Clinical Biochemistry II

Multiple Choice Practice QuestionsII Authoremailsi!harta"#$%&ahoo'com Authoremail si!harta"#$%&ahoo'com Totaltime(ortest)$*minutesTotalMar+s,*

Q-ESTION"'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Correcta2out4l&cosi!iclin+a4eso(car2oh&!rates A1504lucoseunitsinam&losearelin+e!3ithalpha/"6714l&cosi!iclin+a4eina!!itiontoalpha /"6814l&cosi!iclin+a4e B12on!insucroseisBeta/"6714l&cosi!iclin+a4e C1504lucoseunitsinam&lopectinarelin+e!3ithalpha/"6714l&cosi!iclin+a4eina!!itionto alpha/"6814l&cosi!iclin+a4e 51lactoseconsistso(alpha/"1009Beta/#14l&cosi!iclin+a4e E1maltoseconsistso(alpha/"6814l&cosi!iclin+a4e Q-ESTION#'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' NormalserumCeruloplasminle:elin(emales A1;,'*<7'8m4=!l B17*'><8'?m4=!l C1$*'><;'8m4=!l 51,*'><,'7m4=!l E1$8'*<,'8m4=!l Q-ESTION$'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' pHo(:enous2loo!is A1;'$#0;'7, B1;'$,0;'7, C1;'$#0;'7# 51;'$,0;'7# E1;'7,0;'$# Q-ESTION7'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' The!issocia2le4roupinsi!echaino(aminoaci!histi!ineis A1Sulph&!r&l B1Car2o@&l2eta C1Aminoeta 51Phenolich&!ro@&l E1Imi!aoleN Q-ESTION,'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' S3annec+!e(ormit&isseen4enerall&in A1Rheumatou!arthritis

B1Rheumatic(e:er C1Psoriaticarthropath& 51.out E1Osteoarthritis Q-ESTION8'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Re4ar!in42loo!suppl&o(the2reastcorrectis "'intercostalarteries #'intercostal:ein $'2rancheso(thea@illar&arter& 7'2rancheso(thesu2cla:ianarter& Q-ESTION;'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Stron4est2u((ersinthe2o!&is "'plasma2icar2onate #'Plasmaproteins $'hemo4lo2inan!o@&hemo4lo2in 7'RBC2icar2onate

Q-ESTION?'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Serumelectrol&tesnormal:alues "'So!ium"#>0"7,mED=L #'Potassium#',0$',mED=L $'Calcium80>m4=!l 7'Phosphorus"'"0#'#mED=L Q-ESTION>'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Spotthecorrectstatementsa2outcar2oh&!rates A1Heparinisasulphate!pol&sacchari!e B1H&aluronicaci!isapro!ucto(p&ru:icaci!an!mannosamine

C1Chon!roitinsulphatesareaci!mucopol&sacchari!e 515e@trinisapartialh&!rol&ticpro!ucto(starch E1Neuraminicaci!isanun2ranche!pol&mero(504lucoronicaci!an!N0acet&l0504lucosamine Q-ESTION"*'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect hicho(the(ollo3in4istruea2outRheumatoi!arthritisF "'.lucoseconcentrationismar+e!l&re!uce!!urin4in(lammationo(thes&no:ium #'.lucoseconcentrationismar+e!l&increase!!urin4in(lammationo(thes&no:ium $'s&no:ialmem2ranecellT&peBisincrease!inRA 7's&no:ialmem2ranecellT&peAisincrease!inRA Q-ESTION""'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' O@&4ensaturationo(:enous2loo! A1;*0>8G B1#,07*G C1?*0"**G 51>80>;G E17*0;*G

