Diagnostic Exams - Biology Flashcards
(204 cards)
β-oxidation is a means of creating acetyl-CoA from fatty acids. This acetyl-CoA can then enter the Krebs cycle. Each turn of the β-oxidation cycle produces one acetyl-CoA molecule and a fatty acid two carbons shorter than it was at the beginning of the cycle. Stearic acid is an 18-carbon saturated fatty acid. How many turns of the β-oxidation cycle would it take to completely break down stearic acid into acetyl-CoA groups?
A. 4
B. 5
C. 8
D. 9
C. Each turn of the β-oxidation cycle produces one acetyl-CoA and a fatty acid two carbons shorter than before. Stearic acid, with 18 carbons, would ultimately produce 9 acetyl-CoA. If stearic acid enters the β-oxidation cycle, then after one turn of the cycle we would have one acetyl-CoA and a 16C fatty acid. After two turns of the cycle we would have two acetyl-CoA and a 14C fatty acid. This would continue in this manner until after the 8th turn of the cycle we would produce our 8th acetyl-CoA molecule, and all that would be left over would be another two-carbon acetyl-CoA molecule (the 9th acetyl-CoA). This last 2-carbon molecule does not need to go through the β-oxidation cycle again, so only 8 turns of cycle are necessary.
Concepts tested
Biochemistry: Protein/Fat Metabolism
How many NADH molecules are produced from a single glucose molecule during cellular respiration?
A. 6
B. 8
C. 10
D. 12
C. A single glucose molecule generates a total of 10 NADH during cellular respiration. 2 NADH are made in glycolysis, 2 NADH at the pyruvate dehydrogenase complex, and 6 NADH in the Krebs cycle (choice C is correct and choices A, B, and D are wrong).
Concepts tested
Biochemistry: Glycolysis/Cellular Respiration
In the absence of oxygen, fermentation occurs in order to allow glycolysis to continue. Pyruvate, an end-product of glycolysis, is converted to either lactic acid or ethanol. The conversion of pyruvate to lactic acid is a(n):
A. oxidation.
B. reduction.
C. decarboxylation.
D. isomerization.
B. In order to keep running glycolysis in the absence of oxygen, NAD+ must be regenerated from NADH. In lactic acid fermentation, the oxidation of NADH occurs via the reduction of pyruvate to lactic acid (choice B is correct and choice A is wrong). In alcoholic fermentation (the conversion of pyruvate to ethanol) pyruvate must first be decarboxylated, since ethanol is a two-carbon structure, whereas pyruvate is a three-carbon structure. However, lactic acid is also a three-carbon structure, so no decarboxylation is needed in lactic acid fermentation (choice C is wrong). Isomerization is simply a rearrangement of atoms, and this is not the case here (choice D is wrong).
Concepts tested
Biochemistry: Carbohydrate Metabolism
High levels of ATP would:
A. stimulate phosphofructokinase and inhibit pyruvate kinase, thus stimulating glycolysis.
B. stimulate phosphofructokinase and stimulate pyruvate kinase, thus stimulating glycolysis.
C. inhibit phosphofructokinase and stimulate pyruvate kinase, thus inhibiting glycolysis.
D. inhibit phosphofructokinase and inhibit pyruvate kinase, thus inhibiting glycolysis.
D. High levels of ATP indicate that the cell does not need to run glycolysis, and instead can use glycolytic intermediate in gluconeogenesis (choices A and B are wrong). Phosphofructokinase produces fructose-1,6-bisphosphate, driving the cell toward glycolysis; high ATP levels would inhibit this enzyme to inhibit glycolysis. Pyruvate kinase catalyzes the final step in glycolysis, the conversion of phosphoenolpyruvate to pyruvate. This enzyme must be inhibited by ATP to inhibit glycolysis (choice C is wrong and choice D is correct).
Concepts tested
Biochemistry: Glycolysis/Cellular Respiration
Which of the following is an example of reciprocal regulation of glycogen metabolism?
