All of the following can occur in LeschNyhan syndrome except (A) Gouty arthritis (B) Uric acid stones (C) Retarted growth (D) Self-mutiliating behaviour

All of the following can occur in LeschNyhan syndrome except (A) Gouty arthritis (B) Uric acid stones (C) Retarted growth (D) Self-mutiliating behaviour
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All of the following statements about primary gout are true except (A) Uric acid stones may be formed in kidneys (B) Arthritis of small joints occurs commonly (C) Urinary excretion of uric acid is decreased (D) It occurs predominantly in males

Description : All of the following statements about primary gout are true except (A) Uric acid stones may be formed in kidneys (B) Arthritis of small joints occurs commonly (C) Urinary excretion of uric acid is decreased (D) It occurs predominantly in males

Last Answer : Answer : C

All are true about lesch-nyhan syndrome except (A) Produces self-mutilation (B) Genetic deficiency of the enzyme (C) Elevated levels of uric acid in blood (D) Inheritance is autosomal recessive

Description : All are true about lesch-nyhan syndrome except (A) Produces self-mutilation (B) Genetic deficiency of the enzyme (C) Elevated levels of uric acid in blood (D) Inheritance is autosomal recessive

Last Answer : Answer : B

Complete absence of hypoxanthine guanine phospharibosyl transferase causes (A) Primary gout (B) Immunodeficiency (C) Uric acid stones (D) Lesh-Nyhan syndrome

Description : Complete absence of hypoxanthine guanine phospharibosyl transferase causes (A) Primary gout (B) Immunodeficiency (C) Uric acid stones (D) Lesh-Nyhan syndrome

Last Answer : Answer : D

Allopurinol has a therapeutic effect in the following conditions except: A. Radiotherapy induced hyperuricaemia B. Hydrochlorothiazide induced hyperuricaemia C. Acute gouty arthritis D. Kala-azar

Description : Allopurinol has a therapeutic effect in the following conditions except: A. Radiotherapy induced hyperuricaemia B. Hydrochlorothiazide induced hyperuricaemia C. Acute gouty arthritis D. Kala-azar

Last Answer : C. Acute gouty arthritis

All of the following statements about allopurinol are true except (A) It is a structural analogue of uric acid (B) It can prevent uric acid stones in the kidneys (C) It increases the urinary excretion of xanthine and hypoxanthine (D) It is a competitive inhibitor of xanthine oxidase

Description : All of the following statements about allopurinol are true except (A) It is a structural analogue of uric acid (B) It can prevent uric acid stones in the kidneys (C) It increases the urinary excretion of xanthine and hypoxanthine (D) It is a competitive inhibitor of xanthine oxidase

Last Answer : Answer : A

All of the following statements about uric acid are true except (A) It can be formed from allantoin (B) Formation of uric acid stones in kidneys can be decreased by alkalinisation of urine (C) Uric acid begins to dissociate at pH above 5.8 (D) It is present in plasma mainly as monosodium urate

Description : All of the following statements about uric acid are true except (A) It can be formed from allantoin (B) Formation of uric acid stones in kidneys can be decreased by alkalinisation of urine (C) Uric acid begins to dissociate at pH above 5.8 (D) It is present in plasma mainly as monosodium urate

Last Answer : Answer : A

Which of the following drugs may be effective in the treatment of gouty arthritis by acting by two separate and distinct mechanisms? (a) Allopurinol (b) Probenecid (c) Colchicine (d) Indomethacin (e) Sulfinpyrazone

Description : Which of the following drugs may be effective in the treatment of gouty arthritis by acting by two separate and distinct mechanisms? (a) Allopurinol (b) Probenecid (c) Colchicine (d) Indomethacin (e) Sulfinpyrazone

Last Answer : Ans: D

Lesch-Nyhan syndrome, the sex linked, recessive absence of HGPRTase, may lead to (A) Compulsive self destructive behaviour with elevated levels of urate in serum (B) Hypouricemia due to liver damage (C) Failure to thrive and megaloblastic anemia (D) Protein intolerance and hepatic encephalopathy

