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Kaplan Qbank USMLE



Author10 Posts
  #1

(Cleft lip picture)…..The developmental anomaly shown in this stillborn fetus is most commonly characterized by which type of inheritance?


A) Autosomal dominant



B) Autosomal recessive



C) Mitochondrial



D) Multifactorial



E) Sex-linked



15. In gout, hyperuricemia resulting from overproduction of urate is most likely to result from a lack of feedback inhibition by ADP or GDP at which enzyme?



A) Adenosine deaminase



B) Dihydrofolate reductase



C) Glucose 6-phosphate dehydrogenase



D) Nucleotide phosphorylase



E) Phosphoribosylpyrophosphate synthetase


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  #2

1. D

2. E


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  #3

nod

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  #4

1.D

2.?


  #5

1.D

2.A?


  #6

Can anyone explain the second question please?

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Our greatest glory is not in never falling, but in rising every time we fall.

  #7

DrVirgo wrote:
Can anyone explain the second question please?


Think of HGPRT. E is the closest u can get to it if u know what HGRPT stands for. CLue? THink of Lesch-nyhan syndrome about self-mutilation and gout.

  #8

for the second q, i think nbme has given wrong choice. PRPP amido transferase is the actual enzyme.

  #9

But still E is as close as it gets

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  #10

No doubts, the answer is E:

-Firs Aid 2006 page 320: it says that gout can be caused by PRPP excess.

-Lippincott Biochemistry 3rd edition page 291, it says that phosphoribosilpyrophosphate synthetase is inhibited by purine ribonucleotides.








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