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Biochem > Biochem module 4 > Flashcards

Biochem module 4 Flashcards

0
Q 
Lipoproteins transport lipids from the liver as
A. Chylomicron
B. VLDL
C. LDL
D. HDL
A

B

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1
Q 
Lipoproteins transport lipids from the intestines as
A. Chylomicron
B. VLDL
C. LDL
D. HDL
A

A.

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2
Q

The protein moiety of a lipoprotein is known as

A

Apoprotein or apolipoprotein

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4
Q

Main site of TAG synthesis

A

SER

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5
Q 
Constituent of the plasma lipid that is the least abundant  
A. triacylglycerols
B. phospholipids 
C. cholesterol 
D. cholesteryl esters
E. free fatty acids
A

E

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7
Q

Reduced form of iron

A

Ferrous ion Fe2+

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8
Q 
Which of the ff is the largest 
A. Chylomicron 
B. VLDL
C.LDL
D. HDL
A

A

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9
Q 
essential for chylomicron and VLDL formation
A. Apo A
B. Apo B
C. Apo C
D. Apo D
A

B

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11
Q 
Which of the ff is not seen in the peripheral / outer side of the lipoprotein 
A. TAG
B. integral apoprotein 
C. Cholesterol 
D. Phospholipid 
E. Peripheral apoprotein
A

A. Yun mga non polar nasa loob like cholesteryl ester, FFA

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13
Q

Also known as pre beta lipoprotein

A

VLDL
LDL- beta lipoprotein
HDL - alpha lipoprotein

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14
Q

Plasma glycoprotein that binds extracorpuscular Hb in a ght noncovalent complex

A

Haptoglobin

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15
Q

predominant lipid in HDL

A

Phospholipid

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16
Q

Rate limiting step in cholesterol synthesis

A

HMG CoA to mevalonate.. Enzyme is HMG CoA reductase

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17
Q

Where do Chylomicron remnants go to

A

Endocytosed by Liver for degradation and recycling

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18
Q

Free fatty acids are bound to _______ in the plasma

A

Albumin

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19
Q 
Co factor of lipoprotein lipase 
A. Apo A-I 
B. Apo B -100
C. Apo C-II
D. Apo E
A

C

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20
Q

Chemical rxn occurring in the rate limiting step of cholesterol synthesis

A

Reduction

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23
Q

Apolipoprotein associated with Chylomicron

A

ApoB 48

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24
Q 
The ff stimulate lipolysis except 
A. Epinephrine 
B. Glucagon 
C. Nicotinic acid 
D. Caffeine 
E. Steroids
A

C. Inhibitory un insulin, and PGE

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25
Q

Ceruloplasmin acts by catalyzing
A. Converting iron ion to its reduced form
B. converting iron ion to its oxidized form

A

B

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26
Q

Hich of the ff statement is FALSE
A. Chylomicron is the largest among the lipoprotein
B. the primary apoprotein of IDL is B 100
C. HDL carries cholesterol to the liver
D. VLDL is primarily comprised of cholesterol
E. None of the above

A

D. Mostly TAG

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27
Q 
What receptor in the liver recognizes HDL 
A. SRB 1 receptor 
B. LDL receptor 
C. ABCA1 receptor 
D. All of the above
A

A

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28
Q 
Which of the ff stimulate lipid storage 
A. Epinephrine 
B. Glucagon 
C. Nicotinic acid 
D. Caffeine 
E. Steroids
A

C

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29
Q

Adipose Cannot utilize glycerol to synthesize TAG because it lacks what enzyme

A

Glycerol kinase

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30
Q

Insulin
A. Stimulates lipoprotein lipase
B. Inhibits lipoprotein lipase

A

B

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32
Q 
Rate limiting enzyme in cholesterol synthesis 
A. HMG coA synthase 
B. HMG coA reductase 
C. HMG coA carboxylase
D. HMG coA lyase
A

