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Foundation

FOUNDATION – 2020

Questions from Foundation’s 2020 Module + Annual Exam

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Think about the characteristics of the subcutaneous tissue and how it affects the absorption rate of drugs?

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Category: Foundation – Pharmacology

What is the advantage of administering drugs through the subcutaneous route?

Consider what happens to the angle between your torso and your legs as you lean forward to reach something on the ground.

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Category: Foundation – Anatomy

A person sees a purse on the ground while walking and wants to pick it up. Which of the following trunk movements will be required?

Think about the sequence of events in the formation of gametes. What process is needed to increase the number of germ cells before reducing the chromosome number?

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Category: Foundation – Embryology

Which of the following is true for gametogenesis?

Think about how two drugs can produce opposite effects on the same tissue without directly interacting with each other. What type of antagonism involves different receptors or pathways?

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Category: Foundation – Pharmacology

Two drugs act on the same organ or tissue and activate different receptors that produce different responses. Which type of antagonism is this?

Think about the steps involved in gene expression. Which process occurs at the RNA level and is not related to protein modification?

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Category: Foundation – Biochemistry

Which of these is not included in posttranslational modification of proteins?

Think about the definition of optical isomers. What property distinguishes them from other types of isomers, and how does this relate to their interaction with light?

6 / 185

Category: Foundation – Biochemistry

Which of the following is incorrect regarding optical isomers?

Think about which amino acid’s metabolic pathway branches into NAD+ synthesis—and why diets poor in this amino acid (but seemingly adequate in niacin) can still cause deficiency symptoms.

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Category: Foundation – Biochemistry

Which of the following amino acids is used to synthesize niacin?

Think about the Henderson-Hasselbalch equation. Which two components of a buffer system are directly involved in determining its pH?

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Category: Foundation – Biochemistry

pH of buffer mainly depends on which of these?

Think about the mechanism by which alcohol kills microorganisms. Does it involve heat, radiation, or chemical interactions? Consider the classification of sterilization methods based on their mode of action.

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Category: Foundation – Pathology

Alcohol is used in which type of sterilization?

Think about the level of protein structure that involves the overall 3D shape of a single polypeptide chain, stabilized by interactions between the side chains of amino acids. Which level of structure does this describe?

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Category: Foundation – Biochemistry

3D folding of protein due to side-chain interaction is classified as which structure of a protein?

Think about the process that occurs in the liver and involves enzymes modifying drugs to prepare them for excretion.

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Category: Foundation – Pharmacology

Which of the following refers to the process that makes the drugs less effective?

Think about whether the body can produce tyrosine on its own or if it must be obtained through the diet. Consider the relationship between tyrosine and phenylalanine, another amino acid.

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Category: Foundation – Biochemistry

Tyrosine falls under which class of amino acids?

Think about the lymphatic organs that are primarily responsible for filtering lymph. These organs serve as hubs where immune cells can monitor and respond to pathogens carried by the lymph. Which structure would need vessels to bring lymph into it for filtering and immune activation? Consider the role of these organs in the larger immune response system.

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Category: Foundation – Anatomy

Which of the following lymphatic tissues have afferent lymph vessels?

Think about the orientation of the planes. Which planes run vertically, and which run horizontally? How do they divide the body?

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Category: Foundation – Anatomy

Which of the following is true regarding the anatomical planes?

Think about the early stages of embryonic development and the formation of the bilaminar germ disc. Which layer of the germ disc is responsible for forming structures that protect and nourish the embryo? Consider the origin of the cells that line the amniotic cavity.

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Category: Foundation – Embryology

The amniotic cavity is formed within which cavity?

Think about the anatomy of spinal nerves and their functional components. What is the relationship between the spinal nerve, its roots, and its rami?

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Category: Foundation – Anatomy

Which of the following is correct regarding spinal nerves?

Think about the structure of the DNA molecule after replication. How are the parental and newly synthesized strands distributed in the daughter molecules?

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Category: Foundation – Biochemistry

Which of these is true for semiconservative replication?

Think about the most basic level of protein structure. What term describes the linear order of amino acids in a polypeptide chain?

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Category: Foundation – Biochemistry

What is the simple sequence of amino acid called?

Think about the type of mutation that changes a single nucleotide in a way that alters the amino acid sequence without disrupting the reading frame or introducing a stop codon.

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Category: Foundation – Biochemistry

Which type of mutation leads to the addition of a different amino acid in the sequence?

Think about the term used to describe an individual who harbors a pathogen without showing symptoms but can transmit it to others. This term is often used in epidemiology and public health.

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Category: Foundation – Microbiology

An organism (for example bacteria, virus, or parasite) rises in a person’s body in such a way that it does not cause harm but is transferred to another person and can cause infection. This phase is termed as?

Think about an organ that is involved in filtration, secretion, and absorption, and consider the type of epithelium that would facilitate these functions.

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Category: Foundation – Histology

A histopathologist observed simple cuboidal epithelium on a slide. Simple cuboidal epithelium covers which of the following structures?

Consider the glycoproteins that play a role in both tissue structure and blood-related processes. Which one bridges the extracellular matrix and the circulatory system?

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Category: Foundation – Biochemistry

Which is the major glycoprotein of the extracellular matrix that is also soluble in plasma?

Think about the field of medicine that emphasizes treating the whole person rather than focusing on individual symptoms or body parts. What approach integrates physical, emotional, and spiritual health?

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Category: Foundation – Community Medicine

Mind, body, and soul are a part of which field of medicine?

Think about the purpose of each phase of the cell cycle. Which phase is specifically dedicated to synthesizing or copying DNA?

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Category: Foundation – Histology

DNA is replicated during which phase?

Consider how a drug spreads throughout the body. If a drug is mostly confined to the bloodstream, its distribution is minimal. However, if it moves extensively into tissues, only a small amount remains in plasma. How might this relationship be expressed in terms of a ratio involving the administered amount and its detectable concentration in the plasma?

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Category: Foundation – Pharmacology

What is the formula for the calculation of the volume distribution of drugs?

