2/19/2020 Biochemistry page 2 | eLearning

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Biochemistry page 2
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What is the primary source of nega vely charged ions in the blood?
Q

Ammonium and chloride

Bicarbonate and ammonium

Bicarbonate and chloride

Phosphate and bicarbonate

Phosphate and chloride

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What is the coagula on factor number for fibrinogen?

Q

Factor I

Factor II
Factor IV

Factor V
Factor X

What is the average haemoglobin concentra on in a newborn at term?

Q

10 g/dl

12 g/dl

15 g/dl

17 g/dl
25 g/dl

What factor shi s the O2 dissocia on curve to the right (i.e., reduces Hb affinity for
Q 02)?

Decreased CO2 concentra on

Decreased hydrogen ion concentra on

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Increased 2,3 DPG

Increased sodium concentra on

Reduced temperature

What coagula on factors are reduced in pregnancy?

Q

III, IV

IX, X
V, VII

XI, XII

XI, XIII

Where is the chloride shi phenomenon seen?

Q

Distal convoluted tubules

Glomerulus
Platelets
Red blood cells

White blood cells

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What is the major hydrogen ion buffer in blood?

Q

Albumin

Bicarbonate
Haemoglobin

Phosphate

Uric acid

What is the major produc on mechanism of 2,3 DPG?

Q

Anaerobic metabolism in smooth muscle

Gluconeogenesis
Glycolysis

Only in the liver

Suprarenal glands

With regard to plasma calcium, what propor on is carried in an ionised form?

Q

1%
5%

45%

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75%

78%

With regard to bound plasma calcium, what is the major carrier?

Q

Calciprotein transfer molecule 1 (CTM 1)

Haemoglobin

Neutrophils

Plasma proteins

SHBG

Where in the body is the major produc on of 1,25 (OH) D3 (calcitriol)?

Q

Bone

Kidneys

Liver

Lung

Parathyroids

With regards to vitamin D metabolism, what food is par cularly high in D2?
Q
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Bananas

Beef

Oily fish

Soya milk

Wheat

Which of the following best describes the complement system?

Q

It consists of a series of approximately 60 serum glycoproteins

The major func on of the complement system is to remove and destroy

an gens
The most abundant complement is C4

The alterna ve pathway is ini ated by binding of an body to an gen

The classic pathway does not require any an body

Which coagula on factor decreases in pregnancy?

Q

Factor I
Factor VII

Factor VIII
Factor X

Factor XI
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With regard to oral iron absorp on, reduc on of Fe3+ to Fe2+ is inhibited by what
Q substance?

Gastric acid
Tea

Vitamin B1
Vitamin C
Vitamin E

A 54-year-old woman presents to her GP with malaise, a history of recent weight

Q loss and bloa ng. On examina on the GP notes a large pelvic mass. He sends her
for an urgent abdominal ultrasound scan. What tumour marker would be most
useful to aid the diagnosis in this case?

a-FP
CA 15-3

CA 19-9
CA-125
HCG

This is the last ques on of this quiz. Press finish to submit your choice(s) and reveal the answer(s).

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