B

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33
Q

Which of the ff is false
A. Chylomicron is the largest among lipoprotein
B. Chylomicron has the highest percentage of lipid
C. Chylomicron is the densest of all lipoprotein
D. Chylomicron is produced. In the small intestine

A

C. Least dense xa

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36
Q

Hormone sensitive lipase is inhibited by
A. Insulin
B. Glucagon

A

A. Glucagon stimulates it

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37
Q 
Oversupply of the cholesterol leads to The ff except 
A. Dec cholesterol synthesis 
B. Increase LDL receptor 
C. More LDL in the blood stream 
D. HMG CoA reductase is inhibited
A

B. Dapat decrease.

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38
Q

StArting material of heme

A

Succinyl coA and glycine

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39
Q 
In coagulation cascade, the Gla- containing factors have a high binding affinity for what ion 
A. Mg 
B. Ca
C. Fe 
D. Si
A

B

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40
Q

The association of tissue factor and factor VIIa is called

A

Tissue factor complex

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41
Q 
Which enzyme converts HDL to cholesteryl ester
A. ACAT 
B. LCAT 
C. HMG coA reductase 
D. Acetyl coA kinase
A

B. Yun ACAT. LDL to cholesteryl ester

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44
Q

Main storage area of TAG

A

Adipose

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45
Q

Major contributors to osmotic pressure of plasma

A

Albumin

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47
Q

Most active of the plasma lipids

A

Free fatty acid

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48
Q 
Glucose is transported to the adipose by 
A. Glut 1
B. Glut 2
C. Glut 3 
D. Glut 4
A

D

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49
Q

Oxidized LDL are also called as

A

Foam cells. They cause the atherosclerotic plaque

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51
Q 
They are the vehicles of transport of triacylglycerol from the liver to the extrahepatic tissues
A. Chylomicron 
B. VLDL
C. LDL
D. HDL
A

B

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52
Q

Precursor of all steroids in the body

A

Cholesterol

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54
Q 
the vehicle of uptake of cholesterol and cholesteryl ester into many tissues
A. Chylomicron 
B. VLDL
C. LDL
D. HDL
A

C

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55
Q 
What metal is in the porphyrin ring of chlorophyll 
A. Calcium 
B. Iron 
C. Magnesium 
D, oxygen
A

C

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56
Q

Factor V is classified as

(1) zymogens of serine-protease
(2) cofactors
(3) fibrinogen
(4) a transglutaminase
(5) regulatory and other proteins

A

2.

Serine protease - factors 2,7,9,10,11,12
Cofactor -factors 3, 5, 8
Fibrinogen- factor 1
Transglutaminase- factor 13
Regulatory -protein c, protein s, thrombomodulin
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57
Q

What is the major protein component of plasma

A

Albumin

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58
Q 
Insulin does the ff except 
a. Inc hormone sensitive lipase 
B. Inc cholesterol synthesis 
C. Inc lipogenesis 
D. None of the above
A

A. dapat dec

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59
Q

Cofactor in the rate limiting step of cholesterol synthesis

A

2 NADPH

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60
Q 
Which of the ff has the highest protein content 
A. Chylomicron
B. VLDL
C. LDL
D. HDL
A

D

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61
Q

Which of the ff statement is false
A. Heme synthesis involves the porphyrin and iron
B. Heme degradation produces iron and bilirubin
C. Type III porphyrin is classified as assymmetric substitution
D. Examples of type I porphyrin are heme and protoporphyrin IX

A

D. Type III

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62
Q

In order for hemoglobin to transport oxygen, it must be transported
A. In its ferrous form
B. in its ferric form

A

A

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63
Q

Rate limiting enzyme in bile acid synthesis

A

7 hydroxylase

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64
Q

Enzymes in the heme synthesis that is inhibited by lead

A

ALA dehydratase and ferrochelatase

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65
Q

The most prevalent metaloporphyrin in humans

A

Heme

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67
Q

What compound activates glycine

A

Pyridoxal phosphate

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68
Q 
Apoproteins function as the ff except 
A. Enzyme cofactor 
B. Enzyme inhibitor 
C. Ligand 
D. Structure for lipoprotein 
E. None of the above
A

E.