Consider the defining feature of sterilization methods: Does the process rely on molecular interactions that chemically alter microbial structures, or does it use energy transfer (heat/radiation) to physically destroy them?”

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Category: Foundation – Pathology

Gaseous sterilization is the subtype of which type of sterilization?

Think about the purpose of meiosis in sexual reproduction and how the chromosome number changes during this process. What term specifically describes a cell with half the number of chromosomes as the parent cell?

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Category: Foundation – Embryology

In meiosis, four daughter cells are produced with an “n” number of chromosomes. The “n” number corresponds to which of the following?

Think about the molecular structure of water and how its partial charges interact with ions. What property of water allows it to surround and separate ions in a salt crystal?

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Category: Foundation – Biochemistry

Why can water dissolve large quantities of salts?

Think about the number of sugar units in maltose. If it’s made up of two glucose molecules, what category of carbohydrates does it belong to?

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Category: Foundation – Biochemistry

Maltose is classified as which of the following?

Think about the function of each structure and where it would need to be located to perform that function. Which structure is involved in anchoring the cell rather than interacting with the external environment?

30 / 185

Category: Foundation – Histology

Which of these is not present on the apical surface of epithelial cells?

Consider the structural and functional differences between joint types. What type of cartilage is unique to secondary cartilaginous joints, and how does it contribute to their function? Think about the balance between stability and mobility in these joints.

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Category: Foundation – Anatomy

Which is true for the secondary cartilaginous joints?

Think about the motion of drawing a circle with your arm or leg. What simpler movements must be combined to create this circular motion? Which of these options includes the correct combination of movements?

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Category: Foundation – Anatomy

Which of these is true for circumduction?

Consider the structure of the cell membrane as a phospholipid bilayer with embedded proteins. How would the combined thickness of these components appear under an electron microscope?

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Category: Foundation – Physiology

What is the total range of thickness of the cell membrane as measured from an electron microphotograph?

Think about the modifications that protect mRNA and help it interact with the translation machinery.

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Category: Foundation – Biochemistry

What is added to the 5′-prime end of mRNA in eukaryotes?

Think about the role of the Na+/K+ ATPase pump in maintaining the electrochemical gradient across the cell membrane. How does this gradient contribute to processes like osmotic balance and cell volume regulation?

35 / 185

Category: Foundation – Physiology

Which of these statements regarding the sodium-potassium (Na+/K+) ATPase pump is correct?

Think about the function of each structure during both rest and activity. Which of these would require control from the system that promotes relaxation, secretion, and conservation of energy? Consider how each system affects organs related to breathing, circulation, and glandular activity.

36 / 185

Category: Foundation – Biochemistry

Which is the only structure that receives a parasympathetic supply?

Think about the specific regions of the spinal cord that are involved in autonomic functions. Where would neurons controlling involuntary responses, such as the “fight or flight” response, be located? Consider the anatomical organization of the grey matter and the functional roles of its different regions.

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Category: Foundation – Anatomy

Where are the preganglionic sympathetic neurons in the grey matter of the spinal cord found?

Think about the inheritance pattern that involves the X chromosome and how it affects men and women differently due to their sex chromosomes.

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Category: Foundation – Pathology

What is the mode of transmission of the diseases which are carried by women while exhibited by men?

Think about the pathway of preganglionic sympathetic axons. Which structure carries these axons to the sympathetic chain ganglia before they synapse and potentially re-enter the spinal nerve?

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Category: Foundation – Anatomy

Which structure contains preganglionic axons which synapse with postganglionic axons in the sympathetic chain and then pass into the anterior ramus?

Think about the characteristic appearance of the necrotic tissue described in the question: yellow, cream cheese-like, and friable. Which type of necrosis is known for this specific appearance and is classically associated with tuberculosis?

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Category: Foundation – Pathology

A person died from tuberculosis. After his death, a tissue biopsy was performed and yellow cream cheese-like, friable mass was observed in the lungs. Which of the following necrosis is the most likely cause?

Imagine two nearly identical keys that open the same lock, but one has a single tooth shaped differently. This minor structural change does not make them opposites, nor does it alter their fundamental function—yet it distinguishes them from each other. In molecular terms, what type of relationship does this represent?

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Category: Foundation – Biochemistry

Why are glucose and mannose epimers?

Think about the joint that allows the greatest range of motion in the body, including movements like throwing, lifting, and rotating the arm. Consider the structural type of joint that enables such versatility.

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Category: Foundation – Anatomy

A cricket player while playing felt difficulty in bowling due to a diseased shoulder joint. Which of the following is true for the movement of shoulder joint?

Think about the order of cell junctions from the apical to the basal side of the cell. Which junction forms the first barrier between the external environment and the internal tissue?

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Category: Foundation – Histology

In a junctional complex, which cell junction lies in the most apical region of the cell?

Think about the barriers that drugs must overcome when administered orally. Which route bypasses these barriers entirely, ensuring faster and more reliable drug delivery?

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Category: Foundation – Pharmacology

What is the advantage of the parenteral route?

Think about the biochemical reactions in which vitamin B12 participates, such as the conversion of homocysteine to methionine. What is the name of the active form of vitamin B12 that is directly involved in this reaction?

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Category: Foundation – Biochemistry

What is the activated form of vitamin B12?

Think about the differences between hyaline cartilage and fibrocartilage. Which feature is characteristic of fibrocartilage but not hyaline cartilage?

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Category: Foundation – Histology

Which of the following is not a microscopic feature of hyaline cartilages?

Focus on the structural differences between cilia, flagella, stereocilia, and microvilli. Which of these structures is known for having a specific arrangement of microtubules?

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Category: Foundation – Histology

Which of these is true regarding the cell surface modifications?

Consider the orientation of the three primary anatomical planes (sagittal, coronal, and transverse) and how they intersect with one another. Think about how each plane divides the body and whether their relationships are parallel, perpendicular, or at some other angle. How do these planes help us visualize the body in three dimensions?

