Open Questions Final Practice Test Flashcards

1
Q

What vitamins is s cofactors in both Gluconeogenesis and Fatty Acid Synthesis

A

Biotin (B7)
Pyruvate Carboxylase
Acetyl-CoA Carboxylase

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2
Q

What is the name of Vitamin B2 & what Coenzymes are derived from this Vitamin

A

Riboflavin
(FAD+, FMN)
Flavin Adenine Dinucloetide & Flavin mononucleotide

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3
Q

Which 2 Clinical Symptoms are associated with Thiamine deficiency

A

Peripheral Neuropathy & Psychosis
Heart Failure
Muscle paralysis
(Wernicke Korsakoff)

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4
Q

Name two pathways that utilize Folate as a cofactor

A

Methionine Synthesis, Histidine Degradation
Purine and Pyrimidine Synthesis De Novo
Serine conversion to Glycine

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5
Q

What are the 2 common clinical consequences of Vitamin B12 deficiency

A

Methyl Malonyl accumulation
Secondary Folate Deficiency
“Methyl Trap” -Megaloblastic Anemia
Progressive peripheral neuropathy due to myelin degradation

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6
Q

What type of reactions use coenzymes derived from Vitamin B3

A

Oxidation-Reduction by Dehydrogenase (NAD+, NADH0 oxidation-reduction by Reductase (NADPH, NADP)

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7
Q

What is the function of chylomicrons

A

Chylomicrons are packaged in the enterocytes to transfer dietary lipids (90% TAGs) to the lymph and then to extra-hepatic tissues especially Adipose tissues to be degraded and stored (during well fed state)

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8
Q

What does ADA mean and what disease is a result of ADA deficiency

A

Adenosine Deaminase Deficiency:
It leads to accumulation of dATP which inhibits Ribonucleotide Reductase and leads to Severe Combined Immunodeficiency (SCID)

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9
Q

Serum levels of what substance are increased in Lesh-Nyahan syndrome

A

Hypoxanthine Guanine Phosphoribosyl Transferase deficiency will cause accumulation of Uric Acid

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10
Q

What nucleotides make up the purine nucleotides

A

Guanosine and Adenosine

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11
Q

How many carbon atoms does cholesterol have

A

27 Carbon all from Acetyl-CoA

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12
Q

Where is the body are bile acids produced

A

Bile acids are produced in the liver, in a multi-organelle system

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13
Q

What compounds may accumulate in the lens of the eye and cause cataracts

A

Sorbitol & Galactitol by Aldose Reductase- they attract water

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14
Q

Melatonin is produced from

A

Serotonin, Acetyl-CoA and SAM

Tryptophan ?

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15
Q

What is Methemoglobin and how elevated levels of it are manifested

A

Methemoglobin results from the presence of iron in the ferric form instead of the usual ferrous form.
Neurological and Cardiac symptoms arise as a consequence fo hypoxia.

Methemoglobin is Oxidized Hb (Fe3+)
Manifested= by Brown-Cyanotic (Chocolate Cyanosis) Discoloration of skin and blood.
Mild hypoxia, headache, fatigue, dyspnea

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16
Q

Which enzyme is used in clinical diagnosis of myocardial infarction

A

LDH1 (Lactate Dehydrogenase)
CK-MB (Creatine Kinase)
AST (aspartate aminotransferase)

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17
Q

What anemia is associated with Thalassemia

A

Microcytic Hypochromic Anemia

18
Q

What are the two most common types of protein secondary structures and how are they joined together

A

Alpha helix & Beta sheet
Both structures are held in shape by hydrogen bonds, which form between carbonyl O of one amino acid and the Amino H of another.

