BIOCHEM Finals (Batch 2026) Flashcards
Which of the following measures height and weight?
A. Body mass index (BMI)
B. Central obesity
C. Waist circumference
D. Body composition
A. Body mass index (BMI)
Rationale: BMI is a measure that uses height and weight to estimate a person’s body fat. It is calculated by dividing a person’s weight in kilograms by the square of their height in meters.
A lack of intrinsic factor may lead to:
A. Beriberi
B. Pellagra
C. Pernicious anemia
D. Atrophic gastritis
C. Pernicious anemia
Rationale: Pernicious anemia is caused by a deficiency of vitamin B12, which is often due to the lack of intrinsic factor, a protein necessary for the absorption of vitamin B12 in the stomach.
Vitamin C serves as a/an:
A. Coenzyme
B. Antagonist
C. Antioxidant
D. Intrinsic factor
C. Antioxidant
Rationale: Vitamin C is known for its antioxidant properties, meaning it helps protect cells from damage caused by free radicals.
The body can make niacin from:
A. Tyrosine
B. Serotonin
C. Carnitine
D. Tryptophan
D. Tryptophan
Rationale: Tryptophan, an amino acid, can be converted by the body into niacin (vitamin B3), which is essential for energy metabolism.
The form of vitamin A active in vision is:
A. Retinal
B. Retinol
C. Rhodopsin
D. Retinoic acid
A. Retinal
Rationale: Retinal is the form of vitamin A that is essential for vision, as it is involved in the formation of rhodopsin, a pigment in the retina that is necessary for seeing in low-light conditions.
Vitamin D can be synthesized from a precursor that the body makes from:
A. Bilirubin
B. Tocopherol
C. Cholesterol
D. Beta-carotene
C. Cholesterol
Rationale: The body synthesizes vitamin D from cholesterol when the skin is exposed to sunlight.
A significant amount of vitamin K comes from:
A. Vegetable oils
B. Sunlight exposure
C. Bacterial synthesis
D. Fortified grain products
C. Bacterial synthesis
Rationale: A significant amount of vitamin K is produced by bacteria in the intestines, in addition to being obtained from dietary sources.
The principal cation in extracellular fluids is:
A. Sodium
B. Chloride
C. Potassium
D. Phosphorus
A. Sodium
Rationale: Sodium is the main cation (positively charged ion) found in extracellular fluids, where it plays a crucial role in maintaining fluid balance and transmitting nerve impulses.
The role of chloride in the stomach is to help:
A. Support nerve impulses
B. Convey hormonal messages
C. Maintain a strong acidity
D. Assist in muscular contraction
C. Maintain a strong acidity
Rationale: Chloride, as part of hydrochloric acid (HCl), helps maintain the acidic environment of the stomach, which is necessary for digestion and killing pathogens.
Cretinism is caused by a deficiency of:
A. Iron
B. Zinc
C. Iodine
D. Selenium
C. Iodine
Rationale: Cretinism is a condition resulting from severe iodine deficiency during pregnancy, leading to impaired physical and mental development in the child.
The mineral best known for its role as an antioxidant is:
A. Copper
B. Selenium
C. Manganese
D. Molybdenum
B. Selenium
Rationale: Selenium is a crucial component of antioxidant enzymes, such as glutathione peroxidase, which help protect cells from oxidative damage.
To help prevent neural tube defects, grain products are now fortified with:
A. Iron
B. Folate
C. Protein
D. Vitamin C
B. Folate
Rationale: Folate (or folic acid) is essential for DNA synthesis and cell division, and its deficiency during pregnancy is associated with neural tube defects in the developing fetus.
Vitamin K consumption should be consistent in patients using:
A. Tetracycline
B. Isoniazid
C. Warfarin
D. Lithium
C. Warfarin
Rationale: Warfarin is an anticoagulant that works by inhibiting vitamin K. Consistent vitamin K intake is crucial to maintain stable blood clotting levels while on warfarin therapy.