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Category: Foundation – Anatomy

Which of these statements is correct regarding anatomical planes of the human body?

Think about the relationship between a raw material and the final product. Beta carotene is not the active form of vitamin A but is transformed into it in the body. What term describes a compound that serves as a precursor to an active vitamin?

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Category: Foundation – Biochemistry

What is the function of beta carotene in relation to vitamin A?

Think about which feature of fingerprinting makes it the most trusted method for identifying criminals, missing persons, or disaster victims. What quality ensures that even if thousands of people are checked, the right individual is matched without error?

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Category: Foundation – Anatomy

What is the advantage of fingerprinting?

Consider the broader categories within philosophy and how they address different aspects of human experience. Which branch is specifically concerned with the principles that guide what we ought to do and how we ought to behave?

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Category: Foundation – Community Medicine

What is the branch of philosophy that deals with the moral aspect of human behavior?

Consider the purpose of each phase of biotransformation. What is the goal of phase 2 reactions, and how do they differ from phase 1 reactions? Think about the chemical modifications that make a drug more water-soluble and easier to excrete.

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Category: Foundation – Pharmacology

Which process occurs in phase 2 of biotransformation?

Think about the basic structure of the cell membrane. What is its fundamental composition, and how does it provide a barrier while allowing selective communication between the cell and its environment?

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Category: Foundation – Histology

Which of the following is true regarding the cell membrane?

Think about what happens to your body when you feel nervous or scared.

Which of these options aligns with the body’s preparation for action?

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Category: Foundation – Physiology

A first-year medical student was nervous when taking their viva exam. How will this student’s autonomic nervous system respond?

Think about the name for macrophages when they are located in the general connective tissue of the body, rather than in specialized organs like the liver or lungs.

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Category: Foundation – Histology

What are macrophages in connective tissue known as?

Think about the earliest embryonic event that establishes the blueprint for all future tissue differentiation—what process creates the foundation for the three germ layers, and which transient structure orchestrates it?”

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Category: Foundation – Embryology

Sacrococcygeal teratoma occurs due to remains of the primitive streak in postnatal life. Primitive streak formation is the first sign of which of these stages?

Consider the nature of the reactions catalyzed by each enzyme class. Think about how the enzyme interacts with its substrate and what changes occur in the substrate as a result. Which class of enzymes is specifically designed to move functional groups from one molecule to another?

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Category: Foundation – Biochemistry

Which type of enzymes transfers functional groups?

Consider the hallmark features of Marfan syndrome—aortic dissection, lens dislocation, and long bone overgrowth. Which extracellular matrix protein, when mutated, would disrupt both tissue elasticity and growth factor signaling?

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Category: Foundation – Pathology

Mutations in which of the following genes leads to Marfan syndrome?

Think about the fate of apoptotic bodies and how the body ensures their removal without triggering inflammation. What cellular process involves the engulfment of cellular debris by other cells?

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Category: Foundation – Pathology

Apoptotic bodies undergoes which of the following phenomenon?

Think about the structural requirements of the respiratory passages. Which type of cartilage provides both support and flexibility to keep these airways open?

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Category: Foundation – Histology

Which cartilage is present in the walls of larger respiratory passages?

Think about the membrane where the proton gradient is established to drive ATP synthesis. Which mitochondrial membrane contains the protein complexes of the electron transport chain?

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Category: Foundation – Biochemistry

Enzymes involved in the electron transport chain are located in which of the following?

Think about the physical stress that occurs when the DNA double helix unwinds during replication. What enzyme would be needed to prevent the DNA from becoming overwound and tangled?

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Category: Foundation – Biochemistry

Why is topoisomerase required in DNA replication?

Think about the safest and most effective way to visualize the fetus and assess its growth without introducing unnecessary risks, especially in a patient with a known bleeding disorder. Consider the non-invasive methods first.

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Category: Foundation – Embryology

A 31-year-old woman comes to the outpatient department (OPD) with a history of 4 months of amenorrhea. Upon investigation, the height of the fundus is found to be 16 weeks. There is a medical history of hemophilia. Which investigation method should be used by the obstetrician?

Reflect on the composition of long bones during early development. What is the initial structural material that serves as the blueprint for bone formation? How does this material transition into mature bone, and what could happen if this transition is incomplete or disrupted?

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Category: Foundation – Anatomy

A child comes with deformed and shortened long bones of lower limbs. The deformed bones are not ossified by which ossification?

Think about where hydrogen bonds form in a protein—are they between nearby amino acids or distant ones? How does this relate to the level of structure?”

65 / 185

Category: Foundation – Biochemistry

Beta-pleated sheat in an example of which of the following? Question’s Explaination and Hint is for a different question, please fix.

Think about whether the process involves moving substances with or against a gradient and whether it requires cellular effort to reshape structures. Does it passively happen, or does the cell have to actively work to complete it?

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Category: Foundation – Physiology

Which of the following processes requires energy?

If you had to choose one lens responsible for both making the image larger and sharper, which would it be? What component ensures light hits the specimen optimally without distorting the image?

67 / 185

Category: Foundation – Histology

Which of these is a correct statement regarding microscopy?

Think about the functional role of chromatin in gene expression. Which form of chromatin would need to be more accessible for transcription machinery, and how would this affect its appearance under a microscope?

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Category: Foundation – Histology

Which of the following statements is true for euchromatin?

Think about the two main structures that are protected by bone (skull and vertebral column) and are responsible for processing and integrating information in the body.

69 / 185

Category: Foundation – Anatomy

What is the central nervous system made up of?

Consider the functional demands of different GI regions—which part requires a tough, abrasion-resistant lining due to constant friction from swallowed food, unlike the nutrient-absorbing regions?”

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Category: Foundation – Histology

A patient has undergone colonoscopy and esophagoscopy. Cells collected in the biopsy are of non-keratinized stratified squamous epithelium. Which structure contains these cells?

Think about the process by which cells “take in” substances from their environment. What is the general term for this process, and how does it differ from releasing substances?

