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- | MD (Biochemistry) | + | =====MD (Biochemistry)===== |
- | Approximate distribution of Topics for Theory Papers | + | ====PG Resident Resource==== |
- | See VNSGU documents for latest information | + | ====Approximate distribution of Topics for Theory Papers==== |
- | Paper Topics | + | |
- | 1 Relevant topics of chemistry, physics, physiology, | + | ^Paper^Topics^ |
- | 2 Biochemistry of Carbohydrate, | + | |1|Relevant topics of chemistry, physics, physiology, |
- | 3 Nucleic acid metabolism and genetics, immunology and endocrinology | + | |2|Biochemistry of Carbohydrate, |
- | 4 Laboratory medicine, | + | |3|Nucleic acid metabolism and genetics, immunology and endocrinology| |
+ | |4|Laboratory medicine, | ||
The Postgraduate study is integrative in nature. Overlap of topics is expected in all papers | The Postgraduate study is integrative in nature. Overlap of topics is expected in all papers | ||
- | Logbook word copy and PDFlogbook_biochemistry.pdf logbook_biochemistry.docx microbiology_joining.odt biochemistry_journal.pdf pathology_joining.odt pathology_letter.odt microbiology_letter.odt | ||
- | Miscellaneous topic enzyme_multiplied_immunoassay_technique.pdfdirect_indriect_method_of_sampling.pdfmiselenious.pdfmeasurment_of_radioactivity.pdfacid_base_balance.pdfbook-teaching_and_learning_methods_in_medicine_pdfdrive_.pdfbook_medical_teachers.pdf | + | ====Logbook word copy and PDF==== |
+ | |{{: | ||
+ | |||
+ | ====Resident External Posting==== | ||
+ | |{{: | ||
+ | |||
+ | ====Resident Practical Resourse==== | ||
+ | |{{: | ||
+ | |||
+ | ====PG Previous question paper==== | ||
+ | ^batch^Month & year^theory^pdf^ | ||
+ | |2022-2025|Dec 2024|Prelims|{{ : | ||
+ | | | |University|{{ : | ||
- | (Incomplete) | + | ====Example List of questions for PG (MD Biochemistry Students)==== |
=====Core biochemistry===== | =====Core biochemistry===== | ||
- How H2O2 is formed in human body | Describe biochemical reactions causing H2O2 mediated damage to cell membrane lipid| How NADPH is used to metabolize H2O2| How G6PD mutations are inherited| What are biochemical events causing hemolysis in G6PD deficiency| Explain principle of Methelene Blue based screening test for diagnosis of G6PD deficiency | - How H2O2 is formed in human body | Describe biochemical reactions causing H2O2 mediated damage to cell membrane lipid| How NADPH is used to metabolize H2O2| How G6PD mutations are inherited| What are biochemical events causing hemolysis in G6PD deficiency| Explain principle of Methelene Blue based screening test for diagnosis of G6PD deficiency | ||
- Explain role of Fe2+, heme and globins in hemoglobin mediated O2 and CO2 transport. Emphasize role of distal and proximal histidine of globin. Enlist series of molecular events responsible for increased O2 affinity of Hb when one of its globin bind O2. Explain molecular basis of relationship between O2 and carbon monoxide in context of hemoglobin structure and function. What is carbon monoxide concentration in various environment | - Explain role of Fe2+, heme and globins in hemoglobin mediated O2 and CO2 transport. Emphasize role of distal and proximal histidine of globin. Enlist series of molecular events responsible for increased O2 affinity of Hb when one of its globin bind O2. Explain molecular basis of relationship between O2 and carbon monoxide in context of hemoglobin structure and function. What is carbon monoxide concentration in various environment | ||
- | - Describe biochemical structure of bacterial cell wall and give overview of its synthesis. How does it differ in Gram positive and negative organisms. Describe biochemical mechanism of action of antibiotics affecting bacterial cell wall. Explain biochemical strategies used by bacteria to develop resistance to these antibiotics. Explain mechanism of autoimmune disease following bacterial infection and immune-mediated hypersensitivity to antibiotics | + | - Describe biochemical structure of bacterial cell wall and give overview of its synthesis. How does it differ in Gram positive and negative organisms. Describe biochemical mechanism of action of antibiotics affecting bacterial cell wall. Explain biochemical strategies used by bacteria to develop resistance to these antibiotics. |
- | - Protein life cycle | + | - Explain mechanism of autoimmune disease following bacterial infection and immune-mediated hypersensitivity to antibiotics |
+ | - [[Protein life cycle]] | ||
- Protein sequencing using Edman reaction | - Protein sequencing using Edman reaction | ||