Description : Lesch-Nyhan syndrome, the sex linked, recessive absence of HGPRTase, may lead to (A) Compulsive self destructive behaviour with elevated levels of urate in serum (B) Hypouricemia due to liver damage (C) Failure to thrive and megaloblastic anemia (D) Protein intolerance and hepatic encephalopathy

Last Answer : Answer : A

Allopurinol is indicated in the following category of chronic gout patients: A. Over producers of uric acid B. Under excretors of uric acid C. Those with tophi and/or renal urate stones D. All of the above

Description : Allopurinol is indicated in the following category of chronic gout patients: A. Over producers of uric acid B. Under excretors of uric acid C. Those with tophi and/or renal urate stones D. All of the above

Last Answer : D. All of the above

High level of uric acid in the blood causes – (1) Arthritis (2) Gout (3) Rheumatism (4) Asthma

Description : High level of uric acid in the blood causes – (1) Arthritis (2) Gout (3) Rheumatism (4) Asthma

Last Answer : (2) Gout Explanation: High levels of uric acid in the blood can cause solid crystals to form within joints. This causes a painful condition called gout. If gout remains untreated, these uric acid crystals can build up in the joints and nearby tissues, forming hard lumpy deposits called tophi.

Deposition of uric acid crystals at the joint is the cause of - (1) Arthritis (2) Osteoporosis (3) Osteomalacia (4) Rickets

Description : Deposition of uric acid crystals at the joint is the cause of - (1) Arthritis (2) Osteoporosis (3) Osteomalacia (4) Rickets

Last Answer : (1) Arthritis Explanation: Gout is a medical condition usually characterized by recurrent attacks of acute inflammatory arthritis- a red, tender, hot, swollen joint. It is caused by elevated ... . The uric acid crystallizes, and the crystals deposit in joints, tendons, and surrounding tissues.

Deposition of uric acid crystals at the joint is the cause of (1) Arthritis (2) Osteoporosis (3) Osteomalacia (4) Rickets

Description : Deposition of uric acid crystals at the joint is the cause of (1) Arthritis (2) Osteoporosis (3) Osteomalacia (4) Rickets

Last Answer : Arthritis

High level of uric acid in the blood causes (1) Arthritis (2) Gout (3) Rheumatism (4) Asthma

Description : High level of uric acid in the blood causes (1) Arthritis (2) Gout (3) Rheumatism (4) Asthma

Last Answer : Gout

In most mammals, except primates, uric acid is metabolized by (A) Oxidation to allantoin (B) Reduction to NH3 (C) Hydrolysis to allantoin (D) Hydrolysis to NH3

Description : In most mammals, except primates, uric acid is metabolized by (A) Oxidation to allantoin (B) Reduction to NH3 (C) Hydrolysis to allantoin (D) Hydrolysis to NH3

Last Answer : Answer : A

All of the following statements about uric acid are true except (A) It is a catabolite of purines (B) It is excreted by the kidneys (C) It is undissociated at pH above 5.8 (D) It is less soluble than sodium urate

Description : All of the following statements about uric acid are true except (A) It is a catabolite of purines (B) It is excreted by the kidneys (C) It is undissociated at pH above 5.8 (D) It is less soluble than sodium urate

Last Answer : Answer : C

Non-protein nitrogenous substances in blood include all of the following except (A) Urea (B) Uric acid (C) Creatinine (D) Inositol

Description : Non-protein nitrogenous substances in blood include all of the following except (A) Urea (B) Uric acid (C) Creatinine (D) Inositol

Last Answer : Answer : C

Hypercalcaemia can occur in all the following except (A) Hyperparathyroidism (B) Hypervitaminosis D (C) Milk alkali syndrome (D) Nephrotic syndrome

Description : Hypercalcaemia can occur in all the following except (A) Hyperparathyroidism (B) Hypervitaminosis D (C) Milk alkali syndrome (D) Nephrotic syndrome

Last Answer : Answer : D

All of the following occur in orotic aciduria except (A) Increased synthesis of pyrimidine nucleotides (B) Increased excretion of orotic acid in urine (C) Decreased synthesis of cytidine triphosphate (D) Retardation of growth

Description : All of the following occur in orotic aciduria except (A) Increased synthesis of pyrimidine nucleotides (B) Increased excretion of orotic acid in urine (C) Decreased synthesis of cytidine triphosphate (D) Retardation of growth

Last Answer : Answer : A

Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89

Description : Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89

Last Answer : Answer : A

Osteoporosis, an age-related disease of skeletal system, may occur due to (a) immune disorder affecting neuromuscular junction leading to fatigue (b) high concentration of Ca++ and Na+ (c) decreased level of estrogen (d) accumulation of uric acid leading to inflammation of joints.