69
Q 
What metal is in the porphyrin ring of hemoglobin  
A. Calcium 
B. Iron 
C. Magnesium 
D, oxygen
A

B

70
Q

Plasma MINUS CLOTTING PROTEINS

A

Serum

71
Q 
The ff are examples of Beta protein except 
A. Complement protein 
B. Lipoprotein 
C. Transferrin 
D. Haptoglobin 
E. Plasminogen
A

D. Alpha 2 xa

72
Q 
Which of the ff exhibits a broad peak 
A. Albumin 
B. Alpha 1 
C. alpha 2 
D. Beta 
E. Gamma
A

E. Consists of many proteins so broad un peak.. Exhibits polymorphism

73
Q 
Most plasma proteins are produced in the liver except 
A. Albumin 
B. gamma globulin 
C. Haptoglobin 
D. Transferrin
A

B. pati un von wileband factor

74
Q 
The ff are examples of glycoprotein except 
A. Haptoglobin 
B. transferrin 
C. IgE  
D. Albumin
A

D. It is a pure protein

75
Q 
The ff plasma proteins exhibits polynmorphism except 
A. ABO
B. alpha 1 antrypsin
C. haptoglobin
D. transferrin
E. ceruloplasmin
A

A. It exhibits polymorphism but not a plasma protein

76
Q

Basis of immunoglobulin class

A

Heavy chain region

77
Q

Alpha 1 anti trypsin is important in what organs ( name 2)

A

Lung and liver

78
Q

the source of all carbon atoms in cholesterol

A

Acetyl coA

79
Q

During acute phase inflammation, most plasma protein increase except ( name 2)

A

Albumin and transferrin

80
Q 
A patient presented you a result of his urinalysis. You noted that proteins are seen in his urine. What is most likely the condition the patient has
A. Nephrotic syndrome 
B. Protein losing enteropathy
C. Malnutrition 
D. Fever
A

A.

If sa feces most likely protein losing enteropathy

81
Q

A patient has G6PD deficiency. While studying for his biochemistry exam, hemolytic anemia precipated. What would happen in his haptoglobin level
A. Increase
B. decrease
C. Same

A

B

82
Q 
A patient has deficiency in converting HMB to uroporphyrinogen III. He has 
A. Acute intermittent porphyria
B. Variegate porphyria
C. Porphyria cutanea tarda
D. Congenital erythropoetic porphyria
A

D

83
Q

Methemoglobinemia is characterized by
A. Reduced iron in the hemoglobin
B. oxidized iron in the hemoglobin

A

B

84
Q

What plasma protein is Essential for the absorption of iron from digested food by small intestine

A

Ceruloplasmin

85
Q 
A patient shows you his CBC result. You noted that there is an increase in lymphocyte. What does the patient most likely have 
A. Staphylococcus aureus
B. wuchereria bancrofti
C. Flavivirus
D. Cryptococcosis neoformans
A

C.

Bacterial yun a.. Neutrophilia
Parasite yun b.. Eosinophilia

86
Q

located at the tips of the angen binding sites

A

Hyper variable region

88
Q

how much PLASMA comprises TOTAL BODY weight

A

5%

89
Q

True or false. HMG coA synthesized in the cytosol is used for ketone body synthesis

A

False. For cholesterol synthesis.

