histamine and tryptase
b. Perforin and granzyme
c. Antibodies
d. Cytokines only
Answer: a
333. Anaphylaxis is treated with:
a. Intravenous fluids only
b. Epinephrine
c. Antihistamines alone
d. Corticosteroids alone
Answer: b
334. TNF-α blockers such as infliximab are used in:
a. Type 1 diabetes
b. Rheumatoid arthritis
c. Asthma
d. Hypertension
Answer: b
335. IL-1 receptor antagonist anakinra is effective in:
a. Gout
b. Rheumatoid arthritis
c. Multiple sclerosis
d. Crohn’s disease
Answer: b
336. Monoclonal antibody rituximab targets:
a. CD20 on B cells
b. TNF-α
c. IL-2 receptor
d. PD-1 on T cells
Answer: a
337. PD-1 inhibitors like pembrolizumab block:
a. T-cell checkpoint inhibition
b. B-cell receptor signaling
c. Complement activation
d. Cytokine synthesis
Answer: a
338. CAR-T cell therapy involves:
a. Genetically engineered T cells targeting tumor antigens
b. Checkpoint blockade
c. Cytokine infusion
d. Stem cell transplant
Answer: a
339. In electrophoresis, DNA migrates toward the:
a. Anode (positive electrode)
b. Cathode (negative electrode)
c. Center of the gel
d. Whichever well has more ethidium bromide
Answer: a
340. Restriction fragment length polymorphism (RFLP) analysis detects:
a. Differences in DNA fragment size after enzyme digestion
b. Gene expression levels
c. Protein isoforms
d. mRNA splicing variants
Answer: a
341. Southern blotting requires transfer of DNA from gel to:
a. Nitrocellulose or nylon membrane
b. PVDF membrane
c. Agarose membrane
d. SDS-PAGE gel
Answer: a
342. Western blotting transfer is typically to:
a. PVDF or nitrocellulose membrane
b. Nylon membrane
c. Silicon wafer
d. Agarose gel
Answer: a
343. Immunohistochemistry detects antigens in tissue using:
a. Labeled antibodies
b. Radioisotope probes
c. DAPI staining
d. H&E only
Answer: a
344. Flow cytometry can analyze:
a. Cell size, granularity, and fluorescence
b. Mitochondrial ultrastructure
c. Chromosomal karyotype
d. Tissue architecture
Answer: a
345. Electrophoretic mobility shift assay (EMSA) identifies:
a. DNA–protein interactions
b. RNA transcript sizes
c. Protein–protein interactions
d. Carbohydrate structures
Answer: a
346. Chromatin immunoprecipitation (ChIP) assays map:
a. Protein–DNA binding sites in vivo
b. mRNA levels
c. DNA methylation patterns only
d. Histone sequences
Answer: a
347. FISH can detect:
a. Chromosomal translocations and gene copy number changes
b. Protein phosphorylation
c. RNA splicing variants
d. Metabolic flux
Answer: a
348. Telomerase is active in:
a. Germ cells and cancer cells
b. Most somatic cells
c. Red blood cells
d. Platelets
Answer: a
349. Heteroplasmy refers to:
a. Coexistence of mutated and wild-type mitochondrial DNA in a cell
b. Variation in nuclear gene expression
c. Multiple alleles at a locus
d. X-inactivation patterns
Answer: a

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