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Category: Foundation – Physiology

How do large macromolecules enter a cell?

Think about the branched component of starch that allows for rapid energy release due to its multiple ends for enzymatic digestion.

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Category: Foundation – Biochemistry

Which type of starch has both α 1-4 linkages and α 1-6 linkages (at branch points)?

Think about the structure of ATP and the negative charges on its phosphate groups. Which ion is known to interact with these charges to stabilize ATP and make it a better substrate for enzymes?

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Category: Foundation – Biochemistry

Enzymes that use ATP as a substrate or cofactor require which of the following?

Think about the internal “skeleton” of the cell. Just as the human skeleton provides structure and shape to the body, this cellular structure provides shape and support to the cell. What term combines “cell” and “skeleton”?

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Category: Foundation – Physiology

What is the complex of proteins and filaments which span the entire cell and is responsible for giving the shape to the cell called?

Think about the definitions of basic movements like flexion and extension. What happens to the angle between two body parts during these movements?

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Category: Foundation – Anatomy

Which of the following is true regarding the terms of movements?

Think about the anatomy of spinal nerves and their functional components. What is the relationship between the spinal nerve, its roots, and its rami?

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Category: Foundation – Anatomy

Which of the following is correct regarding spinal nerves?

Think about the ion channel that opens in response to a change in membrane potential and allows a rapid influx of positively charged ions, leading to depolarization. Consider the initial phase of the action potential.

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Category: Foundation – Physiology

Activation of which of these leads to the generation of an action potential?

Think about the movement of ions during the different phases of an action potential. Which ion’s movement out of the cell would make the membrane potential more negative?

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Category: Foundation – Physiology

What causes hyperpolarization during an action potential?

Think about a glycoprotein that bridges the gap between cells and the ECM while also circulating in the blood to assist in tissue repair and clotting. Which protein fits this description?

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Category: Foundation – Biochemistry

Which is the major glycoprotein of the extracellular matrix that is also soluble in plasma?

Think about the primary function of each cell type and whether it is involved in the structure or immune function of connective tissue.

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Category: Foundation – Histology

Which of the following is not a connective tissue cell?

Consider the range of motion allowed by different types of synovial joints. How does the structure of a joint influence its function?

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Category: Foundation – Anatomy

Which of the following is an inappropriate statement regarding the plane synovial joint?

Think about the type of glucose that forms the backbone of energy-storage polysaccharides in animals and plants. Consider the orientation of the hydroxyl group on the first carbon of the glucose molecule.

82 / 185

Category: Foundation – Biochemistry

Glycogen and starch are polymers of which of the following monosaccharides?

Think about the type of neuron that carries sensory information from the skin to the spinal cord. What is the structural classification of these neurons, and how do they differ from motor neurons?

83 / 185

Category: Foundation – Anatomy

A person loses sensation at the anterior surface of the forearm. The neurons involved in the transmission of signals from here to the central nervous system are of which type?

Think about the purpose of immunization. Is it aimed at preventing a disease before it occurs, detecting it early, or managing it after diagnosis?

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Category: Foundation – Community Medicine

Immunization falls under which level of prevention?

Think about the final stages of the research process. Which step involves reflecting on the research and determining if the goals were successfully met?

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Category: Foundation – Community Medicine

In which one of the following steps of planning research, a researcher identifies that the objectives made for research are achieved?

Think about the protein that provides tensile strength and is the most abundant in connective tissues. What is the primary structural protein in the body?

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Category: Foundation – Biochemistry

What is the major component of most connective tissues?

Think about the fatty acids that the human body cannot produce on its own and must obtain from food. Which one is an omega-6 fatty acid commonly found in plant-based oils?

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Category: Foundation – Biochemistry

Which of these is an essential fatty acid in the human diet?

Think about the physical state of vegetable oils (unsaturated fats) compared to butter (saturated fats) at room temperature. What does this tell you about the melting points of unsaturated fatty acids?

88 / 185

Category: Foundation – Biochemistry

Which of the following is true for unsaturated fatty acids?

Think about the type of research that involves actively manipulating variables and comparing outcomes between groups to establish cause-and-effect relationships.

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Category: Foundation – Community Medicine

In the healthcare system, which type of research is conducted with a scientific approach using two sets of variables of control and a study group?

Think about the type of research where researchers actively introduce a change or treatment to study its effects. Consider studies that aim to establish cause-and-effect relationships.

90 / 185

Category: Foundation – Community Medicine

Intervention is an important step in which of the following research?

Think about why developing sperm cells need protection from the body’s immune system—what unique structure do Sertoli cells create to shield them, and how does this relate to their other supportive roles?

91 / 185

Category: Foundation – Physiology

What is the role of Sertoli cells in spermatogenesis?

Think about the types of RNA that require structural stability and functional efficiency. Which RNAs are known to contain modified nucleotides like pseudo uracil to support these roles?

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Category: Foundation – Biochemistry

Which type of RNA contains pseudo uracil?

Think about the complexity of biological membranes, which are permeable to multiple ions. Which equation accounts for the contributions of all permeable ions to the overall membrane potential?

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Category: Foundation – Physiology

When a membrane is permeable to several different ions, which of these is used to calculate diffusion potential?

Consider how cells maintain ionic balance—what transport mechanism would allow a cell to simultaneously import one critical ion while exporting a waste product, using the energy from one gradient to power the other?”

94 / 185

Category: Foundation – Physiology

What is the coupled transport of two different molecules in opposite directions called?

Think about the metabolic pathways where riboflavin plays a role—particularly those involving high-energy electron transfers. What molecules directly incorporate riboflavin to facilitate these reactions?”

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Category: Foundation – Biochemistry

Riboflavin produces which coenzyme? – 

Think about the enzyme that is responsible for ensuring the continuity of the DNA strand. Consider its role in DNA replication and repair.

96 / 185

Category: Foundation – Biochemistry

What is the function of DNA ligase?

Consider how a cell might regulate its own activity without relying on external signals. What mechanism would allow a cell to ‘self-stimulate’ in response to its own secreted molecules?