HMG coA sa mitochondria un pang ketone bodies

90
Q

predominant lipid in LDL

A

Cholesterol

91
Q 
Glucose transporter in RBC 
A. Glut 1 
B. glut 2 
C. Glut 3 
D. Glut 4
A

A

92
Q

In iron deficiency anemia
A. Serum iron is low, there is increased ferric iron
B. serum iron is high, there is increased oxidized iron seen
C. serum iron is low! there is increased reduced iron seen
D. Serum iron is low, there is low ferrous iron

A

A

94
Q

Main stimulus for erythropoietin

A

Hypoxia

95
Q

Which of the ff statement is true
A. Topotent: capable of producing all the cells in an organism
b. Pluripotent: able to differenate into 1 cell type
C. Multipotent: produce cells in any of the germ layer
d. Unipotent: produce only cells of closely related family

A

A

97
Q

rate-controlling enzyme in porphyrin biosynthesis

A

ALA synthase

98
Q 
The ff decreases cholesterol synthesis except 
A. Dec in LDL 
B. Low fat diet 
C. Fasting 
D. Dec in SREBP 
E. Phosphorylation of HMG coA
A

D. Dapat increase

99
Q

Protein involved in the formation of lipid droplets in adipocytes

A

Perilipin. Inhibits lipolysis

101
Q

True or false. RBC contains both ICF and ECF

A

True

102
Q 
Constituent of the plasma lipid that is the most abundant  
A. triacylglycerols
B. phospholipids 
C. cholesterol 
D. cholesteryl esters
E. free fatty acids
A

D

105
Q

Receptor defective in familial hypercholesterolemia

A

LDL (B-100, E) receptor

106
Q 
The ff happens when cholesterol is esterified except 
A. Becomes hydrophobic 
B. Becomes hydrophilic 
C. Becomes non polar 
D. Becomes lipophilic
A

B

112
Q

HMG coA is reduced to mevalonate in what organelle

A

Smooth ER

116
Q

Which of the ff pairs is incorrectly paired
A. Uroporphyrin- acetate and propionate
B. coproporphyrin- methyl and proprionate
C. Protoporphyrin IX- vinyl, ethyl, proprionate

A

C. Instead of ethyl dapat methyl

118
Q 
Constituent of the plasma lipid that is the most active metabolically 
A. triacylglycerols
B. phospholipids 
C. cholesterol 
D. cholesteryl esters
E. free fatty acids
A

E

119
Q 
The 4 pyrrole ring is joined by
A. Disulfide bond 
B. methenyl bridge
C. Glycosidic bond 
D. Covalent bond
A

B

125
Q

Complex of tissue factor and factor VIIa can also activate what factor in the intrinsic pathway

A

factor IX

130
Q 
ALA dehydratase is inhibited by what element 
A. Zinc 
B. Gold 
C. Lead
D. Tungsten
A

C

131
Q 
The ff will result when there is an increase in cholesterol synthesis except 
A. Dec ACAT synthesis 
B. Dec HMG coA reductase synthesis 
C. Dec LDL receptor synthesis 
D. None of the above
A

A. Dapat inc

132
Q 
Which of the ff has the highest lipid content 
A. Chylomicron
B. VLDL
C. LDL
D. HDL
A

A

146
Q

predominant lipid in chylomicrons and VLDL

A

Triacylglycerol

184
Q

Deficiency with ALA synthase would result to

A

Anemia

185
Q

Heme regulates
A. ALAS 1
B. ALAS 2

A

A

186
Q 
Which of the ff has the least amount of lipid
A. Chylomicron
B. VLDL
C. LDL
D. HDL
A

D

187
Q 
This type of hyperbilirubinemia is non responsive to phenobarbital treatment 
A. crigler Najjar syndrome type I 
B. Crigler Najjar syndrome type II 
C.  Gilbert's syndrome 
D. Dubin Johnson syndrome
A

A

188
Q

If a patient has high bilirubin and no urobilinogen in the urine. The patient has
A. Obstructive jaundice
B. Hemolytic jaundice

A

A

189
Q

Which of the ff statement is true
A. Only conjugated bilirubin can Be found in the urine
B. Only un conjugated bilirubin can found in the urine
C. both conjugated and unconjugated bilirubin can be found in urine
D. No bilirubin will be found in the urine

A

A

190
Q

Which of the ff statement is true
A. Only conjugated bilirubin can cross BBB
B. Only un conjugated bilirubin can cross BBB
C. both conjugated and unconjugated bilirubin will cross BBB
D. No bilirubin will cross BBB

