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These are biochemistry/nutrition exam questions (Group B). The instruction says to answer any four from questions 8–12, with 13 & 14 being compulsory. I'll answer all of them comprehensively.

Group B — Complete Answers


Q8. Define gene, genome and chromosome. Classify genetic disorders with examples. (3+2)

Gene: A gene is the basic unit of heredity — a specific sequence of DNA (or RNA in some viruses) that encodes the information needed to synthesize a functional product (protein or functional RNA). It occupies a specific locus on a chromosome.
Genome: The genome is the complete set of genetic material (all DNA) of an organism, including all genes and non-coding sequences. The human genome contains ~3 billion base pairs across 23 pairs of chromosomes.
Chromosome: A chromosome is a thread-like, highly organized structure of DNA wound around histone proteins (chromatin), located in the cell nucleus. Humans have 46 chromosomes (23 pairs): 22 pairs of autosomes + 1 pair of sex chromosomes (XX or XY).
Classification of Genetic Disorders:
TypeMechanismExample
Chromosomal disordersAbnormal number or structure of chromosomesDown syndrome (Trisomy 21), Turner syndrome (45,X)
Single-gene (Mendelian) disordersMutation in a single geneSickle cell anemia (AR), Huntington's disease (AD), Hemophilia (X-linked)
Multifactorial disordersMultiple genes + environmentDiabetes mellitus, hypertension, cleft palate
Mitochondrial disordersMutations in mitochondrial DNALeber's hereditary optic neuropathy (LHON)

Q9. What is RNA? Name the different types of RNA with their functions. (2+3)

RNA (Ribonucleic Acid): RNA is a single-stranded polynucleotide made of ribonucleotides (adenine, guanine, cytosine, uracil) linked by 3'→5' phosphodiester bonds. It is formed by transcription from a DNA template and plays central roles in gene expression.
Types of RNA and Functions:
TypeFull NameFunction
mRNAMessenger RNACarries genetic code from nucleus to ribosomes; template for protein synthesis
tRNATransfer RNACarries specific amino acids to the ribosome; has anticodon to match mRNA codon (adaptor molecule)
rRNARibosomal RNAStructural and catalytic component of ribosomes; forms the peptidyl transferase center
hnRNAHeterogeneous nuclear RNAPrimary transcript (pre-mRNA) before processing
snRNASmall nuclear RNAComponent of spliceosomes; involved in splicing of introns
miRNA / siRNAMicro / small interfering RNAPost-transcriptional gene regulation; RNA interference (RNAi)

Q10. Define replication and transcription. Write the differences between replication and transcription. Write the post-transcriptional modifications. (2+1.5+1.5)

DNA Replication: The process by which a DNA molecule is copied to produce two identical daughter DNA molecules. It is semi-conservative (each new molecule has one old strand and one new strand). Occurs in S-phase of the cell cycle.
Transcription: The process by which the genetic information in one strand of DNA (template strand) is copied into a complementary RNA strand using RNA polymerase. Occurs in the nucleus; product is mRNA (or other RNA species).
Differences Between Replication and Transcription:
FeatureReplicationTranscription
TemplateBoth strands of DNAOnly one strand (template/antisense strand)
ProductTwo daughter DNA moleculesRNA (mRNA, tRNA, rRNA, etc.)
EnzymeDNA polymeraseRNA polymerase
NucleotidesDeoxyribonucleotidesRibonucleotides
Primer neededYes (RNA primer)No primer needed
PurposeCell division / heredityProtein synthesis
OccursOnce per cell cycleMultiple times as needed
Post-Transcriptional Modifications (of pre-mRNA → mature mRNA):
  1. 5' Capping: Addition of 7-methylguanosine cap at the 5' end → protects mRNA from degradation and aids ribosome binding
  2. 3' Polyadenylation: Addition of a poly-A tail (~200 adenine residues) at the 3' end → increases stability and aids nuclear export
  3. Splicing: Removal of non-coding introns and joining of exons by the spliceosome complex (snRNAs)