 

97 / 185

Category: Foundation – Biochemistry

What is the type of signaling in which the signaling factors produce an effect on the cell from which they are produced called? –

Focus on the key features described: the absence of a nuclear membrane and the alignment of chromosomes. Which phase of mitosis is characterized by these specific events? Think about the order of events in mitosis and what happens to the chromosomes and nuclear envelope in each phase.

98 / 185

Category: Foundation – Histology

On microscope examination of a cell, no nuclear membranes are seen. The chromosomes are lined up at the “equatorial plate.” Which phase of mitosis is seen?

Consider the chemical properties that allow a substance to interact with biological macromolecules without prior modification—what feature enables immediate, irreversible binding to functional groups like -SH or -NH₂?”

99 / 185

Category: Foundation – Pathology

Think about which chemical directly interacts with cellular components without requiring metabolic activation. Which one binds to proteins and enzymes, causing immediate damage?

Think about the building blocks of life. What is the smallest structure capable of performing all the functions necessary for life?

100 / 185

Category: Foundation – Physiology

Which of the following is the simplest unit of a living system?

Think about the final stage of the research process, where the results are shared and their significance is explained. Which step involves interpreting and applying the findings to real-world contexts?

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Category: Foundation – Community Medicine

Which of the following research steps is related to the implication of the research findings?

Think about the structures that bacteria use to “grab onto” host cells. Which bacterial appendage is specifically designed for attachment and colonization?

102 / 185

Category: Foundation – Microbiology

Some bacteria cause respiratory tract infections. Which structure in bacteria is responsible for adherence to the respiratory tract?

Think about the different types of joints based on their structure and the tissue that connects the bones. Fibrous joints are connected by dense connective tissue, while cartilaginous joints are connected by cartilage. Which option does not fit into the fibrous joint category?

103 / 185

Category: Foundation – Anatomy

Which of these is not a type of fibrous joint?

Consider the primary role of the uterus in the female reproductive system.  Reflect on the anatomical and physiological differences between the uterus and other reproductive organs.

104 / 185

Category: Foundation – Anatomy

What is the function of the uterus?

Think about the broader goals of urban health initiatives. What overarching objective would address multiple determinants of health in a city?

105 / 185

Category: Foundation – Community Medicine

What is the main objective of the World Health Organization (WHO)’s healthy city initiative?

“This type of adaptation involves change to better resist chronic irritation but may carry a risk of malignancy.”

106 / 185

Category: Foundation – Pathology

Which type of adaptation is seen in Barrett’s esophagus?

Think about the structures that are found outside the brain and spinal cord. Which term refers to a structure that is exclusively part of the CNS?

107 / 185

Category: Foundation – Anatomy

Which of the following is the inappropriate structure regarding peripheral nervous system?

Think about the definition of optical isomers. What property distinguishes them from other types of isomers, and how does this relate to their interaction with light?

108 / 185

Category: Foundation – Biochemistry

Which of the following interactions are responsible for high viscosity, high surface tension, and high boiling point of water?

Think about what happens when oxygen is reintroduced to a tissue after a period of ischemia. What harmful molecules are produced in large quantities, leading to cellular damage?

109 / 185

Category: Foundation – Pathology

Which of the following is responsible for the ischemia-reperfusion injury?

Think about the metabolic pathway of fatty acids. Which essential fatty acid is the precursor for arachidonic acid, and what happens if it is not available in the diet?

110 / 185

Category: Foundation – Biochemistry

Arachidonic acid becomes essential when which of the following is deficient in diet?

Think about the functional organization of the spinal cord. Which root is responsible for carrying information into the spinal cord, and which carries information out?

111 / 185

Category: Foundation – Anatomy

What is true regarding the composition of a spinal nerve?

Think about the bacterial structures that act like “molecular Velcro,” allowing bacteria to stick to surfaces. Which structure is specifically adapted for attachment to host tissues?

112 / 185

Category: Foundation – Microbiology

Some bacteria cause respiratory tract infections. Which structure in bacteria is responsible for adherence to the respiratory tract?

Think about the structural polysaccharide in plant cell walls that humans cannot digest but is essential for dietary fiber.

113 / 185

Category: Foundation – Biochemistry

Which polymer found in plant cells is a major component of their cell and is also a major constituent of insoluble dietary fiber?

Think about the structure of a chromosome and how errors in centromere division could lead to the formation of a chromosome with two identical arms. What term describes this specific type of chromosomal abnormality?

114 / 185

Category: Foundation – Pathology

What is an abnormal chromosome with two identical arms, either two short (p) arms or two long (q) arms, called?

Think about which structure is directly involved in the immune system and has a role in filtering pathogens. Which of these options is a lymphoid organ?

115 / 185

Category: Foundation – Anatomy

Lymphatics vessels are present in which of the following structures?

Think about the types of modifications that do not involve the formation or breaking of covalent bonds. Which process involves the addition of carbohydrate groups to proteins?

116 / 185

Category: Foundation – Biochemistry

Noncovalent modification after translation includes which of the following?

Think about the structural polysaccharide in plant cell walls that humans cannot digest but is essential for dietary fiber.

117 / 185

Category: Foundation – Biochemistry

Which polymer found in plant cells is a major component of their cell and is also a major constituent of insoluble dietary fiber?

Think about which cell type is primarily involved in allergic reactions and immediate hypersensitivity responses. What cell type is known for releasing histamine upon activation?

118 / 185

Category: Foundation – Physiology

Histamine is released from basophilic granules of which of the following?

Consider the role of ion channels in shaping the different phases of the action potential. Which ion channel, when open, allows positively charged ions to leave the cell, making the inside of the cell more negative?

119 / 185

Category: Foundation – Physiology

What causes hyperpolarization during an action potential?

Consider the structural and functional characteristics of the components of a joint. Which component is unique in its lack of nerve supply and blood vessels? Think about how this component differs from the others in terms of its ability to sense and respond to stimuli.