A. High levels of citrate stimulate phosphofructokinase and inhibit fructose-1,6-bisphosphatase.
B. High levels of AMP inhibit glycolysis and stimulate gluconeogenesis.
C. Glucagon inhibits glycogen phosphorylase and stimulates glycogen synthase.
D. Insulin stimulates glycogen synthase and inhibits glycogen phosphorylase.
D. Reciprocal regulation occurs when a single molecule stimulates a pathway in one direction while inhibiting the pathway in the opposite direction. Insulin is released when blood sugar is high; it stimulates glycogen synthase (to store glucose as glycogen) and inhibits glycogen phosphorylase (the first enzyme in glycogen breakdown, choice D is correct). Glucagon is antagonistic to insulin; it is released when blood sugar is low to stimulate glycogen phosphorylase and glycogen breakdown while inhibiting glycogen synthase (choice C is wrong). While citrate and AMP do reciprocally regulate the indicated enzymes and pathways, how they regulate those pathways is not described correctly. Citrate inhibits phosphofructokinase to slow down glycolysis and stimulates fructose-1,6-bisphosphatase to increase gluconeogenesis (choice A is wrong); AMP acts to stimulate glycolysis (because ATP is low) and inhibit gluconeogenesis (choice B is wrong). And in either case, this is not regulation of glycogen metabolism.
Concepts tested
Biochemistry: Carbohydrate Metabolism
β-Oxidation is a means of creating acetyl-CoA from fatty acids. This acetyl-CoA can then enter the Krebs cycle. Each turn of the β-oxidation cycle produces one acetyl-CoA molecule and a fatty acid two carbons shorter than it was at the beginning of the cycle. Additionally, one NADH and one FADH2 are generated per turn. Lauric acid is an 12-carbon saturated fatty acid. Including those produced in the Krebs cycle, how many total NADH and FADH2 molecules would be generated from the complete β-oxidation of lauric acid and subsequent entry of the acetyl-CoA into the Krebs cycle?
A. 24 NADH and 12 FADH2
B. 23 NADH and 11 FADH2
C. 12 NADH and 12 FADH2
D. 11 NADH and 11 FADH2
B. Each turn of the β-oxidation cycle produces one acetyl-CoA and a fatty acid two carbons shorter than before. Lauric acid, with 12 carbons, would ultimately produce 6 acetyl-CoA. If lauric acid enters the β-oxidation cycle, then after one turn of the cycle we would have one acetyl-CoA and a 10C fatty acid. After two turns of the cycle we would have two acetyl-CoA and an 8C fatty acid. This would continue in this manner until after the 5th turn of the cycle we would produce our 5th acetyl-CoA molecule, and all that would be left over would be another two-carbon acetyl-CoA molecule (the 6th acetyl-CoA). This last 2-carbon molecule does not need to go through the β-oxidation cycle again, so only 5 turns of cycle are necessary. Thus, 5 NADH and 5 FADH2 would be generated during β-oxidation. When the 6 acetyl-CoA molecules go through the Krebs cycle, and additional 18 NADH would be generate (3 per turn of the Krebs cycle) and and additional 6 FADH2 would be generated (1 per turn), for a total of 23 NADH and 11 FADH2.
Concepts tested
Biochemistry: Protein/Fat Metabolism
Some amino acids can be converted to pyruvate via several biochemical pathways. Pyruvate can then enter the cellular respiration pathways, either by decarboxylation to acetyl-CoA or by carboxylation to oxaloacetate. For a single pyruvate molecule, first converted to acetyl-CoA, then traveling through the Krebs cycle, how many NADH molecules are produced?
A. 3
B. 4
C. 6
D. 8
B. The decarboxylation of pyruvate to acetyl-CoA nets 1 NADH, and as that acetyl-CoA travels through the Krebs cycle, an additional 3 NADH are generated, resulting in a total of 4 NADH per pyruvate (choice B is correct and choices A, C, and D are wrong).
Concepts tested
Biochemistry: Glycolysis/Cellular Respiration
Eukaryotes running aerobic respiration net 30 ATP per glucose, while prokaryotes net 32 ATP. Why?
