uworld biochem Flashcards

1
Q

what prevents beta oxidation break down in fatty acid syntehsis

A

malonly coa

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2
Q

tetrahydrobiopterin is used in which parts

A

tryptophan and phyenyallanina

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3
Q

which pathway links fructose and fructose 6 p

A

hexokinase

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4
Q

HbF contains what

A

α2γ2)

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5
Q

what holds elastin together

A

cross linking by lysl oxidase How? desmosine linkage crosslinking by deamination the lysine e

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6
Q

does HB f have affinity to 2.3 dpg

A

no they dont

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7
Q

hormonal changes inf ast

A

glucagon, then epinephrine(stimulates insulin resistance), cortisol causes receptor dimerization binds to heat shock proteins =increases synthesis of gluconeogenic enzymes

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8
Q

function of cobalmin

A

transfers methyl group from thf

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9
Q

how to identify polymorphisms within genes

A

usse restrictione ndocnucleases

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10
Q

grams of proteins involved

A

Metabolism yields 4 Calories (Cal) per gram of protein or carbohydrate and 9 Cal per gram of fat. Ethanol yields 7 Cal per gram.

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11
Q

2 m3chanisms behind cataracts formation

A

osmotoic injury / oxidative stess due to using up of NADPh

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12
Q

explain c jun and c fos

A

c-Jun and c-Fos are nuclear transcription factors that directly bind DNA via a leucine zipper motif. The genes that code for c-Jun and c-Fos are proto-oncogenes, genes that can become oncogenes following a mutation or with constitutive expression.

S-100 proteins are homodimeric calcium-binding proteins, similar in structure to calmodulin and important in intracellular functions such as protein phosphorylation and cell growth and differentiation.

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13
Q

causes of splenomegaly

A
infiltration
hyperplasia
congestive
work hypertrophy
metabolit accumulation
infectious=endocarditis-IC in kidney and spleen
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14
Q

compare prolactinoma postmenopausal,premenopausal,men

what tests needs to be ruled out

A

pospostmenopausal-mass effect
premenopausal-galacttorrhea
men-decrease libido
renal insufficiency/hypothyrodisim

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15
Q

discharge of intraductal papilloma

A

unilateral/bloody

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16
Q

px of fibrocystic changes of breast

A

cystic mastalgia

17
Q

TMJ joint muscles-lateral pterygoid

why is there pain in tmj disorder

A

inferior head rotation/superior head translational movement

the retro disc is innv and vascularised therefore when dsplaced it hurts a lot, compared to the cushion

18
Q

what sort of mutation it is if it is sinbgle bsae vs single nuclepotide

A

single nucleotride =frameshift mutatuon

this base mutation is within a codon

19
Q

what causes frameshift mutation

A

deletion or insertion of any number of nuceltoides

20
Q

what synthesizes nor epinephrine in the brain

A

locus cerelus-involved in arousal(pamic attacks)

21
Q

where is dynophrin produced

A

Dynorphin is an opioid peptide that modulates the pain response. It is produced mostly in the periaqueductal gray, rostral ventral medulla, and dorsal horn of the spinal cord.

22
Q

germainal amtrix fragility

A

occurs in newborns week 28 premature infants, involutes by full term

23
Q

how does HF impact liver metabolism

A

causes centrilobular necrosis therefore decreased cyp

24
Q

what sbinge eating disorder

A

large binge eating no compensatory behaviour

25
Q

1st vs 0 order kinetcis

A

irst-order kinetics, a constant fraction (or proportion) of drug is metabolized per unit of time, so the amount metabolized changes based on the serum concentration. In zero-order kinetics, a constant amount of drug is metabolized per unit of time, independent of serum levels.

Pharmacology
Subject
Pharmacology (General Principles)
System
Drug metabolism and clearance
Topic