15 MCQs in Biochemistry for NEET PG
What is the primary physiological role of the non-oxidative phase of the pentose phosphate pathway?
A 28-year-old woman from Kerala presents with acute hemolytic anemia and jaundice 2 days after consuming fava beans. Laboratory studies show reduced hemoglobin, elevated indirect bilirubin, and decreased haptoglobin. Which is the most common enzymatic defect responsible for this clinical presentation?
A 6-year-old boy of South Asian descent presents to the pediatric emergency department with acute hemolytic anemia, jaundice, and dark urine following ingestion of fava beans at a family meal. Peripheral blood smear shows Heinz bodies and bite cells. The enzyme marked **A** in the diagram is suspected to be deficient. Which of the following is the PRIMARY mechanism by which deficiency of this enzyme predisposes to hemolysis in this clinical scenario?
Regarding the pentose phosphate pathway (PPP), all of the following statements are correct EXCEPT:
A 34-year-old Indian woman with a history of recurrent infections presents with fatigue and jaundice. Laboratory findings show: Hb 9.8 g/dL, MCV 78 fL, reticulocyte count 6%, and peripheral smear reveals polychromasia with occasional spherocytes. Flow cytometry-based RBC osmotic fragility test is positive. Her 8-year-old son has similar clinical features. Genetic testing reveals a mutation in the G6PD gene (hemizygous in the son, heterozygous in the mother). Which of the following best explains why this patient's haemolytic episodes are typically milder and less frequent than those of her son?
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