Nucleotide metabolism: allopurinol: practice question

A Biochemistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Biochemistry · Nucleotide metabolism: allopurinol

Sample item

Allopurinol lowers uric acid by inhibiting which enzyme?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Xanthine oxidase

Allopurinol and febuxostat reduce conversion of hypoxanthine and xanthine to uric acid by inhibiting xanthine oxidase. This is useful for chronic urate lowering and tumour lysis prophylaxis.

Option by option

  • A. PRPP synthetase

    PRPP synthetase is involved in nucleotide synthesis.

  • B. Adenosine deaminase

    Adenosine deaminase participates in purine degradation but is not allopurinol's target.

  • C. Xanthine oxidase (correct)

    Correct. Xanthine oxidase makes uric acid from purine breakdown products.

  • D. Carbamoyl phosphate synthetase I

    CPS I is the mitochondrial urea-cycle enzyme.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Biochemistry question

What is the answer to this Biochemistry question?

The best answer is C, Xanthine oxidase. Allopurinol and febuxostat reduce conversion of hypoxanthine and xanthine to uric acid by inhibiting xanthine oxidase.

Why is "PRPP synthetase" not the answer?

PRPP synthetase is involved in nucleotide synthesis.

Why is "Adenosine deaminase" not the answer?

Adenosine deaminase participates in purine degradation but is not allopurinol's target.

Why is "Carbamoyl phosphate synthetase I" not the answer?

CPS I is the mitochondrial urea-cycle enzyme.

What concept does this question test?

It tests Nucleotide metabolism: allopurinol in Biochemistry. This is useful for chronic urate lowering and tumour lysis prophylaxis.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nucleotide metabolism: allopurinol?

Build one table of enzyme deficiency, disease, inheritance and key finding, then revise it by spaced recall. Then use the flashcards and the other Biochemistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.