Anatomy
2 questionsWhich of the following statements about the mammary gland is false?
A person had injury to right upper limb, he is not able to extend fingers but able to extend wrist and elbow. Nerve injured is ?
NEET-PG 2013 - Anatomy NEET-PG Practice Questions and MCQs
Question 261: Which of the following statements about the mammary gland is false?
- A. Is a modified sweat gland
- B. Extends from 2nd to 6th rib vertically
- C. Supplied by internal mammary artery
- D. Nipple is supplied by 6th intercostal nerve (Correct Answer)
Explanation: ***Nipple is supplied by 6th intercostal nerve*** - The **nipple and areola** are primarily supplied by branches of the **4th intercostal nerve**. - The 6th intercostal nerve supplies the lower part of the breast and is not the primary innervation for the nipple. *Is a modified sweat gland* - The mammary gland, or breast, is indeed a **modified apocrine sweat gland**. - This embryological origin explains its glandular structure and function of milk production. *Extends from 2nd to 6th rib vertically* - The vertical extent of the mammary gland typically ranges from the **2nd to the 6th rib**. - This anatomical positioning is consistent with its location on the anterior thoracic wall. *Supplied by internal mammary artery* - The **internal mammary artery (internal thoracic artery)** is a major blood supply to the medial aspect of the breast [2]. - Other significant arteries include the lateral thoracic and thoracoacromial arteries for the lateral aspect. The mammary gland is embedded in subcutaneous fat, although fat is absent beneath the nipple and areola [1]. Mature resting breasts lie between the skin and the pectoralis major muscle, supported by Cooper's ligaments [3].
Question 262: A person had injury to right upper limb, he is not able to extend fingers but able to extend wrist and elbow. Nerve injured is ?
- A. Median
- B. Ulnar
- C. Radial
- D. Posterior interosseous (Correct Answer)
Explanation: ***Posterior interosseous*** - This nerve supplies the muscles responsible for **finger extension**, such as the **extensor digitorum**, **extensor indicis**, and **extensor digiti minimi**. - A lesion here would spare wrist and elbow extension because the nerves to the **extensor carpi radialis longus/brevis** and **triceps brachii** branch off the radial nerve proximal to the origin of the posterior interosseous nerve. *Radial* - A more proximal **radial nerve injury** would result in the inability to extend the wrist (leading to **wrist drop**), fingers, and thumb, which is not seen here as wrist extension is preserved. - It also innervates the **triceps brachii**, and a high radial nerve injury would affect elbow extension; this patient can extend their elbow. *Median* - The **median nerve** primarily innervates muscles responsible for **flexion** of the wrist and fingers, as well as **thumb opposition** and **pronation**. - Its injury would not directly lead to an inability to extend the fingers, but rather weakness in flexion and specific thumb movements. *Ulnar* - The **ulnar nerve** innervates most of the **intrinsic hand muscles** and the **flexor carpi ulnaris**, leading to weakness in finger abduction/adduction and flexion of the 4th and 5th digits. - It does not control finger extension, so an injury would not cause this specific deficit.
Biochemistry
7 questionsWhich enzyme polymerises Okazaki fragments?
Which type of RNA contains codons for specific amino acids?
Which type of RNA is most commonly associated with pseudouridine?
A frameshift mutation does not affect the complete amino acid sequence if it occurs in multiples of what number?
Which of the following trace elements has vitamin E-like action?
Which vitamin is primarily associated with the antioxidant properties of glutathione?
Which mineral is known for its antioxidant properties similar to those of vitamin E?
NEET-PG 2013 - Biochemistry NEET-PG Practice Questions and MCQs
Question 261: Which enzyme polymerises Okazaki fragments?
- A. DNA polymerase I
- B. DNA polymerase II
- C. DNA polymerase III (Correct Answer)
- D. RNA polymerase
Explanation: ***DNA polymerase III*** - **DNA polymerase III** is the primary replicative enzyme in **prokaryotes (bacteria)** responsible for synthesizing new DNA strands, including the **polymerization of Okazaki fragments** on the lagging strand. - It possesses high processivity (can add ~500 nucleotides without dissociating), essential for rapid and efficient DNA synthesis during replication, adding nucleotides in a **5' to 3' direction**. - In **eukaryotes**, DNA polymerase δ (delta) performs the analogous function of polymerizing Okazaki fragments. *DNA polymerase I* - **DNA polymerase I** in prokaryotes primarily functions in **removing RNA primers** left by primase and **filling the resulting gaps** with DNA nucleotides. - It has 5' to 3' exonuclease activity for primer removal and polymerase activity for gap filling, but is **not the main enzyme for elongating Okazaki fragments**. - Its role is in **DNA repair and finishing replication**, not the extensive synthesis of Okazaki fragments. *DNA polymerase II* - **DNA polymerase II** in prokaryotes is primarily involved in **DNA repair mechanisms**, particularly in **restarting stalled replication forks** and responding to DNA damage. - It is not the main enzyme responsible for the polymerization of **Okazaki fragments** during normal DNA replication. *RNA polymerase* - **RNA polymerase** (specifically **primase**, a specialized RNA polymerase) synthesizes short **RNA primers** (8-12 nucleotides) during DNA replication, which provide the 3'-OH group necessary to initiate DNA synthesis. - It does not synthesize DNA or polymerize **Okazaki fragments**; its function is to create RNA primers, not extend DNA strands.
