Biochemistry 5th LE 2015 Flashcards
The most common enzyme deficiency in newborn females with ambiguous genitalia is A. CYP 11 B. CYP 17 C. CYP 19 D. CYP 21
D. CYP 21
The androgen receptor has this unique feature:
A. Does not utilize heat shock protein
B. Expressed in the X-chromosome
C. Localization signal is in the variable region
D. Undergoes recycling by endocytosis
B. Expressed in the X-chromosome
Patients with precocious puberty are treated with hormone having this structure:
A. Decapeptide with an N-terminal pyroglutamate
B. Glycoprotein with multiple sialic-acid residues
C. Octopeptide with a cysteine disulfide bridge
D. Polypeptide with alpha and beta subunit
A. Decapeptide with an N-terminal pyroglutamate
Which is correct regarding the structure of estradiol? A. A ring with a double bond at C4-C5 B. Contains 18 carbon atoms C. Contains hydroxyl group at C20 D. D ring is cyclohexane
B. Contains 18 carbon atoms
Which is correct about estrogen metabolism in the fetus?
A. Fetal adrenal gland has aromatase that converts testosterone to estradiol
B. Fetal adrenal gland has 5-alpha reductase that converts testosterone to estriol
C. Metabolizes 16 alpha-hydroxyDHEA to estriol by plancental aromatase
D. Metabolizes desmolase for in-situ synthesis of cholesterol by the placenta
C. Metabolizes 16 alpha-hydroxyDHEA to estriol by plancental aromatase
Which is TRUE regarding SHBG transport of gonadal steroids?
A. Binds estrogens and progestins equally
B. Binds the active form of testosterone
C. Increases estriol concentration in peripheral tissue
D. Decreases the free concentration of serum testosterone
D. Decreases the free concentration of serum testosterone
Which statement correctly describes mitochondrial CP450 enzymes?
A. Found in the outer mitochondrial membrane
B. Involve in steroid dehydrogenation reactions
C. Utilize NADH for electron delivery
D. Requires “adrenodoxin” as an electron shuttle
D. Requires “adrenodoxin” as an electron shuttle
Progesterone shows the highest binding affinity to this transport protein
A. Albumin
B. Cortisol-binding globulin
C. Sex-hormone binding globulin
D. Testosterone-estrogen binding globulin
D. Testosterone-estrogen binding globulin
Which condition decreases SHBG production? A. Estrogens B. Liver diseases C. Hyperthyroidism D. Advancing age
D. Advancing age
These CYP450 enzymes are involved in gonadal hormone synthesis EXCEPT: A. CYP11 B. CYP17 C. CYP19 D. CYP21
D. CYP21
How do you explain the development of gynecomastia in a 55-year-old chronic alcoholic with liver cirrhosis?
A. Peripheral aromatization of androgens to estrogens
B. Unsuppressed negative feedback inhibition from testosterone
C. Positive feedback causing …. of ….receptors
D. Hypersecretion of gonadotropin due to a pituitary tumor
A. Peripheral aromatization of androgens to estrogens
The inflammatory effect of some receptor tyrosine kinase (RTK) is due to:
A. Lack of response to biologic effects of Interleukin-1
B. Overproduction of interleukin-1
C. Reaction between IL-1 and IL-1 receptor antagonist (IL-Ra)
D. Resistance to Interleukin-1 antagonist (IL-1a)
B. Overproduction of interleukin-1
Persistent attachment of GTP to G alpha subunit results to:
A. Relaxation of the P loop of switch 1 and 2 region
B. Resistance to hydrolysis of gamma phosphate group
C. Termination of the signal occurs
D. Inactivation of adenylyl cyclase
B. Resistance to hydrolysis of gamma phosphate group
The major regulator of PTH biosynthesis is the: A. Rate of degradation of the proPTH B. Level of plasma ionized calcium C. Number of available calcium receptors D. Generation of proteolytic enzymes
B. Level of plasma ionized calcium
Patients with End stage renal disease have delayed bone aging due to: A. Increased calcitonin levels B. Increased serum calcium levels C. Decreased 1,24-dihydrocholecalciferol D. Decreased 1,25-dihydrocholecalciferol
D. Decreased 1,25-dihydrocholecalciferol
Which is the correct hormone:amino acid peptide pair? A. PTH:32AA B. Calcitonin:32AA C. PreproPTH:32AA D. PTH related protein:32AA
D. PTH related protein:32AA
Which is TRUE about the metabolism of PTH?