120 / 185

Category: Foundation – Anatomy

A 30-year-old man came to a hospital with the complaint of loss of proprioception at the joint. According to Hilton’s law, the diseased nerve was not supplying which of the following?

Think about the functional requirements of different cartilages in the body. Which structure needs to be both flexible and able to return to its original shape after bending?

121 / 185

Category: Foundation – Histology

Which of the following is an example of elastic cartilage?

Consider the role of vitamins in enzymatic reactions. Which substance is known for its involvement in maintaining the structural integrity of connective tissues and is historically linked to a disease caused by its deficiency, characterized by weakened collagen?

122 / 185

Category: Foundation – Biochemistry

During collagen synthesis, what does the formation of hydroxyproline residues require?

Which neurotransmitter is associated with this system, and is it the same at both preganglionic and postganglionic terminals?

123 / 185

Category: Foundation – Physiology

Which neurotransmitter is released at preganglionic and postganglionic nerve terminals of the parasympathetic nervous system respectively?

Think about the key structural feature of the rough endoplasmic reticulum (the presence of ribosomes) and what cellular process ribosomes are primarily involved in.

124 / 185

Category: Foundation – Physiology

Rough endoplasmic reticulum is involved in which of the following?

Think about the plane that runs vertically and divides the body into symmetrical left and right halves. What is the name of the plane that lies exactly in the midline?

125 / 185

Category: Foundation – Anatomy

A railway master, while traveling, saw a dead body that was cut into equal left and right halves. The body was cut in which anatomical plane?

Think about which global health organization is most closely associated with initiatives aimed at improving urban health and addressing social determinants of health. Which organization has a mandate to promote health equity and sustainable development worldwide?

126 / 185

Category: Foundation – Community Medicine

Who took the Healthy City Initiative?

Think about the primary function of microvilli. Which organ system requires a large surface area for absorption and is lined with simple columnar epithelium?

127 / 185

Category: Foundation – Histology

The histological section of a tissue shows simple columnar epithelium with many finger-like projections on the apical surface. Where is this type of epithelium found?

Think about the orientation of the midclavicular line. Is it vertical or horizontal? Is it in the midline or offset to the side? Which plane fits this description?

128 / 185

Category: Foundation – Anatomy

Falak had a fracture in the midclavicular region. This region falls in which plane?

Think about which of the options involves a liquid that must be completely free of microorganisms and cannot be sterilized by heat. What type of substance would require a gentle yet effective method like filtration?

129 / 185

Category: Foundation – Pathology

Sterilization by filtration can be used to leave out spores and bacteria. This method is used for which of the following?

Consider the functional roles of the parasympathetic nervous system and its anatomical distribution. Which regions of the central nervous system are responsible for controlling the “rest and digest” functions, and how do they differ from the “fight or flight” system?

130 / 185

Category: Foundation – Anatomy

The parasympathetic neurons originate from which part of the spinal cord?

Think about the relationship between the inhibitor and the substrate. If the inhibitor and substrate are “fighting” for the same spot on the enzyme, what type of inhibition would this represent? How does increasing the substrate concentration affect this competition?

131 / 185

Category: Foundation – Biochemistry

In which type of inhibition do a substance bind to the active site and the substrate compete with that substance to occupy the active site?

Think about the functional demands of blood vessels—what type of epithelium would optimally allow selective permeability and smooth flow while maintaining structural simplicity?”

132 / 185

Category: Foundation – Histology

Which squamous epithelium is present in blood vessels? –

Think about the layers of a blood vessel from the inside out. Which layer is the outermost, and which is the innermost?

133 / 185

Category: Foundation – Histology

Which of the following is the inappropriate statement regarding blood vessels?

Think about the final step in DNA replication or repair—what enzyme is essential to stitch together the backbone after other enzymes have synthesized or removed damaged sections?”

134 / 185

Category: Foundation – Biochemistry

What is the function of DNA ligase?

Think about the glial cells that extend processes to blood vessels to support the blood-brain barrier. Present in the gray matter ofcourse.

135 / 185

Category: Foundation – Histology

The student is given a histological section of the gray matter of the brain to observe. The image shows cells with multiple cytoplasmic processes spread across. These perivascular cells also sit at various places along the capillary endothelium. Which cells are these?

Think about the parasympathetic nervous system’s role in conserving energy and maintaining homeostasis. Consider its effects on the eyes, heart, and blood vessels.

136 / 185

Category: Foundation – Physiology

Which is the effect of parasympathetic stimulation?

Consider the hormonal signaling cascade: If a patient has high growth hormone levels but still exhibits dwarfism, where could the disruption be occurring—before or after the hormone is released?”

137 / 185

Category: Foundation – Pathology

What is the cause of Laron dwarfism?

Think about the role of the Na⁺/K⁺ pump in maintaining the resting membrane potential. Which ions are moved out of the cell, and which are moved into the cell to create the electrochemical gradient?

138 / 185

Category: Foundation – Physiology

Which of the following is correct regarding the Na+/K+ pump?

Think about the structure of RNA and how it can form secondary structures. In rho-independent termination, a specific sequence in the RNA transcript forms a stable structure that helps terminate transcription. What kind of sequence would allow for strong base pairing and a stable loop?

139 / 185

Category: Foundation – Biochemistry

In prokaryotes, the mechanism of rho independent termination of DNA replication involves which of the following?

Think about the structure that connects muscles to bones and is designed to withstand unidirectional tension. Consider the parallel arrangement of collagen fibers in this tissue.

140 / 185

Category: Foundation – Histology

A dense connective tissue containing bundles of collagen fibers that run parallel to each other and have only fibroblast cells with flattened nuclei in between them. This tissue is present in which of the following?

Think about the final stages of the research process. Which step involves reflecting on the research and determining if the goals were successfully met?

141 / 185

Category: Foundation – Community Medicine

In which type of research does a researcher use facts or information already available and analyze it to make a critical evaluation of the material?

Think about the primary function of lymph follicles and which immune cells are directly involved in antibody production and antigen recognition.