19
Q

Which biochemical process are regulated by Citrate

A
Citrate will accumulate in Kreb Cycle when Isocitrate is high and will stimulate Fatty Acid Synthesis (Acetyl-CoA Carboxylase) 
Induce Glycolysis (Phosphofructokinase 1)
20
Q

What is Ceramide

A

Ceramide is Sphingosine Backbone + Fatty Acid

21
Q

Catecholamines include & they are synthesized from what

A

Neurotransmitters:

DOPA, Dopamine, Norepinephrine, Epinephrine, synthesized from Tyrosine by Tyrosine Hydroxylase

22
Q

Acetyl-CoA is used as a substrate for which process

A

TCA Cycle, Ketogenesis, Fatty Acid Synthesis, Cholesterol DE-Novo Synthesis

23
Q

Give examples of biochemical processes that are regulated by feedback inhibition

A
PRPP Synthesis
PRPP Aminotransferase 
ALA Synthase
Glycogen Phosphorylase 
Hexokinase
Isocitrate Dehydrogenase
24
Q

Which enzyme forms a link between glycolysis and TCA cycle

A

Pyruvate Dehydrogenase Complex (TFNLC Enzyme)

25
Orotic Acid is an intermediate in what
Pyrimidine Synthesis
26
List the names of 5 Lysosomal Storage Diseases
``` Pope’s Tay Sachs Hurler Hunter Gaucher Krabbe Fabry Nice Ann Pick ```
27
Tangier Disease is
Hypolipoproteinemia, No HDl is being produced due to absence of ATP-Binding Cassette Transporter 1 (CERP 1, ABCA 1). Blood cholesterol low. CE accumulation in Spleen, Liver, bone marrow and more
28
Explain what is Cori Cycle
Lactate Recycling- Formation of Lactate from Pyruvate in Skeletal Muscles and Erythrocytes which is recycled in the liver and Heart to Pyruvate and used in Glycolosys/Gluconeogenesis
29
What is the biochemical role of coenzyme A (CoA)
CoA is used as an Acyl Group carrier to transfer it between mitochondria and cytoplasm
30
Bile acids are conjugated to what
Glycine & Taurine
31
What are cerebrosides and what are their structural constituents
Cerebroside is a Glycosphingolipid | Constituents are Ceramide (Sphingosine + Fatty Acid) and a sugar (Glucose/Galactose)
32
Hyperlipoproteinemia type III is caused by
APO-E genetic defect causing ruminants disease, they are not up-taken by the liver and are not degraded
33
Characteristic metabolic changes in Type I diabetes include
Hyperglycemia causing Glycosylation of proteins, Glucagon causes gluconeogenesis, TG and Fatty Acid Degradation and Ketone Bodies formation, glycogenolysis, Sorbitol over formation causing long term effects
34
Respiratory distress syndrome in premature infants is caused by
Lack of surfactants (Di-Palmitoyl-Phosphatidyl-Choline) which normally covers the alveolar walls and decreases surface tension
35
Give the examples of enzymes which are regulated by reversible covalent modification
Glycogen Phosphorylase, Glycogen Synthase, PhosphoFructoKinase2, Hormone Sensitive Lipase, Acetyl-CoA Carboxylase, PDH Complex (E1)
36
What is the product of Purine De Novo Synthesis and Pyrimidine Denovo Synthesis
Purines – Guanosine-Monophosphate, Adenosine-Monophosphate. Pyrimidines – Cytidine-Monophosphate, Uridine-Monophosphate, deoxyThymidine-Monophosphate.
37
What is the role of Carnitine
Carnitine role is to transfer Fatty Acyl from the cytoplasm to the mitochondria. Carnitine Acyl Transferase 1 attaches carnitine to Fatty Acyl instead of CoA. Translocase moves it across, CAT2 detaches Carnitine and reattaches CoA
38
Histamine is produced form ————— by what type of reaction
Histidine by Decarboxylation reaction By Histidine Decarboxylase (and PLP, Vit B6).
39
What is value kM and what does kM stand for
Michaelis constant Km is defined as the substrate concentration at 1/2 the maximum velocity
40
What are the 6 classes of enzymes
``` Oxidoreductase Transferases Ligament Isomerases Lease Hydrolases ```