Q-ESTION"#'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect hicho(the(ollo3in4statementsre4ar!in4routine2loo!testsarecorrectF "'normal2iliru2inle:elo(ne32ornis*'707'*m4=!l #'normalserumam&lasele:elis,0>ohl4emuthunits=!l $'plasmacopperle:elis;,0"8*micro4m=!l 7'normalprostaticaci!phosphatasele:elis$',0"*I-=L Q-ESTION"$'ChoosetheCORRECToptions/A0E1liste!2elo36M-LTIPLEoptionsma&2e correct' Mar+thestatementsTrueoralsea2outcar2oh&!rates A1Lactoseisapol&sacchari!e B1.l&co4enisanoli4osacchari!e C1Am&loseisanoli4osacchari!e 51Am&lopectinisapol&sacchari!e E1Maltoseisanoli4osacchari!e Q-ESTION"7'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3'

Re4ar!in4rheumatoi!arthritis/RA13hicho(the(ollo3in4statementsiscorrectF A1mostcommonpatterno(onsetisacuteoli4oarticular/<;*G1 B1rheumatoi!(actor(ormsimmunecomple@es3ithI4M C1s&no:ial(lui!isrichinpol&morphonuclearleucoc&tes/PMNL1 51E@tra0articularrespirator&in:ol:ementinRAinclu!eSiccas&n!rome E1C&to+inesIL0#6IL0?arein:ol:e! Q-ESTION",'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Osteoarthritis/OA1ischaracterie!2&allo(the(ollo3in4e@cept A1proli(erationo(ne32onean!cartila4e B1!ecrease!colla4enan!proteo4l&cans&nthesis C1occursinacrome4al& 51Pa4ets!iseasepre!iposestosecon!ar&OA E1!e4enerati:eointchan4es Q-ESTION"8'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Rheumatoi!(actorisassociate!3ith3hicho(the(ollo3in4immuno4lo2ulinsF A1I4. B1I4E C1I4M 51I45 E1I4A Q-ESTION";'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' He2er!ensno!esarecharacteristico(3hich!iseaseF A1S&stemiclupuserthematosus B1Osteoarthritis C1ocalno!ularh&perplasiao(theli:er 51H&perparath&roi!ism E1Rheumatoi!arthritis Q-ESTION"?'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' 5ru4o(choice(orlon40termproph&la@is(or.out A1Sulphinp&raone B1Pro2eneci! C1ChloroDuinephosphate 51Allopurinol E1Colchicine Q-ESTION">'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect

Li:e!oreticularisisspeci(icto "'Pro4ressi:es&stemicsclerosis #'S&stemiclupuser&thematosus $'Rheumatoi!arthritis 7'Pol&arteritisno!osa Q-ESTION#*'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Actual2icar2onateo(arterial2loo! A1##0#7mmol=Lplama B1#70#?mmol=Lplama C1#80#?mmol=Lplama 51##0#8mmol=Lplama E1##0#?mmol=Lplama Q-ESTION#"'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' pHo(CSis A1;'$,0;'7$ B1;'$#0;'7$ C1;'$70;'7$ 51;'$#0;'7# E1;'$,0;'7, Q-ESTION##'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A:era4epH:alueo(humanmil+is A18'* B1;'# C18'? 51;'" E1;'7 Q-ESTION#$'ChoosetheCORRECToptions/A0E1liste!2elo36M-LTIPLEoptionsma&2e correct' Mar+the(ollo3in4statementstrueor(alse A150mannoseisanal!ohe@ose B15ih&!ro@&0acetoneisa+etopentose C150(ructoseisa+etopentose 5150.l&ceral!eh&!eisanal!otriose E150!eo@&ri2oseisanal!ohe@ose

Q-ESTION#7'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect 5e:elopmentalcauseso(secon!ar&osteoarthritis