Description : Osteoporosis, an age-related disease of skeletal system, may occur due to (a) immune disorder affecting neuromuscular junction leading to fatigue (b) high concentration of Ca++ and Na+ (c) decreased level of estrogen (d) accumulation of uric acid leading to inflammation of joints.

Last Answer : (c) decreased level of estrogen

A 35-year-old male presented with an attack of acute gout. He was treated with a 10 day course of naproxen. His blood uric acid level is high. What future line of treatment is most appropriate: A. No regular medication. Treat attacks of acute gout when they occur with naproxen. B. Regular long-term treatment with naproxen C. Regular long-term treatment with allopurinol D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

Description : A 35-year-old male presented with an attack of acute gout. He was treated with a 10 day course of naproxen. His blood uric acid level is high. What future line of treatment is ... treatment with allopurinol D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

Last Answer : D. Start with allopurinol + naproxen for 2 months followed by long-term allopurinol treatment

All of the following are true of Wilson’s disease except (A) Low total plasma Cu (B) Elevated urinary copper (C) Arthritis (D) Aminoaciduria

Description : All of the following are true of Wilson’s disease except (A) Low total plasma Cu (B) Elevated urinary copper (C) Arthritis (D) Aminoaciduria

Last Answer : Answer : C

The following is true of proton pump inhibitors except: A. They are the most effective drugs for Zolinger Ellison syndrome B. Their prolonged use can cause atrophy of gastric mucosa C. They inhibit growth of H. pylori in stomach D. They have no effect on gastric motilit

Description : The following is true of proton pump inhibitors except: A. They are the most effective drugs for Zolinger Ellison syndrome B. Their prolonged use can cause atrophy of gastric mucosa C. They inhibit growth of H. pylori in stomach D. They have no effect on gastric motilit

Last Answer : B. Their prolonged use can cause atrophy of gastric mucosa

Sjögren syndrome is characterised by: A. Dryness of the mouth B. Dryness of the eyes C. Rheumatoid arthritis D. All of the above

Description : Sjögren syndrome is characterised by: A. Dryness of the mouth B. Dryness of the eyes C. Rheumatoid arthritis D. All of the above

Last Answer : D. All of the above

Organic compound of small molecular size is (A) Urea (B) Uric acid (C) Creatinine (D) Phosphates

Description : Organic compound of small molecular size is (A) Urea (B) Uric acid (C) Creatinine (D) Phosphates

Last Answer : Answer : A

Which pathway is correct for catabolism of purines to form uric acid? (A) Guanylate→Adenylate→Xanthine→hypoxanthine→Uric acid (B) Guanylate→inosinate→Xanthine→hypoxanthine→Uric acid (C) Adenylate→Inosinate→Xanthine hypoxanthine→Uric acid (D) Adenylate→Inosinate→hypoxanthine Xanthine→Uric acid

Description : Which pathway is correct for catabolism of purines to form uric acid? (A) Guanylate→Adenylate→Xanthine→hypoxanthine→Uric acid (B) Guanylate→inosinate→Xanthine→hypoxanthine→Uric acid (C) Adenylate→Inosinate→Xanthine hypoxanthine→Uric acid (D) Adenylate→Inosinate→hypoxanthine Xanthine→Uric acid

Last Answer : Answer : D

In humans, the principal metabolic product of pyrimidines is (A) Uric acid (B) Allantoin (C) Hypoxanthine (D) β-alanine

Description : In humans, the principal metabolic product of pyrimidines is (A) Uric acid (B) Allantoin (C) Hypoxanthine (D) β-alanine