A. It is secreted as an 84 amino acid single chain polypeptide.
B. Its polypeptide chain is composed mainly of amino acid residues.
C. The preproPTH is synthesized in the Golgi apparatus.
D. The synthesis is dependent on the levels of alkaline phosphatase.
A. It is secreted as an 84 amino acid single chain polypeptide.
- The following relationship is correct, EXCEPT:
A. Serum calcium inversely affects PTH secretion.
B. Hypermagnesemia can inhibit PTH secretion.
C. Increased 1,25 –dihydroxyvitamin D inhibits PTH secretion.
D. Serum phosphate directly affects PTH secretion.
D. Serum phosphate directly affects PTH secretion.
Which of the following statements is TRUE about the vitamin D metabolism?
A. 7-dehydrocholesterol is synthesized in the liver.
B. The principal fat storage form of vitamin –D is ergocalciferol.
C. The major circulating vitamin D is 24-hydroxyvitamin D.
D. The kidney is the major source of 1,25-dihydroxycholecalciferol.
D. The kidney is the major source of 1,25-dihydroxycholecalciferol
. O.B., 21-years-old female has a BMI of 32kg/m2. Lab results: increased TAGs, decreased HDL and increased VLDL.
The present condition of O.B. can be explained by a decreased:
A. Production of thermogenin by adipocytes
B. Release of leptin from adipose cells
C. Synthesis of adiponectin from adipocytes
D. Sensitivity of orexigenic nucleus to leptin
D. Sensitivity of orexigenic nucleus to leptin
O.B., 21-years-old female has a BMI of 32kg/m2. Lab results: increased TAGs, decreased HDL and increased VLDL.
The increase of TAGs of O.B. is a result of an increased:
A. Production of thermogenin in adipocytes
B. Release of leptin from the adipose tissue
C. Synthesis of adiponectin from adipocytes
D. Sensitivity of orexigenic nucleus to leptin
A. Production of thermogenin in adipocytes
What is the difference between the effects of thyroid hormone (TH) and growth hormone (GH) on the skeletal muscles?
A. Glucose output: increased in TH, increased in GH
B. Glucose uptake: decreased in TH, increased in GH
C. Glucose utilization: increased in TH, increased in GH
D. Protein synthesis: decreased in TH, increased in GH
B. Glucose uptake: decreased in TH, increased in GH
What best describes the receptor of thyroid hormones?
A. Unoccupied receptor is attached with HSP.
B. Unoccupied receptor is coupled with RXR.
C. TH-receptor complex directly stimulate TRE.
D. TH-receptor complex dimerizes with RXR.
D. TH-receptor complex dimerizes with RXR.
M.D. 40-years-old female is a diagnosed case of DM 2. Her BMI=30 kg/m2, FBS= 157 mgs. Lipid profile: increases TAGs and increases VLDL.
The immediate reason for an increase in blood glucose after M.D. partakes of a full meal is a result of
A. Active phosphoenolpyruvate carboxyl kinase
B. Decreased glucose uptake by muscles and adipocytes
C. Inactive acetyl COA carboxylase in liver
D. Increase glucose output from skeletal muscle
B. Decreased glucose uptake by muscles and adipocytes
M.D. 40-years-old female is a diagnosed case of DM 2. Her BMI=30 kg/m2, FBS= 157 mgs. Lipid profile: increases TAGs and increases VLDL.