A. Prokaryotic glycolysis does not require the input of 2 ATP for the phosphorylation of glucose and fructose-6-P.
B. Prokaryotes generate more pyruvate from glucose than do eukaryotes.
C. In eukaryotes, the electrons from glycolytic NADH must be shuttled from the cytosol into the mitochondrion, and bypass the first proton pump.
D. Eukaryotes have a more efficient ATP synthase.
C. In eukaryotes, glycolysis occurs in the cytosol, while the PDC, Krebs cycle, and electron transport occur in the mitochondria. The NADH from glycolysis is oxidized in the cytosol (so that NAD+ continues to remain available for glycolysis), and the electrons are shuttled into the electron transport chain. However, the electrons bypass the first proton pump (NADH dehydrogenase) and are delivered to coenzyme Q, the second molecule in the electron transport chain. This results in the movement of fewer protons out of the mitochondrial matrix, and thus less ATP made when the protons reenter the matrix through the ATP synthase. Prokaryotes run glycolysis, PDC, and the Krebs cycle in the cytosol, with all NADH immediately available to the first pump in their transport chain (which is located in their cell membrane; choice C is correct). Prokaryotic glycolysis is the same as eukaryotic, requiring 2 ATP to phosphorylate glucose and fructose-6-P (choice A is wrong), and generating 2 pyruvate per glucose (choice B is wrong). If eukaryotic ATP synthase were more efficient, they would make more ATP than prokaryotes, not less (choice D is wrong).
Concepts tested
Biochemistry: Glycolysis/Cellular Respiration
Which of the following does NOT occur during starvation?
β-oxidation in the mitochondrial matrix provides acetyl-CoA to feed into the Krebs cycle.
Ketone bodies are converted into acetyl-CoA and the acetyl-CoA is converted into glucose.
Fatty acid synthesis in the cytoplasm produces NADH to drive electron transport and oxidative phosphorylation.
A. I only
B. II only
C. II and III only
D. I, II, and III
C. Item I DOES occur during starvation: β-oxidation of fatty acids provides acetyl-CoA that can turn the Krebs cycle (choices A and D can be eliminated). Both of the remaining answers include Item II, so Item II must NOT occur during starvation: while ketone bodies (used for fuel by the nervous system during times of starvation) can be converted into acetyl-CoA once they reach their target organs/cells, the acetyl-CoA is not converted into glucose. First, we lack the enzymes necessary to do that, and second, it isn’t necessary as the acetyl-CoA can enter the Krebs cycle directly. Item III does NOT occur during starvation: fatty acids are broken down, not synthesized (choice B can be eliminated and choice C is correct; both Items II and III do not occur during starvation).
Concepts tested
Biochemistry: Protein/Fat Metabolism
Blood pressure is affected by many factors. Which of the following would increase blood pressure?
An increase in peripheral blood vessel diameter
An increase in heart rate due to physical exertion
An increase in blood volume due to aldosterone
A. I only
B. II only
C. II and III only
D. I, II, and III
C. Item I is false: an increase in vessel diameter would reduce peripheral resistance. Since peripheral resistance and blood pressure are directly proportional, this would lead to a decrease in blood pressure (choices A and D can be eliminated). Since both remaining answer choices include Item II, it must be true: an increase in heart rate would lead to an increase in cardiac output. Cardiac output and blood pressure are directly proportional, so this would increase blood pressure. Item III is true: consider the heart and blood vessels as a “container” for blood in the body. If the volume of blood in the “container” increases but the container size remains the same, the pressure inside the container must increase (choice B can be eliminated and choice C is correct).
Concepts tested
Cardiovascular System: Blood Pressure Renal System: Renal Regulation of Blood Pressure
Which of the following statements is true about arteries but not about veins?
