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USMLE --Pathology HAEMATOLOGY

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PATHOLOGY- HEME---CASE STUDIES PRACTICE QUESTION AND ANSWERS WITH EXPLANATION .

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December 19, 2024
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2022/2023
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HAEMATOLOGY
-CASE STUDIES

, The following vignette applies to the next two items.

1. A 15 years old girl with a history of anemia since childhood is evaluated for genetic
abnormality after several members are found be anemic. Genitic test is determined that she
has a point mutation 𝛽globin gene, which has resulted in guanine (G) mutation with cytosine
(c) in mRNA sequence shown below.

Normal mRNA 5I---- GCCCGCGCCCUG---3I

Patient mRNA 5I-----GCCCCCGCCCUG---3I
Which of the following cellular process is most likely impaired due to this patient gene mutation?

1. Co-translation protein targeting to endoplasmic reticulum

2. InitiationTranslation

3. Peptide bond formation

4. Ribosomal translocation jury during polypeptide elongation
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