- Protein folding and its perturbation causing diseases | - Protein folding and its perturbation causing diseases | ||
- Post-translational modifications in collagen | - Post-translational modifications in collagen | ||
- | - Enzymatic pathways of methemoglobin reduction and biochemical basis for use of methelene blue in treatment of methemoglobinemia. | + | - [[Enzymatic pathways of methemoglobin reduction and biochemical basis for use of methelene blue in treatment of methemoglobinemia.]] |
- | - Enzymatic pathways of methemoglobin reduction and biochemical basis for use of methelene blue in reagents for diagnosis of G6PD deficiency. | + | - [[Enzymatic pathways of methemoglobin reduction and biochemical basis for use of methelene blue in reagents for diagnosis of G6PD deficiency.]] |
- | - Amino acid substitutions in hemoglobin variants and correlation with electrophoretic mobility and sickling test | + | - [[Amino acid substitutions in hemoglobin variants and correlation with electrophoretic mobility and sickling test]] |
- Single molecule enzymology | - Single molecule enzymology | ||
- Molar absorptivity of NADH and calculation of enzyme factors | - Molar absorptivity of NADH and calculation of enzyme factors | ||
Line 201: | Line 215: | ||
- Inflammatory Markers in COVID19 management | - Inflammatory Markers in COVID19 management | ||
- Biochemical Differences between delta and omicron variants of SARSCoV2 ant its clinical significance | - Biochemical Differences between delta and omicron variants of SARSCoV2 ant its clinical significance | ||
- | - | + | |
=====Laboratory Medicine===== | =====Laboratory Medicine===== | ||
- ISO 15189-2012 | - ISO 15189-2012 | ||
Line 238: | Line 252: | ||
- How to write good MCQ question paper | - How to write good MCQ question paper | ||
- | Pharmacology (Biochemical Mechanism of Action of Drugs) and Microbiology | + | =====Pharmacology (Biochemical Mechanism of Action of Drugs) and Microbiology===== |
- | statin | + | |
- | fibrate | + | |
- | Niacin | + | |
- | cholestyramin | + | |
- | ezetimibe | + | |
- | penicilline | + | |
- | quinolone | + | |
- | folate antagonists | + | |
- | sulphonamide | + | |
- | neuraminidase inhibitors | + | |
- | protease inhibitors | + | |
- | M protein inhibitor- amantidine | + | |
- | Reverse trascriptase inhibitors | + | |
- | integrase inhibitors | + | |
- | anti cancer drugs mechanism | + | |
- | H1N1 | + | |
- | HIV | + | |
- | Immunology | + | |
- | Immunoglobulin | + | =====Immunology===== |
- | Complement | + | |
- | B cell Receptor | + | |
- | T Cell receptors | + | |
- | MHC | + | |
- | Immune diversityAllelic exclusion, DNA rearrangement in B and T cell, Junctional diversity, Somatic hypermutation, | + | |
- | Extracelluar and intracellular antigen presentation | + | |
- | T Cell activation | + | |
- | B Cell activation | + | |
- | T cell and B cell effector functions | + | |
- | ADA, Chronic granulomatous disease, Ataxia Telegactesia | + | |
- | Autoimmunity | + | |
- | Self tolerance | + | |
- | Central | + | |
- | Peripheral | + | |
- | Loss of self tolerance | + | |
- | structural molecular mimicry | + | |
- | sequestration | + | |
- | Neoantigen | + | |
- | Epitope spreading | + | |
- | Clinical Chemistry | + | |
- | Ethical issues in clinical chemistry | + | |
- | Process of introducing new laboratory method in routine use | + | =====Clinical Chemistry===== |
- | Repeatability, | + | |
- | Measurement of within run precision using 20 sets of within-batch-duplicate measurement | + | |
- | Precision profile of an examination at different analyte concentration | + | |
- | Evaluation of the Linearity of Quantitative Measurement Procedures CLSI EP 06-A | + | |
- | LoB,LoD,LoQ and LoL | + | |
- | Procedures for setting analytical goals for clinical chemistry examinations | + | |
- | Bland Altman plot for comparison between two methods | + | |
- | Absolute and relative Bland Altman plot for comparison between two methods | + | |
- | Regression analysis | + | |
- | Concept of significant digits in clinical chemistry | + | |
- | Traceability and measurement uncertainty | + | |
- | Sensitivity and specificity of diagnostic test and ROC curve | + | |
- | Types of clinical questions addressed in laboratory medicine with examples | + | |
- | Hierarchy of evidences for decision making about appropriateness of a laboratory examination | + | |
- | Standards for reporting diagnostic accuracy (STARD) used for evaluating evidence published for accuracy of laboratory test | + | |
- | Critical appraisal and systemic review of diagnostic tests | + | |
