Biochemistry
3 questionsWhat type of bond is involved in the side chain linkage of proteoglycans?
Which of the following is not a free radical?
Which of the following is an example of an antiapoptotic gene?
NEET-PG 2015 - Biochemistry NEET-PG Practice Questions and MCQs
Question 401: What type of bond is involved in the side chain linkage of proteoglycans?
- A. Covalent (Correct Answer)
- B. Hydrogen bond
- C. Electrostatic bond
- D. Van-der Waal's force
Explanation: ***Covalent*** - Proteoglycans are formed by **glycosaminoglycan (GAG)** chains that are covalently linked to a protein core. - Specifically, an **O-glycosidic bond** forms between a xylose residue on the GAG chain and a serine residue on the core protein. *Hydrogen bond* - **Hydrogen bonds** are weaker intermolecular forces that stabilize protein secondary structures and interactions between water molecules. - They are not strong enough to form the primary structural linkage between the GAG chains and the core protein in proteoglycans. *Electrostatic bond* - **Electrostatic bonds**, or ionic bonds, involve attraction between oppositely charged ions. While proteoglycans have many charged groups, these bonds are not the primary linkage connecting the GAG chains to the protein core. - They contribute to the overall structure and interactions of proteoglycans with other molecules but do not form the main side chain linkage. *Van-der Waal's force* - **Van der Waals forces** are weak, short-range intermolecular forces that arise from temporary fluctuations in electron distribution. - These forces play a role in tertiary and quaternary protein structure and molecular packing, but they are far too weak to establish the covalent attachments of GAG chains to the proteoglycan core protein.
Question 402: Which of the following is not a free radical?
- A. Superoxide anion
- B. Hydrogen peroxide (H2O2) (Correct Answer)
- C. Nitric oxide (NO·)
- D. Hydroxyl radical (.OH)
Explanation: ***Hydrogen peroxide (H₂O₂)*** - **Hydrogen peroxide** is a **reactive oxygen species (ROS)** but is not a free radical because it has **no unpaired electrons** in its outermost shell. - While it can be converted into the highly reactive hydroxyl radical via the **Fenton reaction**, it is stable enough to be transported across membranes. *Superoxide anion (O₂⁻)* - The **superoxide anion (O₂⁻)** is a free radical because it has an **unpaired electron** in its outer shell. - It is one of the primary **reactive oxygen species** formed during cellular metabolism and can damage cellular components. *Nitric oxide (NO·)* - **Nitric oxide** is an important **free radical** with a single **unpaired electron** in its molecular structure. - It functions as a vital signaling molecule in vascular biology, regulating blood pressure and neurotransmission, despite being a free radical. *Hydroxyl radical (·OH)* - The **hydroxyl radical (·OH)** is one of the most reactive and damaging **free radicals** in biological systems. - It has a single **unpaired electron**, making it highly unstable and able to react indiscriminately with virtually all types of biomolecules.
Question 403: Which of the following is an example of an antiapoptotic gene?
- A. FLIP (Correct Answer)
- B. P53
- C. BAX
- D. BIM
Explanation: ***FLIP*** - **FLIP** is an **antiapoptotic gene** that inhibits the activation of caspase-8, thereby blocking the extrinsic apoptotic pathway. - It acts as an **FLICE-inhibitory protein**, preventing the formation of the death-inducing signaling complex (DISC) or its downstream activation. *P53* - **P53** is a **tumor suppressor gene** that promotes apoptosis in response to DNA damage or cellular stress. - It is a **pro-apoptotic gene**, orchestrating cell cycle arrest and apoptosis to prevent the propagation of damaged cells. *BAX* - **BAX** is a **pro-apoptotic gene** belonging to the Bcl-2 family, which promotes the release of cytochrome c from mitochondria. - This release initiates the **intrinsic apoptotic pathway**, leading to caspase activation and cell death. *BIM* - **BIM** is a **pro-apoptotic gene** of the Bcl-2 family, acting as a sensitizer for apoptosis by binding to and inhibiting anti-apoptotic Bcl-2 family proteins. - Its activation leads to the **neutralization of survival factors**, thereby promoting mitochondrial outer membrane permeabilization and apoptosis.
Pathology
7 questionsHyaline degeneration is found in -
Which molecule is primarily responsible for nuclear fragmentation during apoptosis?
During cell death, myelin figures are derived from which of the following?
What is the definition of lipofuscin?
Which of the following is not an apoptotic gene?