Last Answer : Answer : D

In humans, the principal break down product of purines is (A) NH3 (B) Allantin (C) Alanine (D) Uric acid

Description : In humans, the principal break down product of purines is (A) NH3 (B) Allantin (C) Alanine (D) Uric acid

Last Answer : Answer : D

The probable metabolic defect in gents is (A) A defect in excretion of uric acid by kidney (B) An overproduction of pyrimidines (C) An overproduction of uric acid (D) Rise in calcium leading to deposition of calcium urate

Description : The probable metabolic defect in gents is (A) A defect in excretion of uric acid by kidney (B) An overproduction of pyrimidines (C) An overproduction of uric acid (D) Rise in calcium leading to deposition of calcium urate

Last Answer : Answer : C

Insoinic acid is the biological precursor of (A) Cytosine and Uric acid (B) Adenylve acid and Glucine floc acid (C) Orotic acid and Uridylic acid (D) Adenosine acid Thymidine

Description : Insoinic acid is the biological precursor of (A) Cytosine and Uric acid (B) Adenylve acid and Glucine floc acid (C) Orotic acid and Uridylic acid (D) Adenosine acid Thymidine

Last Answer : Answer : B

A drug which prevents uric acid synthesis by inhibiting the enzyme Xanthine oxidase is (A) Aspirin (B) Allopurinal (C) Colchicine (D) Phenyl benzoate

Description : A drug which prevents uric acid synthesis by inhibiting the enzyme Xanthine oxidase is (A) Aspirin (B) Allopurinal (C) Colchicine (D) Phenyl benzoate

Last Answer : Answer : B

Uric acid is the catabolic end product of (A) Porphyrine (B) Purines (C) Pyrimidines (D) Pyridoxine

Description : Uric acid is the catabolic end product of (A) Porphyrine (B) Purines (C) Pyrimidines (D) Pyridoxine

Last Answer : Answer : A

When NH3 is perfused through a dog’s liver ______ is formed, while ______ is formed in the birds liver. (A) Urea, Uric acid (B) Urea, allantoin (C) Uric acid, creatinine (D) Uric acid, Urea

Description : When NH3 is perfused through a dog’s liver ______ is formed, while ______ is formed in the birds liver. (A) Urea, Uric acid (B) Urea, allantoin (C) Uric acid, creatinine (D) Uric acid, Urea

Last Answer : Answer : A

In inherited deficiency of hypoxanthine guanine phosphoribosyl transferase (A) De novo synthesis of purine nucleotides is decreased (B) Salvage of purines is decreased (C) Salvage of purines is increased (D) Synthesis of uric acid is decreased

Description : In inherited deficiency of hypoxanthine guanine phosphoribosyl transferase (A) De novo synthesis of purine nucleotides is decreased (B) Salvage of purines is decreased (C) Salvage of purines is increased (D) Synthesis of uric acid is decreased

Last Answer : Answer : B

Daily uric acid excretion in adult men is (A) 2–6 mg (B) 20–40 mg (C) 150–250 mg (D) 40–600 mg

Description : Daily uric acid excretion in adult men is (A) 2–6 mg (B) 20–40 mg (C) 150–250 mg (D) 40–600 mg

Last Answer : Answer : D

Uric acid is the end product of purine as well as protein catabolism in (A) Man (B) Fish (C) Birds (D) None of these

Description : Uric acid is the end product of purine as well as protein catabolism in (A) Man (B) Fish (C) Birds (D) None of these

Last Answer : Answer : C

The end product of purine catabolism in man is (A) Inosine (B) Hypoxanthine (C) Xanthine (D) Uric acid

Description : The end product of purine catabolism in man is (A) Inosine (B) Hypoxanthine (C) Xanthine (D) Uric acid

Last Answer : Answer : D

The major catabolic product of pyrimidines in human is (A) β-Alanine (B) Urea (C) Uric acid (D) Guanine

Description : The major catabolic product of pyrimidines in human is (A) β-Alanine (B) Urea (C) Uric acid (D) Guanine

Last Answer : Answer : A

Gout is characterized by increased plasma levels of (A) Urea (B) Uric acid (C) Creatine (D) Creatinine