A. They have valves to maintain flow in a single direction.
B. They carry only oxygen-rich blood.
C. They are a low-pressure system of vessels.
D. They have a muscle layer to regulate blood flow.
D. The walls of arteries contain a layer of muscle that can adjust the diameter of the artery to regulate blood flow to different regions of the body. Veins lack this muscle layer (choice D is true about arteries but not about veins and is the correct answer choice). Veins have valves, but arteries do not (choice A is true about veins, not arteries and can be eliminated). Most arteries carry oxygen-rich blood, but the pulmonary arteries carry oxygen-poor blood; likewise, most veins carry oxygen-poor blood, but the pulmonary veins carry oxygen rich blood (choice B is true of neither arteries nor veins and can be eliminated). Arteries are a high-pressure system and veins are a low pressure system (choice C is true about veins and can be eliminated).
Concepts tested
Cardiovascular System: Blood Vessels
Cardiac autorhythmic cells (and to some extent cardiac muscle cells) have the ability to trigger their own action potential independent of any neural input or other stimulation. Which of the following is responsible for this autorhythmic property?
A. K+ leak channels
B. Na+ leak channels
C. Na+/K+ ATPase
D. Slow voltage-gated Na+ channels
B. Cardiac autorhythmic cells contain Na+ leak channels that allow Na+ to enter the cell according to its gradient. As Na+ enters, the cell potential rises (depolarizes) until it reaches the threshold for slow voltage-gated Na+ channels; this triggers the action potential itself (choice D is wrong). K+ leak channels allow K+ to leave the cell, making it more negative (hyperpolarizing it) and less likely to fire an action potential (choice A is wrong). The Na+/K+ ATPase establishes the Na+ and K+ gradients necessary for heart function, but do not themselves trigger action potentials (choice C is wrong).
Concepts tested
Cardiovascular System: Cardiac Action Potential/Conduction System
Heart murmurs are extra, abnormal sounds (beyond the normal closure of the valves) produced during the cardiac cycle. They can be caused by stenotic (stiffened) valves, or by valves that do not close properly and allow regurgitation. Murmurs are classified as diastolic or systolic depending on when the additional sound is produced. A heart murmur caused by a failure of the AV valves to close properly would most likely be classified as a:
A. diastolic murmur, because this would allow flow from the atria to the ventricles during diastole.
B. systolic murmur, because this would allow regurgitation of blood from the ventricles to the atria during systole.
C. diastolic murmur, because this would allow regurgitation of blood from the arteries to the ventricles during diastole.
D. systolic murmur, because this would allow additional blood to flow from the atria to the ventricles during systole.
B. The AV valves close at the beginning of systole to prevent regurgitation of blood into the atria while the ventricles are contracting. If the AV valves failed to close properly, blood from the high-pressure ventricles would flow back into the low-pressure atria during systole and would produce an abnormal murmur (choice B is correct). Flow from the atria to the ventricles during systole would be prevented by the pressure gradient (choice D is wrong). Blood normally flows from the atria to the ventricles during diastole, through the open AV valves; this would not produce a murmur (choice A is wrong), and these valves do not separate the ventricles and the arteries so this would not affect blood flow between those regions (choice C is wrong).
Concepts tested
Cardiovascular System: Heart Anatomy
A woman with blood type A+ has four children. The blood types of her children are O+, AB–, A+, and AB+. Which of the following statements is true?
A. Her husband cannot have type AB blood.
B. Her husband must have type B– blood.
C. Her husband is homozygous for the IB allele.
D. Her husband must be heterozygous for the Rh allele.
A. In order to produce children with blood type O, both parents must donate a recessive i allele, thus the husband cannot have type AB blood (choice A is true), and he cannot be homozygous for IB (choice C is wrong). In order to produce children that are Rh–, both parents must donate the recessive r allele. Since she is A+, then she must be heterozygous for the Rh factor (Rr), but the husband could be Rh– (homozygous recessive rr) or Rh+ and heterozygous (Rr, choices B and D are wrong).
Concepts tested
Genetics: Mendelian Genetics/Probability Cardiovascular System: Blood
Which of the following are involved in carrying blood to the kidneys?
