Reactive oxygen species: chronic granulomatous disease: 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.

Try it

Biochemistry · Reactive oxygen species: chronic granulomatous disease

Sample item

A child has recurrent catalase-positive bacterial and fungal infections due to defective neutrophil respiratory burst. Which enzyme is deficient?

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

The answer and the reasoning

B. NADPH oxidase

Chronic granulomatous disease results from NADPH oxidase deficiency, preventing superoxide generation in phagocytes. Catalase-positive organisms can survive because they do not provide sufficient hydrogen peroxide for killing.

Option by option

  • A. Glucose-6-phosphatase

    Glucose-6-phosphatase deficiency causes von Gierke disease.

  • B. NADPH oxidase (correct)

    Correct. NADPH oxidase initiates the respiratory burst.

  • C. Catalase

    Catalase is produced by microbes and host tissues, not the defective enzyme here.

  • D. Myeloperoxidase

    Myeloperoxidase deficiency is usually milder and leaves superoxide generation intact.

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.

More Biochemistry questions

Questions about this Biochemistry question

What is the answer to this Biochemistry question?

The best answer is B, NADPH oxidase. Chronic granulomatous disease results from NADPH oxidase deficiency, preventing superoxide generation in phagocytes.

Why is "Glucose-6-phosphatase" not the answer?

Glucose-6-phosphatase deficiency causes von Gierke disease.

Why is "Catalase" not the answer?

Catalase is produced by microbes and host tissues, not the defective enzyme here.

Why is "Myeloperoxidase" not the answer?

Myeloperoxidase deficiency is usually milder and leaves superoxide generation intact.

What concept does this question test?

It tests Reactive oxygen species: chronic granulomatous disease in Biochemistry. Catalase-positive organisms can survive because they do not provide sufficient hydrogen peroxide for killing.

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 Reactive oxygen species: chronic granulomatous disease?

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.