After an 16-hour fast, which of the following enzymes of M.D. are inactive? A. Acetyl COA carboxylase B. Glycogen phosphorylase C. HMG-COA synthase D. Hormone sensitive lipase
B. Glycogen phosphorylase
M.D. 40-years-old female is a diagnosed case of DM 2. Her BMI=30 kg/m2, FBS= 157 mgs. Lipid profile: increases TAGs and increases VLDL.
The lipid profile of M.D. can be explained by which mechanism?
A. Decreased clearance of VLDL from blood by the liver
B. FFAs in the liver diverted to TAG & VLDL synthesis
C. Inhibition of hormone sensitive lipase (-) lipolysis
D. Increased synthesis of Apo A1 and Apo A by the liver
B. FFAs in the liver diverted to TAG & VLDL synthesis
M.D. 40-years-old female is a diagnosed case of DM 2. Her BMI=30 kg/m2, FBS= 157 mgs. Lipid profile: increases TAGs and increases VLDL.
The complete oxidation of glucose in the case of M.D. is inhibited due to decreased transcription and activity of which enzyme? A. Acetyl COA carboxylase B. Hexokinase II & IV C. HMG COA reductase D. Pyruvate carboxylase
B. Hexokinase II & IV
What branch of the signaling pathway is defective when there is a sequestration of GLUT4 in the intracytoplasmic vesicles?
A. Phosphorylated-IRS1 -> Gt2/m808 -> mTOR
B. phosphorylated-IRS1 -> P13K->PDK1 -> PKB
C. Phosphorylated-IRS1 -> P13K->PDK1 -> mTOR
D. phosphorylated-IRS1 -> P13K->PDK1 -> MEK
B. phosphorylated-IRS1 -> P13K->PDK1 -> PKB
What branch of signaling pathway of insulin explains the increase of key enzymes of glycolysis?
A. Phosphorylated-IRS1 -> Gt2/m808 -> mTOR
B. Phosphorylated-IRS1 -> P13K->PDK1 -> mTOR
C. Phosphorylated-IRS1 -> P13K->PDK1 -> MAPK
D. Phosphorylated-IRS1 -> P13K->PDK1 -> PKB
C. Phosphorylated-IRS1 -> P13K->PDK1 -> MAPK
How do you explain the occurrence of hyperglycemia in a new born? A. Persistently closed K+ channels B. Persistently open K+ channels C. Defect in the insulin signaling D. Downregulation of GLUTs
A. Persistently closed K+ channels
Insulin stimulates the storage of excess glucose by activation of which of the following key enzymes? A. Pyruvate dehydrogenase B. Hormone sensitive lipase C. HMG COA synthase D. Acetyl COA carboxylase
D. Acetyl COA carboxylase
Which of the following hormones are not released due to somatostatin? A. ACTH B. Cortisol C. Epinephrine D. Glucagon
D. Glucagon
What is the signaling pathway of somatostatin?
A. Activated adenylate cyclase -> increase cAMP -> active PKA
B. Increased AMP -> (+) AMPK -> phosphorylation of key CHON
C. (+) Gi -> (-) adenylate cyclase -> decreased CAMP -> inactive PKA
D. JAK-STATs -> regulation of gene transcription
C. (+) Gi -> (-) adenylate cyclase -> decreased CAMP -> inactive PKA
Growth hormone increases blood glucose by what mechanism?
A. Decrease glucose uptake by muscle
B. Decrease glucose output by the liver
C. Increase glucose utilization in muscle
D. Increase glycogen breakdown in liver
A. Decrease glucose uptake by muscle
Glucagon inhibits glycolysis but stimulates gluconeogenesis because of a decreased amount of which molecule? A. Acetyl COA B. F 1, 6-bisphosphate C. F 2, 6-bisphosphate D. Glucose 6-phosphate
C. F 2, 6-bisphosphate
Which of the following are the effects of glucagon? A. Adipocytes:decreased lipogenesis B. Brain:increased glucose uptake C. Liver:decreased glucose export D. Liver: increased glycogenolysis
D. Liver: increased glycogenolysis
Which best describes the signaling pathway of glucagon?