A. Abdominal aorta and renal vein
B. Inferior vena cava and renal vein
C. Abdominal aorta and renal artery
D. Inferior vena cava and renal artery
C. The abdominal aorta carries blood away from the heart and into the trunk of the body. The renal artery branches off the aorta to supply the kidneys with blood (choice C is correct). The renal vein and inferior vena cava are both involved in returning blood back to the circulatory system after it has been filtered (choices A, B, and D are incorrect).
Concepts tested
Renal System: Kidney Functions
The exocrine functions of the pancreas include chemical digestion of each of the following EXCEPT:
A. polypeptides.
B. carbohydrates.
C. nucleotides.
D. triglycerides.
C. Proteins (polypeptides) are chemically digested by pancreatic proteases such as trypsin and chymotrypsin (choice A is digested by pancreatic enzymes and can be eliminated). Some carbohydrate chemical digestion starts in the mouth, but much of it is done in the duodenum by enzymes such as pancreatic amylase (choice B can be eliminated). Triglycerides (lipids) are not digested until they reach the small intestine; this is mediated by pancreatic lipases after bile from the liver/gallbladder has emulsified the fat molecules (choice D can be eliminated). However, pancreatic nucleases digest DNA and RNA, not nucleotides (choice C is not digested by pancreatic enzymes and is the correct answer choice).
Concepts tested
Digestive System: Accessory Organs
Which of the following is NOT an accurate statement concerning the hydrochloric acid produced in the stomach?
A. HCl is produced by the parietal cells.
B. HCl converts the zymogen pepsinogen into the active enzyme pepsin.
C. HCl engages in acid hydrolysis of proteins, aiding in their elementary digestion.
D. HCl is part of the innate immune mechanisms present in the duodenum.
D. Hydrochloric acid is made by parietal cells in the stomach (choice A is an accurate statement and can be eliminated), causes zymogen conversion (choice B is an accurate statement and can be eliminated), and facilitates non-specific acid hydrolysis of proteins (choice C is an accurate statement and can be eliminated). However, while it plays a role in innate immune function of the stomach, HCl is neutralized by aqueous bicarbonate upon entry into the duodenum (choice D is not an accurate statement and is the correct answer choice).
Concepts tested
Digestive System: Alimentary Canal
All of the following are functions of the liver EXCEPT:
A. storage of glycogen.
B. synthesis of blood proteins.
C. bile production.
D. secretion of digestive enzymes.
D. The liver has a number of functions in the body, including synthesis of bile (choice C can be eliminated), glycogen storage and metabolism (choice A can be eliminated), synthesis of blood proteins (such as albumin, fibrinogen, angiotensinogen, lipoproteins, etc., choice B can be eliminated), amino acid metabolism, production of urea, vitamin storage, detoxification, etc. However, the liver does not secrete digestive enzymes (choice D is not a function of the liver and is the correct answer choice).
Concepts tested
Digestive System: Accessory Organs
Which of the following is a true statement?
A. The release of secretin, triggered by high duodenal pH, causes the release of bicarbonate and enzymes from the pancreas.
B. The release of secretin, triggered by low duodenal pH, causes the release of bicarbonate and enzymes from the pancreas.
C. The release of secretin, triggered by low gastric pH, causes the release of bicarbonate and enzymes from the pancreas.
D. The release of secretin, triggered by high gastric pH, causes the release of bicarbonate and enzymes from the pancreas.
B. Secretin is released from duodenal cells when acidic chyme enters the duodenum from the stomach and duodenal pH drops (choice A is wrong). This causes the release of bicarbonate (and enzymes) from the pancreas to help neutralize that acid, bringing duodenal pH into a more neutral range. This provides a more optimal environment for the pancreatic enzyme to function in, as they do not work well at low (acidic) pH (choice B is true). Since the hormone is released by duodenal cells, and since the pH change must occur in the duodenum, it should not be affected by gastric pH (choices C and D are wrong).
Concepts tested
Digestive System: Accessory Organs
Which of the following is true about the renin-angiotensin axis?