Question 262: Which type of RNA contains codons for specific amino acids?
- A. Transfer RNA (tRNA)
- B. Messenger RNA (mRNA) (Correct Answer)
- C. Small nuclear RNA (snRNA)
- D. Ribosomal RNA (rRNA)
Explanation: ***Messenger RNA (mRNA)*** - **mRNA** carries the genetic information from **DNA** in the nucleus to the **ribosomes** in the cytoplasm. - This information is encoded in sequences of three nucleotides called **codons**, each specifying a particular amino acid. *Transfer RNA (tRNA)* - **tRNA** molecules are responsible for **carrying specific amino acids** to the ribosome during protein synthesis. - Each **tRNA** has an **anticodon** that base-pairs with a complementary **codon** on the **mRNA** strand. *Small nuclear RNA (snRNA)* - **snRNA** is primarily involved in **RNA splicing**, a process that removes introns from pre-mRNA. - It forms part of the **spliceosome** complex, which is crucial for mature mRNA formation but does not contain codons itself. *Ribosomal RNA (rRNA)* - **rRNA** is a major component of **ribosomes**, the cellular machinery responsible for protein synthesis. - While it plays a critical structural and catalytic role in translation, it does not carry genetic code in the form of codons.
Question 263: Which type of RNA is most commonly associated with pseudouridine?
- A. messenger RNA (mRNA)
- B. ribosomal RNA (rRNA)
- C. transfer RNA (tRNA) (Correct Answer)
- D. DNA
Explanation: ***Transfer RNA (tRNA)*** - **Pseudouridine (ψ)** is one of the most abundant modified nucleosides in RNA, and **tRNA contains the highest proportion** of pseudouridine modifications among all RNA types. - **tRNA molecules can contain up to 10-15% modified bases**, with pseudouridine being particularly abundant in the **TψC arm** (thymine-pseudouridine-cytosine loop). - These modifications are critical for **tRNA stability, proper folding, and accurate codon-anticodon recognition** during translation. - Pseudouridine enhances base stacking and stabilizes RNA structure through additional hydrogen bonding capability. *Ribosomal RNA (rRNA)* - While rRNA does contain pseudouridine modifications, they are present in **lower proportions compared to tRNA**. - rRNA pseudouridine modifications do play important roles in **ribosomal assembly and function**, but tRNA remains the RNA type most commonly associated with this modification. *Messenger RNA (mRNA)* - **mRNA is generally much less modified** than tRNA or rRNA. - Pseudouridine modifications in mRNA are relatively rare in prokaryotes and were only recently discovered to be more common in eukaryotic mRNA. - When present, they may affect **mRNA stability and translation efficiency**. *DNA* - **DNA does not contain pseudouridine** as this is an RNA-specific modification. - Pseudouridine is formed by **post-transcriptional isomerization** of uridine residues in RNA.
Question 264: A frameshift mutation does not affect the complete amino acid sequence if it occurs in multiples of what number?
- A. 1
- B. 2
- C. 3 (Correct Answer)
- D. None of the options
Explanation: ***3*** - A **frameshift mutation** occurs when nucleotides are inserted or deleted in a number not divisible by three, altering the **reading frame** of the codons. - If insertions or deletions occur in multiples of **three**, the reading frame is restored after the mutation, largely preserving the downstream amino acid sequence. *1* - An insertion or deletion of a single nucleotide (1) definitively causes a **frameshift mutation**. - This alters all subsequent **codons**, leading to a completely different amino acid sequence downstream from the mutation. *2* - An insertion or deletion of two nucleotides (2) also results in a **frameshift mutation**. - This change shifts the **reading frame**, leading to the production of an altered protein or a premature stop codon. *None of the options* - This option is incorrect because a specific number, **three**, can allow for a frameshift mutation to not affect the complete amino acid sequence. - Multiples of three maintain the original **reading frame** (although potentially adding or removing a specific amino acid), whereas other numbers guarantee a frameshift.
Question 265: Which of the following trace elements has vitamin E-like action?