- | Economic evaluation of diagnostic tests | + | |
- | Different meanings of “Normal Value” and difference from “Reference value” and “Clinical decision limits” | + | |
- | Conditions to compare patient results with reference values | + | |
- | Strategies for selecting reference individuals for determining reference values of a diagnostic test | + | |
- | Parametric and nonparametric methods for determining reference values | + | |
- | Univariate, multiple univariate and multivariate reference values | + | |
- | Subject based reference values | + | |
- | Circadian rhythm as preanalytical variable | + | |
- | Diet and alcohol as preanalytical variable | + | |
- | Noncontrollable preanalytical variable | + | |
- | Biological variability of clinical chemistry examinations | + | |
- | Recommended order of draw, stopper color, content and inversions | + | |
- | Types of vacuum tubes for collection of blood for serum | + | |
- | Newer advances in vacuum tubes technology for patient and phlebotomist safety | + | |
- | Skin puncture for sample collection | + | |
- | Arterial puncture for sample collection | + | |
- | Various anticoagulents and preservatives in blood | + | |
- | Collection of urine specimen | + | |
- | Cost of Quality with reference to clinical laboratory | + | |
- | Concept of six sigma and measurement of sigma in a clinical chemistry laboratory | + | |
- | Calibrator traceability | + | |
- | LJ Chart for quality control | + | |
- | Westgard rules for interpretation of QC results | + | |
- | Control of quality using patient data from single and multiple patients | + | |
- | Desirable characteristics of EQA program for clinical chemistry | + | |
- | Explain Trueness, accuracy and precision with examples | + | |
- | Explain repeatability and reproducibility with examples | + | |
- | mole, molarity, molality and normality | + | |
- | Concentration quantities and units in clinical biochemistry | + | |
- | SI units in clinical biochemistry | + | |
- | Standardized reporting of test results | + | |
- | Reagent grade water – CLSI specifications and preparation/ | + | |
- | Reference materials, Reference methods and Reference laboratories | + | |
- | Measurement of volume in clinical chemistry | + | |
- | Micropipette/ | + | |
- | Types, operating principles, calibration, | + | |
- | Buffers in clinical chemistry reagents – principles, preparation and uses | + | |
- | Ethical issues in clinical chemistry | + | |
- | Hazards in clinical laboratory | + | |
- | Classification of fires and fire extinguisher requirements | + | |
- | Color coding, order of draw, mixing recommendations of vacuum tubes for sample collection | + | |
- | Causes and prevention of error and hazards in sample collection | + | |
- | Beer's law, relationship between Transmittance and Absorbance and its application in clinical chemistry. | + | |
- | Explain concept and application of Molar Absorptivity giving suitable examples. | + | |
- | Draw diagram of a spectrophotometer. How double-beam-in-time spectrophotometer differ from double-beam-in-space spectrophotometer | + | |
- | Light sources in analytical equipments | + | |
- | Spectral isolation in optical analytical equipments | + | |
- | Wavelengh accuracy, spectral band width, stray light and photometric accuracy of optical analytical equipments | + | |
- | Principle, instrumentation and use of atomic absorption spectrometry in clinical chemistry | + | |
- | Zeeman correction in atomic absorption spectrometry | + | |
- | Principle of flurometry and fluroscence polarization | + | |
- | Components of flurometric equipment | + | |
- | Principles of Luminecence, | + | |
- | Principle and instrumentation of nephelometry and turbidimetry | + | |
- | Potentiometry using Ion selective electrodes for H+, Na+, K+ and Cl- | + | |
- | Potentiometry electrodes for pCO2 | + | |
- | Amperometric electrode for pO2 | + | |
- | Amperometric O2 based and H2O2 based glucose electrodes | + | |
- | Potentiometric enzyme electrode for blood urea | + | |
- | Biosensors – enzyme based and affinity based | + | |
- | Affinity sensors for specific protein and DNA detection | + | |
- | Electrophoresis support media | + | |
- | Isoelectric focusing | + | |
- | Principle of SDS PAGE | + | |
- | Troubleshooting SDS PAGE | + | |
- | Principle, instrumentation and uses of capillary electrophoresis | + | |
- | Microchip electrophoresis | + | |
- | Separation mechanisms used in chromatography | + | |
- | Size exclusion chromatography | + | |
- | Affinity chromatography | + | |
- | Explain chromatographic resolution and efficiency | + | |