A. The juxtaglomerular cells in the afferent arteriole are baroreceptors that sense low pressure, ACE converts angiotensinogen to angiotensin I, and renin converts angiotensin I to angiotensin II.
B. The juxtaglomerular cells in the afferent arteriole are baroreceptors that sense high pressure, ACE converts angiotensinogen to angiotensin I, and renin converts angiotensin I to angiotensin II.
C. The juxtaglomerular cells in the afferent arteriole are baroreceptors that sense low pressure, renin converts angiotensinogen to angiotensin I, and ACE converts angiotensin I to angiotensin II.
D. The juxtaglomerular cells in the afferent arteriole are baroreceptors that sense high pressure, renin converts angiotensinogen to angiotensin I, and ACE converts angiotensin I to angiotensin II.
C. Juxtaglomerular cells are baroreceptors and secrete renin in response to low blood pressure (choices B and D are wrong). Renin converts the zymogen angiotensinogen into angiotensin I. Angiotensin I is further converted to angiotensin II by ACE (angiotensin converting enzyme, choice A is wrong and choice C is correct). Angiotensin II is a powerful vasoconstrictor that quickly increases blood pressure.
Concepts tested
Renal System: Renal Regulation of Blood Pressure
Which of the following describes the route via which urine leaves the kidney and is voided from the body?
A. Ureter, involuntary urinary sphincter, bladder, voluntary urinary sphincter
B. Ureter, bladder, involuntary urinary sphincter, voluntary urinary sphincter
C. Ureter, bladder, voluntary urinary sphincter, involuntary urinary sphincter
D. Bladder, ureter, involuntary urinary sphincter, voluntary urinary sphincter
B. Urine leaves the kidneys via the ureters and travels to the bladder where it is stored prior to excretion (choices A and D are wrong). When voiding, urine passes through the internal urinary sphincter, which is composed of smooth muscle and is therefore under autonomic (involuntary) control and then the external urinary sphincter, which is composed of skeletal muscle under voluntary control (choice C is wrong and choice B is correct).
Concepts tested
Renal System: Kidney Functions
An elderly patient presents with chronic renal failure and metabolic acidosis. What impact would this have on oxygen delivery to tissues?
A. Increased oxygen delivery due to hemoglobin’s increased oxygen affinity
B. Increased oxygen delivery due to hemoglobin’s decreased oxygen affinity
C. Decreased oxygen delivery due to hemoglobin’s increased oxygen affinity
D. Decreased oxygen delivery due to hemoglobin’s decreased oxygen affinity
B. Metabolic acidosis (decreased blood pH) will decrease hemoglobin’s affinity for oxygen (choices A and C can be eliminated) and subsequently increase oxygen delivery to tissues (choice D can be eliminated and choice B is correct). Other causes of decreased oxygen affinity include elevated body temperature and increased production of BPG.
Concepts tested
Renal System: Renal Regulation of pH
The nephrons of the kidney are responsible for filtering blood and modifying the filtrate to produce urine. Which of the following provides the best description of the initial composition of filtrate in a healthy individual?
A. Water, glucose, ions
B. Water, ions, cells
C. Water, cells, proteins
D. Water, proteins, glucose
A. The glomerular basement membrane is only permeable to water and small, hydrophilic molecules, such as glucose, amino acids, and ions (choice A is correct). Whole cells or whole proteins should not be able to cross through this filter (choice B, C, and D are wrong).
Concepts tested
Renal System: Nephron Structure/Function
Which of the following are the functions of the large intestine?
A. Digest and absorb nutrients and water, store feces
B. Absorb nutrients and store feces
C. Digest macromolecules and absorb nutrients
D. Reabsorb water and store feces
D. The large intestine does not participate in any digestion (choices A and C are wrong), and only very minimal nutrient absorption (some vitamins, choice B is wrong). The main function of the large intestine is to reabsorb the large amounts of water that enter from the small intestine. This helps prevent dehydration by compacting and solidifying waste products into feces, which is then stored in the large intestine until elimination (choice D is correct).
Concepts tested
Digestive System: Alimentary Canal