"'Slippe!capital(emoralepiph&sis #'Intra0articularaceta2ularla2rum $'Perthes!isease 7'Ta2es!orsalis Q-ESTION#,'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' hicho(the(ollo3in4statementsarecorrectre4ar!in4creatininephospho+inaseisoen&mesF A1MB(ractionis>70>,G B1totalCPJ*0"'7micromoles=!l C1Creatinine"'707'*m4=!l 51BB(ractionis*0#G E1MM(ractionis*0#G Q-ESTION#8'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' NormalPCO#o(arterial2loo! A17"07,mmH4 B17,0,"mmH4 C17"0,"mmH4 51$,07,mmH4 E1$,07"mmH4 Q-ESTION#;'ChoosetheCORRECToptions/A0E1liste!2elo36M-LTIPLEoptionsma&2e correct' Mar+the(ollo3in4statementsTrueoralse A1Reiters!iseaseisane@ampleo(serona4ati:espon!&loarthropath& B1An+&losin4spon!&litisisane@ampleo(reacti:earthritis C1(i2rom&al4iaisane@ampleo(serona4ati:espon!&loarthropath& 51(i2rom&al4iaisane@ampleo(so(ttissuerheumatism E1pol&m&ositis0!ermatom&ositisisane@ampleo(so(ttissuerheumatism Q-ESTION#?'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Nottruea2outKitamin5/"6#,0!ih&!ro@&cholecalci(erol1 A1promotesa2sorptiono(phosphorus(romtheintestine B1promotesresorptiono(2one C1increasese@cretiono(phosphate2&the+i!ne& 51promotesa2sorptiono(calcium(romtheintestine E1(atsolu2lelipi!su2stance Q-ESTION#>'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' hicho(the(ollo3in4statementsre4ar!in4Colloi!san!Cr&stalloi!sis=aretrueF A1colloi!spassthrou4hparchmentmem2rane B1colloi!spossessnetchar4e C1sieo(c&stalloi!sarelar4ecompare!tocolloi!s 51colloi!s!onopossessnetchar4e E1colloi!s!onote@hi2itBro3nianmotionorT&n!alle((ect

Q-ESTION$*'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Suspensor&li4amentso(Cooperare(oun!in A1(allopiantu2es B1:a4ina C1uterus 51o:ar& E12reasts Q-ESTION$"'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Spotthecorrectstatements "'h&aluronicaci!is(oun!ins&no:ial(lui! #'chon!roitinsulphateser:easastructuralmaterialo(:itreous(lui! $'chon!roitinsulphateser:easastructuralmaterialo(ten!onsan!cartila4e 7'h&aluronicaci!is(oun!incartila4ean!ten!ons Q-ESTION$#'ChoosetheCORRECToptions/A0E1liste!2elo36M-LTIPLEoptionsma&2e correct' hicho(the(ollo3in4statementsarecorrectF A1.amma04lo2ulincontento(CSis>G B1Al+alinephosphatele:elo(chil!is"'707Bo!ans+&units=!l C1Normal2loo!alpha0"antitr&psinle:elis8*0#**m4=!l 51Beta04lo2ulincontento(CSis?G E1Normal2loo!al!olasele:elis"'*08'*I-=L Q-ESTION$$'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect A2u((erisa "'pairo(stron4aci!an!itssalt3ithastron42ase #'pairo(3ea+2asean!itssalt3ithastron4aci! $'pairo(stron42asean!itssalt3ithastron4aci! 7'pairo(3ea+aci!an!itssalt3ithastron42ase Q-ESTION$7'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' hicho(the(ollo3in4statementsa2outthenippleiscorrectF A12ehin!thenippleisampulla3heremil+is(orme! B1muscularproection