142 / 185

Category: Foundation – Anatomy

What is the dominant cell type in the lymph follicle?

Think about the standard reference position used in anatomy to describe the body. What is the most neutral and consistent posture that allows for clear communication about the location of structures?

143 / 185

Category: Foundation – Anatomy

Which of the following descriptions of the anatomical position is correct?

Think about the structure of fats and oils. What three-carbon molecule serves as the backbone for these energy-storage molecules, allowing them to bind three fatty acids?

144 / 185

Category: Foundation – Biochemistry

Triacylglycerols are esters of fatty acid with which of these?

Think about the journey of a protein after it is synthesized. Which organelle is responsible for modifying and preparing it for its final destination?

145 / 185

Category: Foundation – Physiology

What is the function of the Golgi complex?

Consider the metabolic pathways and physiological conditions that might increase the demand for certain amino acids. Which amino acid is needed by the body during periods of growth or stress?

146 / 185

Category: Foundation – Biochemistry

Which of these is a semi-essential amino acid?

Think about the structural component of the skin that provides strength and determines the direction of tension. Consider what surgeons take into account when making incisions to minimize scarring.

147 / 185

Category: Foundation – Anatomy

What is the reason for the presence of cleavage lines in the skin (also called Langer lines)?

Consider the different ways oxygen delivery to tissues can be disrupted. Think about the roles of the heart, lungs, blood vessels, and hemoglobin in transporting oxygen. If any of these components fail or are compromised, what happens to oxygen delivery?

148 / 185

Category: Foundation – Physiology

Hypoxia means a decrease in oxygen delivery to tissues. Which of the following can cause hypoxia and eventually lead to the decreased aerobic oxidative respiration? –

Think about the differences between hyaline cartilage and fibrocartilage. Which feature is characteristic of fibrocartilage but not hyaline cartilage?

149 / 185

Category: Foundation – Histology

Which of the following is not a microscopic feature of hyaline cartilages?

Think about the type of connective tissue that provides strength in multiple directions and is well-suited for forming protective layers around organs and joints.

150 / 185

Category: Foundation – Histology

Which type of connective tissue is found in the capsule?

Think about the cells that are continuously produced in large quantities to perform a vital function for survival. Which cells exist in trillions in the human body?

151 / 185

Category: Foundation – Physiology

Which are the most abundant cells of the human body?

Think about its uniqueness and what makes it useful across different scenarios.

152 / 185

Category: Foundation – Community Medicine

What is the advantage of fingerprinting?

Think about the maximum effect a drug can produce, regardless of the dose. Which pharmacological term describes this concept?

153 / 185

Category: Foundation – Pharmacology

What is the ability of a drug to produce a response called?

Think about the primary functions of the lymphatic system, such as immunity and fluid balance. Which option does not align with these well-defined roles?

154 / 185

Category: Foundation – Anatomy

Which of the following is incorrect regarding the role of lymphatic system?

Think about the amino acid that is metabolized through a pathway involving the production of NAD+ (nicotinamide adenine dinucleotide), a derivative of niacin.

155 / 185

Category: Foundation – Biochemistry

Which of the following amino acids is used to synthesize niacin?

Think about the primary components of chromatin and their roles in DNA packaging. Which component listed in the false statement does not belong?

156 / 185

Category: Foundation – Physiology

Which of these is false regarding the chromatin?

Think about the sequence of events in the cell cycle. Which phase directly precedes mitosis, and what is its primary function?

157 / 185

Category: Foundation – Physiology

Which of the following is incorrect regarding the cell cycle?

Think about the structure of the mitochondria and where the processes of the electron transport chain occur. Which part of the mitochondria is directly involved in creating the proton gradient necessary for ATP synthesis?

158 / 185

Category: Foundation – Biochemistry

In which of the following are four large complexes of the respiratory chain embedded?

Think about the type of joint that allows for bone growth in children and is composed of hyaline cartilage. Consider the location of the growth plate in long bones.

159 / 185

Category: Foundation – Anatomy

A girl was brought to the hospital after she fell while playing and could not move her knee. After examination, it was told that the joint between the epiphysis and diaphysis of the tibia has been dislocated. Which type of joint is it?

Think about the speed at which the body adapts to a drug. Which term describes a rapid decrease in drug effectiveness after just one or a few doses?

160 / 185

Category: Foundation – Pharmacology

What is the rapid reduction in the response of a drug after a single administration defined as?

Think about the role of water in enzyme-catalyzed reactions. Which enzyme class does not rely on water to break chemical bonds but instead builds new molecules?

161 / 185

Category: Foundation – Biochemistry

Which enzyme does not belong to the class hydrolases?

Think about the chemical structure of glycosaminoglycans. What type of sugar derivative is commonly found alongside amino sugars in these complex carbohydrates? Focus on the functional groups that contribute to the unique properties of GAGs.

162 / 185

Category: Foundation – Biochemistry

Which of the following, along with amino sugars, constitutes the complex carbohydrates called glycosaminoglycans?

Think about the driving force behind passive movement of molecules across a membrane. What factor directly influences how quickly molecules move from one side to the other?

163 / 185

Category: Foundation – Physiology

The rate of diffusion through the cell membrane is proportional to which of the following?

Think about the structure and function of the nuclear membrane. How does it differ from other membranes in the cell, and what is its role in separating the nucleus from the cytoplasm?

164 / 185

Category: Foundation – Histology

Which of the following statements regarding cell organelles is correct?

Think about the specific enzyme that modifies proline residues in collagen to form hydroxyproline. What is the name of the enzyme that adds a hydroxyl group to proline?

165 / 185

Category: Foundation – Embryology

Gastrulation is the process involving the conversion of the bilaminar disc to trilaminar disc. Which is the first morphological sign for gastrulation?

 

Think about the consistency and function of Wharton’s jelly. Which type of tissue is gelatinous, provides cushioning, and is rich in ground substance rather than fibers?

166 / 185

Category: Foundation – Histology

A histologist observed a cut section of the umbilical cord under a microscope and saw a substance called the Wharton’s jelly. This substance consists of which tissue?