- A. Iron
- B. Selenium (Correct Answer)
- C. Copper
- D. Zinc
Explanation: ***Selenium*** - Selenium is an essential component of **glutathione peroxidase**, an enzyme that works alongside vitamin E to protect cells from **oxidative damage**. - Its antioxidant properties are similar to **vitamin E**, as both scavenge free radicals and prevent lipid peroxidation. *Iron* - Iron is vital for **oxygen transport** in hemoglobin and myoglobin, and for cellular respiration as a component of cytochromes. - While essential, iron does not have direct **antioxidant properties** akin to vitamin E; in excess, it can even promote oxidative stress. *Copper* - Copper is a cofactor for several enzymes, including **superoxide dismutase (SOD)**, an antioxidant enzyme, but its primary role is not directly analogous to vitamin E's lipid-soluble antioxidant function. - It also plays a role in **energy production**, iron metabolism, and neurotransmission. *Zinc* - Zinc is crucial for **immune function**, wound healing, and DNA synthesis, acting as a cofactor for over 300 enzymes. - Although it has indirect antioxidant effects by stabilizing cell membranes and reducing oxidative damage, its mechanism and direct action are not considered "vitamin E-like."
Question 266: Which vitamin is primarily associated with the antioxidant properties of glutathione?
- A. Vitamin E
- B. Niacin (Correct Answer)
- C. Vitamin C
- D. Vitamin A
Explanation: ***Niacin*** - **Niacin** (Vitamin B3) is the vitamin most directly associated with glutathione's antioxidant properties - Niacin is a precursor to **NAD+** and **NADP+**, which are converted to **NADPH** - **NADPH is the essential cofactor** for **glutathione reductase**, the primary enzyme that reduces oxidized glutathione (GSSG) back to its active reduced form (GSH) - This NADPH-dependent enzymatic pathway is the **main mechanism** for maintaining the body's glutathione antioxidant system - Without adequate niacin → NADPH, glutathione cannot be efficiently regenerated *Vitamin C* - **Vitamin C** can non-enzymatically reduce GSSG to GSH, providing a **secondary backup mechanism** - While vitamin C does support glutathione regeneration, this is an **indirect, non-enzymatic process** - It acts as an antioxidant itself but is not the primary vitamin associated with glutathione's antioxidant function *Vitamin E* - **Vitamin E** is a **lipid-soluble antioxidant** that primarily protects cell membranes from oxidative damage - Works synergistically with other antioxidants but has **no direct role** in glutathione synthesis or regeneration *Vitamin A* - **Vitamin A** (retinol) is crucial for vision, immune function, and cell differentiation - Has some antioxidant properties as a carotenoid derivative but **no direct involvement** in glutathione metabolism
Question 267: Which mineral is known for its antioxidant properties similar to those of vitamin E?
- A. Calcium
- B. Iron
- C. Selenium (Correct Answer)
- D. Magnesium
Explanation: ***Selenium*** - Selenium is a crucial component of **glutathione peroxidase**, an enzyme with significant **antioxidant properties** that protects cells from oxidative damage. - Its antioxidant function is often compared to that of **vitamin E**, as both work to neutralize **free radicals** in the body. *Calcium* - Calcium is primarily known for its role in **bone health**, muscle contraction, and **nerve transmission**, not for its antioxidant properties. - It does not directly participate in neutralizing free radicals like selenium or vitamin E. *Iron* - Iron is essential for **oxygen transport** in red blood cells and various metabolic processes. - While crucial, excessive free iron can actually promote the formation of **free radicals** (Fenton reaction), making it pro-oxidant rather than antioxidant. *Magnesium* - Magnesium is involved in over 300 enzymatic reactions, including **energy metabolism** and muscle and nerve function. - It does not share direct antioxidant properties similar to vitamin E or selenium.
Pathology
1 questionsWhich of the following are examples of trinucleotide repeat mutations?
NEET-PG 2013 - Pathology NEET-PG Practice Questions and MCQs
Question 261: Which of the following are examples of trinucleotide repeat mutations?
- A. Friedreich ataxia
- B. Fragile X syndrome
- C. Huntington's chorea
- D. All of the options (Correct Answer)
Explanation: ***All of the options*** - **Fragile X syndrome**, **Friedreich ataxia**, and **Huntington's chorea** are all well-known examples of genetic disorders caused by trinucleotide repeat expansions [1]. - The mutations involve an abnormal increase in the number of repetitions of a specific three-nucleotide sequence in the DNA [1]. *Fragile X syndrome* - This condition is caused by an expansion of the **CGG repeat** in the **FMR1 gene** on the X chromosome [1]. - The expansion leads to hypermethylation and silencing of the gene, impairing the production of fragile X mental retardation protein [1]. *Friedreich ataxia* - This is an autosomal recessive neurodegenerative disorder caused by an expansion of the **GAA repeat** in an intron of the **frataxin gene (FXN)**. - The repeat expansion interferes with transcription, leading to reduced frataxin protein levels. *Huntington's chorea* - This is an autosomal dominant neurodegenerative disorder caused by an expansion of the **CAG repeat** in the **huntingtin gene (HTT)**. - The expanded polyglutamine tract in the huntingtin protein leads to protein misfolding and neuronal damage, particularly in the striatum [1]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Genetic Disorders, pp. 177-181.