A. GTP-Gsa -> (+) adenylate cyclase -> cAMP -> active PKA
B. GDP-Gsa -> (+) adenylate cyclase -> increase cAMP -> active PKA
C. Increased AMP -> active AMPK -> phosphorylation of CHON
D. Stimulated Gsa -> (-) adenylate cyclase -> cAMP -> inactive PKA
A. GTP-Gsa -> (+) adenylate cyclase -> cAMP -> active PKA
How does insulin terminate the signaling pathway of glucagon when there is an increase in blood glucose? A. Activation of phosphodiesterase B. Inactivation of protein phosphatases C. Stimulation of PTEN D. Translocation of GLUTs
A. Activation of phosphodiesterase
What is the mechanism by which glucagon, epinephrine and TSH regulate gene transcription?
A. Stimulated Gsa -> (-) adenylate cyclase -> decrease cAMP-> inactive PKA
B. GDP-Gsa -> (+) adenylate cyclase -> increase cAMP -> active PKA
C. Increase AMP -> active AMPK -> phosphorylation of CHON
D. Active PKA goes to nucleus -> active CREB -> CBP -> CRE
D. Active PKA goes to nucleus -> active CREB -> CBP -> CRE
Which is correct about the mechanism of catecholamines?
A. Cortisol decreases activity of PNMT -> decreased synthesis of epinephrine
B. Degradation is by endocytosis of hormone-receptor complex.
C. Epinephrine manifests greater affinity to beta rather than alpha receptors.
D. Release of catecholamines occurs when there is a decreased Ca2+ influx.
C. Epinephrine manifests greater affinity to beta rather than alpha receptors.
Epinephrine increases the fuel supply to the skeletal muscles by A. (+) Glycogenolysis B. (+) Hexokinase C. Decreased glucose uptake D. Decreased F 2,6-bisphosphate
A. (+) Glycogenolysis
Epinephrine and glucagon increases free fatty acids, which then undergo beta oxidation, by the activation of which enzyme?
A. Carnitine Palmitoyl Transferase 1
B. Hormone Sensitive Lipase
C. .. Lipase
D. Pyruvate Dehydrogenase Kinase
B. Hormone Sensitive Lipase
Which is correct about the receptors of Cortisol?
Answer: In the cytosol, the receptor is complexed with heat shock proteins.
CC, a 24-year-old female is on chronic oral glucocorticoid therapy due to chronic asthma. After 2 months, she presented with trunkal obesity, thin extremities ad weakness. FBS = 156 kg/m2. No history of DM.
The elevated FBS of CC is a result of:
A. Activation of glycogen phosphorylase
B. Activation of glycogen synthase
C. Decreased oxidation of glucose in muscles
D. increased amount of PEPCK in liver and kidneys
D. increased amount of PEPCK in liver and kidneys
CC, a 24-year-old female is on chronic oral glucocorticoid therapy due to chronic asthma. After 2 months, she presented with trunkal obesity, thin extremities ad weakness. FBS = 156 kg/m2. No history of DM.
Explain the thin extremities of CC compared to her trunk.
A. Activation of glycogen phosphorylase
B. Decreased glucose uptake by muscles
C. Increased lypolysis in peripheral tissues
D. Increased lipogenesis in extremities
C. Increased lypolysis in peripheral tissues
What is the effect of adiponectin on the ff target organs?
A. Liver = decreased gluconeogenesis
B. Liver = increased lipogenesis
C. Muscle = decreased glycolysis
D. Muscle = increased fatty acid oxidation
D. Muscle = increased fatty acid oxidation
GTP is the precursor of: A. Coenzyme A B. FAD C. NAD D. Tetrahydrobiopterin
D. Tetrahydrobiopterin
The substrate of ribonucleotide reductase is: A. Inosinate B. Orotidylate C. Thymidylate D. Uridylate
D. Uridylate
The activation of this anti-metabolite requires HGPRT. A. Allopurinol B. 5-fluorouracil C. Mercaptopurine D. Methotrexate
C. Mercaptopurine