Description : Gout is characterized by increased plasma levels of (A) Urea (B) Uric acid (C) Creatine (D) Creatinine

Last Answer : Answer : B

The correct sequence of the reactions of catabolism of adenosine to uric acid is (A) Adenosine→hypoxanthine→xanthine→uric acid (B) Adenosine→xanthine→inosine→uric acid (C) Adenosine→inosine→hypoxanthine→ xanthine uric acid (D) Adenosine→xanthine→inosine→hypoxanthine uric acid

Description : The correct sequence of the reactions of catabolism of adenosine to uric acid is (A) Adenosine→hypoxanthine→xanthine→uric acid (B) Adenosine→xanthine→inosine→uric acid (C) Adenosine→inosine→hypoxanthine→ xanthine uric acid (D) Adenosine→xanthine→inosine→hypoxanthine uric acid

Last Answer : Answer : C

In mammals other than higher primates uric acid is converted by (A) Oxidation to allantoin (B) Reduction to ammonia (C) Hydrolysis to ammonia (D) Hydrolysis to allantoin

Description : In mammals other than higher primates uric acid is converted by (A) Oxidation to allantoin (B) Reduction to ammonia (C) Hydrolysis to ammonia (D) Hydrolysis to allantoin

Last Answer : Answer : A

In humans purine are catabolised to uric acid due to lack of the enzyme: (A) Urease (B) Uricase (C) Xanthine oxidase (D) Guanase

Description : In humans purine are catabolised to uric acid due to lack of the enzyme: (A) Urease (B) Uricase (C) Xanthine oxidase (D) Guanase

Last Answer : Answer : B

In humans end product of purine catabolism is (A) Uric acid (B) Urea (C) Allantoin (D) Xanthine

Description : In humans end product of purine catabolism is (A) Uric acid (B) Urea (C) Allantoin (D) Xanthine

Last Answer : Answer : A

Schardinger’s enzyme is (A) Lactate dehydrogenase (B) Xanthine dehydrogenase (C) Uric oxidase (D) L amino acid dehydrogenase

Description : Schardinger’s enzyme is (A) Lactate dehydrogenase (B) Xanthine dehydrogenase (C) Uric oxidase (D) L amino acid dehydrogenase

Last Answer : Answer : B

Ammonia is excreted as ammonium salts during metabolic acidosis but the majority is excreted as (A) Phosphates (B) Creatine (C) Uric acid (D) Urea

Description : Ammonia is excreted as ammonium salts during metabolic acidosis but the majority is excreted as (A) Phosphates (B) Creatine (C) Uric acid (D) Urea

Last Answer : Answer : D

The end product of amino acid nitrogen metabolism in uricotelic organisms (reptiles and birds) is (A) Bilirubin (B) Urea (C) Uric acid (D) Biliverdin

Description : The end product of amino acid nitrogen metabolism in uricotelic organisms (reptiles and birds) is (A) Bilirubin (B) Urea (C) Uric acid (D) Biliverdin

Last Answer : Answer : C

Amino acids provide the nitrogen for the synthesis of (A) The bases of the phospholipids (B) Uric acid (C) Glycolipids (D) Chondroitin sulphates

Description : Amino acids provide the nitrogen for the synthesis of (A) The bases of the phospholipids (B) Uric acid (C) Glycolipids (D) Chondroitin sulphates

Last Answer : Answer : A

The unwanted amino acids abstracted from the tissues are either used up by the tissue or in the liver converted into (A) Ammonia (B) Urea (C) Ammonium salts (D) Uric acid

Description : The unwanted amino acids abstracted from the tissues are either used up by the tissue or in the liver converted into (A) Ammonia (B) Urea (C) Ammonium salts (D) Uric acid

Last Answer : Answer : B

The hydrogen bonds between peptide linkages are interfered by (A) Guanidine (B) Uric acid (C) Salicylic acid (D) Oxalic acid

Description : The hydrogen bonds between peptide linkages are interfered by (A) Guanidine (B) Uric acid (C) Salicylic acid (D) Oxalic acid

Last Answer : Answer : A