Calcitonin is synthesized in the:
A. Adrenals
B. Thyroid
C. Thymus
D. Ovaries
B. Thyroid
Rationale: Calcitonin is a hormone produced by the C-cells of the thyroid gland and helps regulate calcium levels in the blood.
During a fast, when glycogen stores have been depleted, the body begins to synthesize glucose from:
A. Acetyl CoA
B. Amino acids
C. Fatty acids
D. Ketone bodies
B. Amino acids
Rationale: When glycogen stores are depleted, the body starts gluconeogenesis, a process where amino acids are converted into glucose to provide energy.
Marasmus develops from:
A. Too much fat clogging the liver
B. Mega doses of amino acid supplements
C. Inadequate protein and energy intake
D. Excessive fluid intake
C. Inadequate protein and energy intake
Rationale: Marasmus is a form of severe malnutrition caused by a deficiency in calorie and protein intake, leading to significant weight loss and muscle wasting.
Key Differences:
• Nutritional Deficiency: Marasmus is due to a total caloric deficiency, while kwashiorkor results from a specific protein deficiency despite sufficient caloric intake. • Appearance: Marasmus presents with extreme thinness and wasting, whereas kwashiorkor presents with edema and a swollen appearance. • Serum Albumin: Marasmus usually has normal or slightly low serum albumin, while kwashiorkor has significantly low serum albumin.
Isoleucine, leucine, and lysine are:
A. Proteases
B. Polypeptides
C. Essential amino acids
D. Complementary proteins
C. Essential amino acids
Rationale: Isoleucine, leucine, and lysine are essential amino acids, meaning they cannot be synthesized by the body and must be obtained from the diet.
Which of the following is NOT true? Fats:
A. Contain glucose
B. Provide energy
C. Protect against organ shock
D. Carry vitamins A, D, E, and K
A. Contain glucose
Rationale: Fats do not contain glucose. They provide energy, protect organs from shock, and carry fat-soluble vitamins (A, D, E, and K).
The lipoprotein most associated with a high risk of heart disease is:
A. CHD
B. HDL
C. LDL
D. LPL
C. LDL
Rationale: Low-density lipoprotein (LDL) is often referred to as “bad cholesterol” because high levels of LDL can lead to plaque buildup in arteries and increase the risk of heart disease.
Carbohydrates are found in virtually all foods except:
A. Milk
B. Meat
C. Bread
D. Fruit
B. Meat
Rationale: Meat does not contain carbohydrates. Carbohydrates are primarily found in plant-based foods such as fruits, vegetables, grains, and legumes, as well as in milk.
Behaviors such as smoking, dietary habits, physical activity, and alcohol consumption that influence the development of disease are known as:
A. Risk factors
B. Chronic cases
C. Preventive agents
D. Disease description
A. Risk factors
Rationale: Risk factors are behaviors or conditions that increase the likelihood of developing a disease or health disorder.
A deficiency caused by inadequate dietary intake is a/an:
A. Overt deficiency
B. Covert deficiency
C. Primary deficiency
D. Secondary deficiency
C. Primary deficiency
Rationale: A primary deficiency is directly caused by an inadequate intake of a nutrient from the diet.
An RDA represents the:
A. Highest amount of a nutrient that appears safe for most healthy people
B. Lowest amount of a nutrient that will maintain a specified criterion of adequacy
C. Average amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy people
D. Average amount of a nutrient that will maintain a specific biochemical or physiological function for half the people
C. Average amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy people
Rationale: The Recommended Dietary Allowance (RDA) is the average daily level of intake sufficient to meet the nutrient requirements of nearly all (97-98%) healthy individuals.
The energy-yielding nutrients are:
A. Fats, minerals, and water
B. Minerals, proteins, and vitamins
C. Carbohydrates, fats, and vitamins
D. Carbohydrates, fats, and proteins
D. Carbohydrates, fats, and proteins
Rationale: Carbohydrates, fats, and proteins are the macronutrients that provide energy (calories) to the body.