Q11. Name the proximate principles of food. What is dietary fiber? Write down the importance of dietary fiber. (1.5+1.5+2)

Proximate Principles of Food (the major nutrients):
  1. Carbohydrates
  2. Proteins
  3. Fats (Lipids)
  4. Water
  5. Vitamins
  6. Minerals
(Some classifications include dietary fiber as a 7th component)
Dietary Fiber: Dietary fiber consists of plant-derived polysaccharides and lignin that are resistant to digestion and absorption in the small intestine. They are fermented partially or completely in the large intestine.
  • Soluble fiber: Pectin, guar gum, beta-glucan (found in oats, legumes, fruits)
  • Insoluble fiber: Cellulose, hemicellulose, lignin (found in wheat bran, vegetables)
Importance of Dietary Fiber:
FunctionDetails
Bowel regularityIncreases stool bulk, reduces transit time → prevents constipation
Prevents diverticular diseaseReduces pressure within the colon
Lowers blood cholesterolSoluble fiber binds bile acids → reduces LDL (prevents cardiovascular disease)
Glycemic controlSlows glucose absorption → prevents spikes in blood sugar; helps in Type 2 diabetes
Prevents colorectal cancerDilutes carcinogens, reduces transit time in colon
Satiety and weight controlIncreases fullness, reduces caloric intake
Prebiotic effectFermented by gut bacteria → produces short-chain fatty acids (SCFAs); nourishes colonocytes
Recommended intake: 25–38 g/day for adults.

Q12. What is biological cloning? Difference between Biological cloning and PCR. State the application of PCR. (1+2+2)

Biological Cloning: Biological cloning is the process of producing genetically identical copies of a DNA fragment (gene cloning), cell, or organism using biological vectors (plasmids, bacteriophages) and host cells (usually bacteria like E. coli). The gene of interest is inserted into a vector, introduced into a host cell, and amplified as the host reproduces.
Differences Between Biological Cloning and PCR:
FeatureBiological CloningPCR (Polymerase Chain Reaction)
PrincipleUses living host cells (bacteria) to amplify DNACell-free, in vitro enzymatic amplification
RequirementVector + host cell + restriction enzymes + ligasePrimers + Taq polymerase + thermocycler
TimeDays to weeksHours
ScaleLarge quantities; can express proteinsAmplifies specific DNA segments only
FidelityHighHigh (with proofreading polymerases)
ApplicationProtein production, gene librariesDiagnosis, sequencing, forensics
Applications of PCR:
  1. Diagnosis of infections — detection of HIV, TB, COVID-19, hepatitis viruses by amplifying pathogen DNA/RNA
  2. Genetic disease diagnosis — prenatal diagnosis of sickle cell anemia, thalassemia, cystic fibrosis
  3. Forensic medicine — DNA fingerprinting from blood, semen, hair
  4. Paternity testing
  5. Cancer diagnosis — detection of oncogenes, gene mutations (e.g., BRCA1/2)
  6. Sequencing — preparation for DNA sequencing (including Human Genome Project)
  7. Cloning — amplification of gene of interest before cloning

Q13. A 3-year-old baby admitted to hospital with puffy face, hair changes, distended abdomen and leg edema. Body weight is 70% of normal. (2+3)