Caseating necrosis most commonly occurs in
Liquefactive necrosis is seen in:
NEET-PG 2015 - Pathology NEET-PG Practice Questions and MCQs
Question 401: Hyaline degeneration is found in -
- A. Alzheimer's disease
- B. Alcoholic liver disease (Correct Answer)
- C. Acute myocardial infarction
- D. Acute appendicitis
Explanation: ***Alcoholic liver disease*** - **Mallory bodies**, a form of hyaline degeneration, are characteristic histologic findings in hepatocytes in alcoholic liver disease. - They represent aggregates of **intermediate filaments** and other proteins, indicating severe hepatocellular damage. *Acute myocardial infarction* - Characterized by **coagulative necrosis** of cardiac myocytes due to ischemia, not hyaline degeneration. - Inflammation and subsequent repair with **fibrosis** are key features. *Alzheimer's disease* - Defined by the presence of **senile plaques** (amyloid-beta deposits) and **neurofibrillary tangles** (hyperphosphorylated tau protein). - These are specific protein aggregates, distinct from hyaline degeneration of cellular components. *Acute appendicitis* - Involves acute inflammation of the appendix, leading to **neutrophilic infiltration** and often **fibrinopurulent exudate**. - There is no characteristic hyaline degeneration associated with this inflammatory process.
Question 402: Which molecule is primarily responsible for nuclear fragmentation during apoptosis?
- A. Caspases (Correct Answer)
- B. Apaf - 1
- C. Oxygen free radicals
- D. Endonuclease G
Explanation: ***Caspases*** - **Caspases** are a family of proteases that play a central role in the execution phase of apoptosis, including the **cleavage of nuclear proteins** and DNA fragmentation [1]. - Specifically, **executioner caspases** (e.g., caspase-3, -6, -7) activate **CAD (caspase-activated DNase)** by cleaving its inhibitor ICAD, leading to **nuclear fragmentation** and DNA laddering [1]. - This is the **primary mechanism** of nuclear breakdown in apoptosis. *Apaf-1* - **Apaf-1 (apoptotic protease activating factor 1)** is an adaptor protein that, upon activation by cytochrome c, forms the **apoptosome** [1]. - While essential for **caspase activation** (specifically caspase-9), Apaf-1 does not directly cleave nuclear components or cause fragmentation itself [1]. *Oxygen free radicals* - **Oxygen free radicals** (reactive oxygen species) can induce cellular damage and stress, and in high concentrations, can trigger apoptosis [2]. - However, they are generally upstream initiators of apoptosis pathways and do not directly mediate nuclear fragmentation; this process is carried out by **caspases**. *Endonuclease G* - **Endonuclease G** is a mitochondrial nuclease released during apoptosis that can contribute to DNA degradation. - However, it plays a **secondary role** and acts in a caspase-independent manner, whereas **caspases** remain the primary executors of nuclear fragmentation in apoptosis. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death, pp. 64-67. [2] Cross SS. Underwood's Pathology: A Clinical Approach. 6th ed. (Basic Pathology) introduces the student to key general principles of pathology, both as a medical science and as a clinical activity with a vital role in patient care. Part 2 (Disease Mechanisms) provides fundamental knowledge about the cellular and molecular processes involved in diseases, providing the rationale for their treatment. Part 3 (Systematic Pathology) deals in detail with specific diseases, with emphasis on the clinically important aspects., pp. 100-101.
Question 403: During cell death, myelin figures are derived from which of the following?
- A. Cell membrane (lipid bilayer) (Correct Answer)
- B. Cytoplasmic components
- C. Mitochondrial structures
- D. Nuclear membrane
Explanation: ***Cell membrane (lipid bilayer)*** - **Myelin figures** are whorled phospholipid masses formed during cell injury and death from the breakdown of **cellular membranes**, particularly the plasma membrane and **endoplasmic reticulum**. - These structures represent damaged membrane lipids (phospholipids) that undergo structural rearrangement into concentric lamellar (layered) configurations resembling myelin. - The term "cell membrane" encompasses both the plasma membrane and lipid-rich intracellular membranes, making this the most accurate answer among the options provided. - They are a characteristic morphologic feature of **irreversible cell injury** and can be seen with electron microscopy. *Cytoplasmic components* - While cytoplasmic proteins and organelles do degrade during cell death, they do not form the organized **phospholipid structures** characteristic of myelin figures. - Cytoplasmic breakdown produces different morphologic changes such as cytoplasmic eosinophilia and loss of ribosomes. *Mitochondrial structures* - Mitochondria have their own membranes that are damaged during cell death (leading to release of cytochrome c and other apoptotic factors). - However, mitochondrial membranes are not the primary source of **myelin figures**, which predominantly arise from ER and plasma membranes. *Nuclear membrane* - The nuclear envelope does fragment during cell death, contributing to nuclear changes like **karyopyknosis, karyorrhexis, and karyolysis**. - While technically a membrane structure, the nuclear envelope is not the primary source of myelin figures, which are mainly derived from the more abundant plasma and ER membranes.
Question 404: What is the definition of lipofuscin?