C1surroun!e!2&stripe!muscles 51has#*0"**lacti(erous!ucts E1isa:ascular Q-ESTION$,'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Thesecon!mosta2un!antimmuno4lo2ulinmolecule(oun!inmothers(irstmil+/colostrum1 A1I4E B1I4M C1I45 51I4. E1I4A Q-ESTION$8'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Normalle:elso(!elta0aminolae:ulinicaci! A1$**micro4m=!l B1"7*micro4m=!l C1#**micro4m=!l 51$,*micro4m=!l E1,;*micro4m=!l Q-ESTION$;'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Normal2loo!ascor2icaci!le:elis A1*'70"',m4=!l B1"'?0$'8m4=!l C1*'$0"'"m4=!l 51*'#07'*m4=!l E1*'#0#'*m4=!l Q-ESTION$?'ChoosetheCORRECToptions/A0E1liste!2elo36M-LTIPLEoptionsma&2e correct' Mar+the(ollo3in4statementsTrueoralse A1al2umincontento(CSis,?G B1Normalcisternalproteincontento(CSis",0#,m4=!l C1O@&4entensionPO#o(arterial2loo!is>80>;mmH4 51normalpressureo(CSis,*0"#*mmH4 E1Normalacetoacetatecontento(2loo!is*'#07m4=!l Q-ESTION$>'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Chlori!econtento(normalCS A1#**0,**m4=!l B1"7*0##*m4=!l C1#,*07,*m4=!l 518**0;**m4=!l E1",*0$,*m4=!l Q-ESTION7*'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3'

Le4ulcersarecommonl&(oun!in A1S&stemiclupuser&thematosus B1e2er0Christian!isease C1Stills!isease 51elt&ss&n!rome E1Reiters!isease Q-ESTION7"'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Ba+ersc&stsareassociate!3ith3hicho(the(ollo3in4!iseasesF A1C&stic(i2rosis B1Osteoarthritis C1Rheumatoi!arthritis 51Pol&c&stico:arians&n!rome E15eep:einthrom2osis Q-ESTION7#'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' TotalCO#o(:enous2loo! A1#$0$*mmol=Lplasma B1#$0#;mmol=Lplasma C1#;0$*mmol=Lplasma 51#$0#8mmol=Lplasma E1#80$*mmol=Lplasma Q-ESTION7$'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Allo(the(ollo3in4aretraumaticcauseso(secon!ar&osteoarthritise@cept "'Ehlers05anloss&n!rome #'Perthes!isease $'Menisectom& 7'S&rin4om&elia Q-ESTION77'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' A1"6#6$correct B1"6$correct C1#67correct 517onl&correct E1Allcorrect Re4ar!in4immuno4lo2ulin.63hicho(the(ollo3in4statementsis=arecorrectF "'lar4estan!(irstI4to2esecrete!2&plasmacells #'acti:atesB0cells $'a:aila2leincolostrum 7'in:ol:e!inopsoniationthatincreasespha4oc&tosis

Q-ESTION7,'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' hicho(the(ollo3in4car2oh&!ratesisaPentoseF A150.lucose B150Ri2ose C150Er&throse 5150ructose E150&lulose Q-ESTION78'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' hicho(the(ollo3in4!onotre!uceBene!ictsRea4entF A1Maltose B1Sucrose C1ructose 51.lucose E1Lactose Q-ESTION7;'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' .lucosecontento(normalCS A17,08*m4=!l B18*0?,m4=!l C17,0;,m4=!l 518*0;,m4=!l E18*0"**m4=!l Q-ESTION7?'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Colla4enispro!uce!2& A1osteoc&tes B1(i2ro2lasts C1s&no:ialcells 51osteo2lasts E1chon!roc&tes Q-ESTION7>'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Re4ar!in4ranci!it&o((ats6allo(the(ollo3in4statementsarecorrecte@cept A1resultsinthe(ormationo(shortchain+etonesan!al!eh&!es B1:itaminEpre:entsranci!it& C1ranci!it&is!uetoh&!rol&tican!o@i!ati:echan4e 51ta+esplaceatthe!ou2le2on!so(unsaturate!(att&aci!s E1ta+esplaceatthe!ou2le2on!so(saturate!(att&aci!s Q-ESTION,*'ChoosetheSIN.LEMOSTCORRECToption/A0E1liste!2elo3' Commonest(ormo(in(lammator&oint!isease A1An+&losin4spon!il&tis B1Osteoarthritis

C1Psoriaticarthritis 51Rheumatoi!arthritis E1.out

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