Think about the RNA molecule that is synthetically designed to bind to and degrade specific mRNA sequences, effectively silencing the expression of a target gene.

167 / 185

Category: Foundation – Biochemistry

Which RNA can stop the expression of the gene when introduced synthetically?

Think about the specific enzyme that modifies proline residues in collagen to form hydroxyproline. What is the name of the enzyme that adds a hydroxyl group to proline?

168 / 185

Category: Foundation – Biochemistry

Which of these enzymes is used for the formation of hydroxyproline?

Think about the molecules involved in inflammation and immune responses. Which group of signaling molecules is synthesized from the oxidation of polyunsaturated fatty acids like arachidonic acid?

169 / 185

Category: Foundation – Biochemistry

Which is the signaling molecule made from the oxidation of arachidonic acid or other polyunsaturated fats?

Think about the branch of ethics that focuses on character and personal virtues rather than rules or consequences. Which option aligns with this approach?

170 / 185

Category: Foundation – Community Medicine

Which is the branch of moral psychology?

Consider the broader categories within philosophy and how they address different aspects of human experience. Which branch is specifically concerned with the principles that guide what we ought to do and how we ought to behave?

171 / 185

Category: Foundation – Community Medicine

What is the branch of philosophy that deals with the moral aspect of human behavior?

Think about the type of cell death that is associated with inflammation and tissue damage. Which process involves the breakdown of the nucleus in a specific sequence?

172 / 185

Category: Foundation – Pathology

Which of the following shows signs of karyorrhexis, pyknosis, and karyolysis?

Necrosis is a form of cell death characterized by the following nuclear changes:
1. Karyorrhexis: Fragmentation of the nucleus into smaller pieces.
2. Pyknosis: Shrinkage and condensation of the nucleus.
3. Karyolysis: Dissolution of the nucleus due to enzymatic degradation.

These changes are hallmarks of necrosis, which typically occurs due to pathological conditions such as ischemia, infection, or trauma. Necrosis is associated with inflammation and tissue damage.

Why the other options are wrong:

1. Reversible cell injury: In reversible cell injury, the nucleus remains intact, and the cell can recover if the injurious stimulus is removed. Nuclear changes like karyorrhexis, pyknosis, and karyolysis do not occur.

2. Apoptosis: Apoptosis is a programmed cell death characterized by cell shrinkage, chromatin condensation, and formation of apoptotic bodies. It does not involve karyorrhexis, pyknosis, or karyolysis.

3. Fatty change: This refers to the accumulation of fat within cells, often seen in the liver due to metabolic disturbances. It does not involve nuclear changes like karyorrhexis, pyknosis, or karyolysis.

4. Cellular shrinkage: Cellular shrinkage can occur in apoptosis or atrophy but is not associated with the nuclear changes seen in necrosis.

Consider which chromosomal alteration involves an unequal exchange of genetic material between chromosomes, leading to missing or extra genes. How does this compare to other structural changes that primarily rearrange or duplicate genetic material without significant loss?

173 / 185

Category: Foundation – Biochemistry

A significant loss of genetic material is observed in which of the following chromosomal structure alteration?

Think about the function of the distal convoluted tubule: it actively transports ions and water. What type of epithelium would be best suited for this function?

174 / 185

Category: Foundation – Histology

Which of the following epithelium is found in the distal convoluted tubules of the kidney?

Think about the purpose of drug metabolism in the body. What property of drugs needs to be altered to ensure they can be excreted efficiently?

175 / 185

Category: Foundation – Pharmacology

What is the effect of biotransformation on drugs?

Think about what gain represents: it’s a measure of how much a system amplifies or reduces an input signal. If you know the correction (output) and the error (difference between desired and actual output), how would you quantify the system’s effectiveness? Which mathematical operation relates these two quantities to give you a measure of amplification?

176 / 185

Category: Foundation – Physiology

The gain of a control system is calculated by which formula?

Think about the general characteristics of endocrine glands and whether intracellular vacuoles are exclusive to certain cell types or present in all cells.

177 / 185

Category: Foundation – Physiology

Which of these is false for endocrine glands?

Think about which system is capable of rapid, anticipatory responses to external stimuli. Which system can prepare the body for an action before it occurs?

178 / 185

Category: Foundation – Physiology

Which of the following systems uses a feed-forward control principle?

Think about the equation used to calculate the membrane potential in living cells. what degree of distribution does it have, individual or multiple?

179 / 185

Category: Foundation – Physiology

The diffusion potential of the cell membrane can be calculated using which of the following ions?

Think about the initiation phase of transcription in prokaryotes. What component of the RNA polymerase holoenzyme is responsible for recognizing the promoter and ensuring accurate binding to the DNA?

180 / 185

Category: Foundation – Biochemistry

Which is the component of holoenzyme that is used in transcription?

Think about the proportion of total body water that is contained within cells. What is the approximate volume if total body water is around 42 litres?

181 / 185

Category: Foundation – Physiology

What is the intracellular fluid volume in the human body?

Think about the movement of spreading your fingers apart. Which term describes moving away from the midline or neutral position?

182 / 185

Category: Foundation – Anatomy

What is the movement of fingers away from the neutral position called?

Think about the ion gradient that drives the transport of other molecules across the cell membrane. Consider how this gradient is established and maintained.

183 / 185

Category: Foundation – Physiology

Secondary active transport uses energy from which of the following?

Think about the small RNA molecules that can inhibit or decrease the expression of genes without altering the DNA sequence itself. Theyre like silencers of gene activity.

184 / 185

Category: Foundation – Biochemistry

Which of the following takes part in the regulation of gene expression?

Think about the structural and functional adaptations of tissues in the human body. Consider which tissues require direct blood supply for their function and which tissues rely on alternative mechanisms to obtain nutrients and oxygen. How does the absence of blood vessels in certain tissues contribute to their specialized roles?

185 / 185

Category: Foundation – Anatomy

Which of the following is incorrect regarding capillaries?

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