- A. Wear and tear pigment (Correct Answer)
- B. Fat deposits
- C. Blood pigment
- D. Form of calcification
Explanation: ***Wear and tear pigment*** - Lipofuscin is known as **wear and tear pigment** that accumulates in cells over time, especially in aging cells [1]. - It is a byproduct of **cellular lipid peroxidation** and protein degradation, indicative of oxidative stress [1]. *Form of calcification* - Not to be confused with calcification, lipofuscin is a **pigment** and not related to calcium deposition [1]. - Calcification usually occurs in response to tissue injury or necrosis, which differs fundamentally from lipofuscin accumulation. *Fat deposits* - Lipofuscin is made up of **an insoluble complex** and is not classified simply as fat or fat deposits [1]. - It is the result of the **degradation of cellular components**, rather than the accumulation of unutilized fats [1]. *Blood pigment* - Lipofuscin is not derived from **hemoglobin** or any blood components, distinguishing it from true blood pigments like **bilirubin**. - It is associated with **cellular aging** rather than with any specific blood function or metabolism [1]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death, pp. 75-77.
Question 405: Which of the following is not an apoptotic gene?
- A. Mcl-1
- B. Bax
- C. P53
- D. n-myc (oncogene) (Correct Answer)
Explanation: ***n-myc*** - **n-myc** is primarily known for its role in **cell proliferation and differentiation**, not specifically associated with apoptosis [2]. - It is an **oncogene** that can contribute to tumorigenesis, but does not directly regulate apoptotic pathways [3]. *P53* - **P53** is a well-known **tumor suppressor gene** that plays a crucial role in inducing apoptosis in response to DNA damage [1]. - Activation of P53 leads to the transcription of genes that promote cell death, thus it is definitely an apoptotic gene [1]. *Bax* - **Bax** is a pro-apoptotic member of the **Bcl-2 family**, promoting apoptosis by facilitating mitochondrial outer membrane permeabilization [4,5]. - It plays a direct role in the apoptotic pathway, making it an important apoptotic gene [5]. *Mcl-1* - **Mcl-1** is an anti-apoptotic member of the **Bcl-2 family**, which helps prevent apoptosis by inhibiting pro-apoptotic factors [2,3]. - Its function is to **promote cell survival**, not apoptosis, but it is still classified as part of the apoptotic regulatory network [3]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Neoplasia, pp. 303-304. [2] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Neoplasia, p. 310. [3] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Neoplasia, pp. 310-311. [4] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death, pp. 65-67. [5] Cross SS. Underwood's Pathology: A Clinical Approach. 6th ed. (Basic Pathology) introduces the student to key general principles of pathology, both as a medical science and as a clinical activity with a vital role in patient care. Part 2 (Disease Mechanisms) provides fundamental knowledge about the cellular and molecular processes involved in diseases, providing the rationale for their treatment. Part 3 (Systematic Pathology) deals in detail with specific diseases, with emphasis on the clinically important aspects., pp. 80-81.
Question 406: Caseating necrosis most commonly occurs in
- A. Brain
- B. Liver
- C. Kidney
- D. Lung (Correct Answer)
Explanation: ***lung*** - **Caseating necrosis** is classically associated with **tuberculosis**, which primarily affects the lungs [1]. - It is characterized by the presence of **granulomatous inflammation**, often leading to the formation of cavities in pulmonary tissue. *Brain* - While certain infections can lead to necrosis in the brain, they typically do not present as **caseating necrosis**, which is specific to certain conditions like tuberculosis. - The brain may show **liquefactive necrosis** or other types of necrosis, rather than **caseation**. *liver* - The liver usually shows **macrovesicular steatosis** or **apoptosis** in conditions like hepatitis, not caseating necrosis. - **Granulomatous hepatitis** can occur, but it does not typically result in **caseating** type necrosis associated with lung pathology. *kidney* - The kidneys can experience necrosis from various causes, but caseating necrosis is not typical; they are more often involved in **focal segmental glomerulosclerosis** or **acute tubular necrosis**. - Chronic kidney conditions may involve granulomas, but they usually are not characterized by **caseation** similar to that seen in pulmonary tissue. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death, p. 55.
Question 407: Liquefactive necrosis is seen in:
- A. Brain (Correct Answer)
- B. Cardiac tissue
- C. Pulmonary tissue
- D. Splenic tissue
Explanation: ***Brain*** - **Liquefactive necrosis** primarily occurs in the **brain** due to the high fat content and the process of enzymatic degradation of tissue after a cerebral infarction [1]. - This type of necrosis results in the transformation of tissue into a liquid viscous mass, often observed during **abscess formation** or ischemic damage [1]. *Spleen* - Commonly undergoes **caseous necrosis** in conditions like tuberculosis, not liquefactive necrosis. - **Hematopoietic tissue** destruction can occur, but it generally results in a differing necrotic pattern. *Heart* - Typically exhibits **coagulative necrosis** following myocardial infarction due to ischemic damage. - This results in the preservation of tissue architecture, differing from the liquid consistency seen in liquefactive necrosis. *Lungs* - Usually experiences **caseous necrosis** in the context of pulmonary tuberculosis, or **hemorrhagic necrosis** after certain infections, but not liquefactive necrosis. - The predominant necrotic process in the lungs is often related to **inflammatory responses** rather than liquefactive changes. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. The Central Nervous System, pp. 1268-1269.