a. What is your diagnosis?
The clinical picture — puffy face, hair changes (depigmentation, easily pluckable), distended abdomen (ascites), pitting edema of legs, body weight 70% of normal in a 3-year-old child — is classic for:
Kwashiorkor (Protein-Energy Malnutrition, protein-deficient type)
Key distinguishing features from marasmus:
  • Edema is the hallmark (due to hypoalbuminemia → reduced oncotic pressure)
  • Weight 60–80% of normal (vs. <60% in marasmus)
  • "Flaky paint" dermatosis, "flag sign" in hair (alternating light/dark bands due to protein deficiency periods)
b. Biochemical tests to suggest:
TestExpected FindingRationale
Serum albuminLow (<2.8 g/dL)Primary indicator of protein deficiency
Serum total proteinLowReflects overall protein status
Serum transferrinLowSensitive marker of protein malnutrition
Complete Blood Count (CBC)Anemia (normocytic or microcytic)Iron/protein deficiency
Blood glucoseHypoglycemiaReduced gluconeogenesis
Serum electrolytesHypokalemia, hyponatremiaElectrolyte imbalance
Liver function tests (LFTs)Elevated SGOT/SGPT; fatty liverHepatic involvement in kwashiorkor
Urinary urea/creatinine ratioLowReflects poor protein intake
Serum retinol-binding proteinLowShort-half-life protein, very sensitive

Q14. (Option 1 — DRI, SDA, Nutritional Assessment of Female Medical Student) (1+1.5+1.5+2+4)

What is DRI?
DRI (Dietary Reference Intakes) is a set of evidence-based reference values for nutrient intake used to plan and assess diets for healthy individuals. It includes:
ComponentDefinition
EAR (Estimated Average Requirement)Intake that meets the needs of 50% of healthy individuals
RDA (Recommended Dietary Allowance)Intake that meets the needs of 97–98% of healthy individuals (EAR × 1.2)
AI (Adequate Intake)Used when EAR/RDA cannot be determined; based on observed intake
UL (Tolerable Upper Intake Level)Maximum intake unlikely to cause adverse effects
SDA of Different Types of Food:
SDA (Specific Dynamic Action), also called Thermic Effect of Food (TEF), is the extra heat produced by the body during digestion, absorption, and metabolism of food.
Food TypeSDA
Protein20–30% of calories consumed
Carbohydrate5–10% of calories consumed
Fat2–5% of calories consumed
Mixed diet~10% of total caloric intake
Nutritional Status Assessment of a Female Medical Student:
Methods used:
  1. Dietary assessment — 24-hour dietary recall, food frequency questionnaire
  2. Anthropometric measurements:
    • Height, weight → BMI = Weight(kg)/Height(m²)
    • Normal BMI: 18.5–24.9 kg/m²
    • Mid-upper arm circumference (MUAC), skinfold thickness (triceps, subscapular)
  3. Biochemical tests: Hemoglobin, serum albumin, serum ferritin, blood glucose, lipid profile
  4. Clinical examination: Signs of vitamin/mineral deficiency (pallor, glossitis, angular stomatitis, goiter, night blindness, etc.)
  5. Functional assessment: Muscle strength, cognitive function
Calculation of Daily Energy Requirement for a Female Medical Student:
Assumptions:
  • Age: 20 years, Weight: 55 kg, Height: 160 cm
  • Activity level: Moderately active (medical student)
Step 1 — BMR (Basal Metabolic Rate) using Harris-Benedict equation:
BMR (female) = 655 + (9.6 × W) + (1.8 × H) − (4.7 × A) BMR = 655 + (9.6 × 55) + (1.8 × 160) − (4.7 × 20) BMR = 655 + 528 + 288 − 94 = 1377 kcal/day
Step 2 — Physical Activity Factor: Moderately active = BMR × 1.55
Total Energy = 1377 × 1.55 = ~2134 kcal/day
Step 3 — Add SDA (10% of total):
SDA = 2134 × 0.10 = ~213 kcal
Total Daily Energy Requirement ≈ 2134 kcal/day (SDA is already incorporated in activity factor calculations in most practical methods)
Macronutrient Distribution (for ~2100 kcal/day):
Nutrient% of EnergyAmount
Carbohydrates55–60%~290–315 g
Protein15%~79 g (or 0.8–1 g/kg = ~44–55 g)
Fat25–30%~58–70 g
Iron (female)18–29 mg/day (menstruation)
Calcium1000 mg/day

All answers follow standard biochemistry and nutrition curricula as taught in medical/paramedical programs.
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