- | Instrumentation of HPLC | + | |
- | HPLC sample injector | + | |
- | HPLC columns | + | |
- | HPLC detectors | + | |
- | Instrumentation of Gas Chromatography | + | |
- | GC detectors | + | |
- | Principle of electron and chemical ionization in mass spectrometer | + | |
- | Electrospray Ionization for mass spectrometry | + | |
- | MALDI mass spectrometry | + | |
- | Principles of various mass analysers for mass spectrometry | + | |
- | Quadruple mass analysers | + | |
- | Magnetic sector mass analysers | + | |
- | TOF mass analysers | + | |
- | Quadrupole and linear ion trap mass analysers | + | |
- | Tandom mass spectrometry | + | |
- | Clinical applications of mass spectrometer | + | |
- | Define isoenzymes. Explain genetic origin of isoenzymes. Enlist non-genetic modifications of enzymes resulting in isoforms. | + | |
- | Measurement of enzymes by reaction rates | + | |
- | Strategy for detection of above-linearity range ALT in automated chemistry analysers | + | |
- | Traceability of enzyme measurement | + | |
- | Enzymes as analytical reagents | + | |
- | Monoclonal antibody productions | + | |
- | Labeled immunochemical assays | + | |
- | Competitive vs. noncompetitive immunoassay | + | |
- | Labels used for nonisotopic immunoassay and their detection limits | + | |
- | Heterogenous vs. homogenous immunoassay | + | |
- | CEDIA and EMIT | + | |
- | Homogenous polarization fluroimmunoassay | + | |
- | Principle of PCR | + | |
- | PCR optimization and primer design | + | |
- | PCR contamination control | + | |
- | Hot start PCR | + | |
- | Asymmetric PCR | + | |
- | Allele specific PCR | + | |
- | Single molecule PCR | + | |
- | Isothermic PCR amplification based on transcription | + | |
- | PCR application detection techniques | + | |
- | PCR amplicon discrimination techniques | + | |
- | PCR-RFLP | + | |
- | Single stranded conformation polymorphism for discrimination of PCR products | + | |
- | Denaturing gradient and temperature gradient electrophoresis for discrimination of PCR products | + | |
- | Dideoxy terminal sequencing of DNA principle and automated sequencing | + | |
- | Emulsion PCR | + | |
- | Bridge amplification | + | |
- | Absorbance melting curve of double helical nucleic acid | + | |
- | Dot-blot hybridization assay | + | |
- | Two color DNA microarray | + | |
- | DNA copy number variation assay | + | |
- | Single copy visualization assay | + | |
- | real time PCR with dsDNA binding dyes | + | |
- | Real time monitoring of PCR and melting analysis | + | |
- | Detection, quantification and identification of amplicon in real time PCR | + | |
- | Common probes and dyes for realtime PCR | + | |
- | Microchip electrophoresis device | + | |
- | Automation in sample identification and data collection | + | |
- | Automation in sample transporters | + | |
- | Describe components of a automated discrete analyser. | + | |
- | Use of barcoding in clinical laboratory | + | |
- | Components of Integrated automation system in clinical laboratory | + | |
- | Advantages and disadvantages of POCT | + | |
- | Ideal requirements of POCT | + | |
- | Classification of POCT devices | + | |
- | Principle of electrochemical glucose strip used in glucometers | + | |
- | Principle of lateral flow immunoassay | + | |
- | Principles of HbA1C POCT instruments | + | |
- | Assessing need for POCT service | + | |
- | **Principles, | + | |
- | Describe genetics, clinical significance, | + | |
- | Current applications of tumor markers and their limitations | + | |
- | Current recommendations on use of tumor markers | + | |
- | Enzymes as tumor markers | + | |
- | Screening for urine microalbuminuria in diabetes mellitus | + | |
- | Describe formation of creatinine in body Describe salient features of chemical and enzymatic methods for serum creatinine measurement. Give account of quality issues in creatinine measurement. List advantages and disadvantages of markers of GFR. Explain use of IDMS traceable MDRD equation for estimating GFR from serum creatinine. | + | |
- | DM diagnostic guideline | + | |
- | ATP IV Hypercholesterolemia diagnostic guidline | + | |
- | Cholesterol reference material, method and laboratories | + | |
- | beta thalassemia – genetics, pathogenesis, | + | |
- | Explain different types of isoenzymes and isoforms of Creatine Kinase in humans. Describe principle of measurement of CK-MB by catalytic method and mass method. Why the catalytic method generally contain N-acetyl cysteine, AMP and diadenosine-pentaphosphate | + | |
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