A

B

191
Q 
Which of the ff terms is not related with each other 
A. Retention hyperbilirubinemia 
B. Choluric hyperbilirubinemia 
C. Kernicterus
D. Unconjugated bilirubin
A

B

194
Q 
Bilirubin conjugation occurs in 
A. Cytosol 
B. Mitochondria 
C. Endoplasmic reticulum 
D. Nucleus
A

C

195
Q

Which of the ff statement is false
A. Chylomicron are the biggest amongst lipoprotein
B. Chylomicron transports TAG to the liver
C. IDL cannot be determined in lipid profile test
D. High levels of HDL is bad

A

D

196
Q 
A patient has deficiency in converting uroporphyrinogen III to coproporphyrinogen III. He has 
A. Acute intermittent porphyria
B. Variegate porphyria
C. Porphyria cutanea tarda
D. Congenital erythropoetic porphyria
A

C

197
Q

If a patient has no bilirubin and high urobilinogen in the urine. The patient has
A. Obstructive jaundice
B. Hemolytic jaundice

A

B

198
Q 
A patient has deficiency in converting protoporphyrinogen III to protoporphyrin III. He has 
A. Acute intermittent porphyria
B. Variegate porphyria
C. Porphyria cutanea tarda
D. Congenital erythropoetic porphyria
A

B

199
Q 
weak clot is strengthened by a covalent linkage. This is the action of 
A. Factor va 
B. Factor IIa 
C. Factor xiiia 
D. Factor xa
A

C

200
Q

Patients with factor v Leiden have the ff characteristics except
A. Prone to venous thrombosis
B. there is arginine in the position 506
C. There is glutamine in position 506
D. Resistant to activated protein c

A

B.

201
Q

A patient has uroporphyrinogen I synthase deficiency. Which of the ff statements is correct
A. He will experience photosensitivity
B. He has congenital erythropoetic porphyria
C. There is accumulation of PBG in his urine
D. Prophylaxis with NSAIDs can prevent the attack

A

C

202
Q

Lipids must be transported as lipoprotein because
A. Lipids are inactive without the protein moiety
B. Lipids are too big for transport
C. Lipids are insoluble in water
D. Lipids can initiate antibody response

A

C

203
Q

Which of the ff is false
A. Overproduction of bilirubin results in retention hyperbilirubinemia
B. Regurgitation hyperbilirubinemia causes Choluric jaundice
C. There are a lot of conjugated bilirubin in retention hyperbilirubinemia
D. Unconjugated bilirubin can enter BBB causing kernicterus

A

C

204
Q 
Oversupply of cholesterol would lead to the ff except 
A. Dec cholesterol synthesis 
B. Dec LDL receptor synthesis 
C. Dec ACAT activity 
D. Dec. HMG coA reductase activity
A

C

205
Q

primary serine protease inhibitor of human plasma

A

Alpha 1 anti trypsin

206
Q

Precursor of all steroids in the body

A

Cholesterol

207
Q 
The ff substance will INHIBIT lipolysis except 
A. Caffeine. 
B. Inhibitors of protein synthesis 
C. Free fatty acids 
D. TAG 
E. Glucagon
A

A

208
Q

Which of the ff statement is false
A. VLDL delivers de novo TAG to peripheral tissue
B. VLDL has the highest level of cholesterol
C. Chylomicron delivers dietary TAG to peripheral tissue
D. Apo E functions as ligand receptor while Apo C II functions as cofactor

A

B. LDL has the highest cholesterol content

209
Q 
Which of the ff are Amphipathic 
A. TAG 
B. free fatty acids 
C. Cholesteryl ester 
D. Cholesterol
A

D. Other choices are hydrophobic

212
Q

Phosphorylated hormone sensitive lipase
A. Stimulates lipolysis
B. Inhibit lipolysis

A

A

213
Q 
During primary hemostasis, platelet plug are formed. During secondary hemostasis coagulation cascade occurs. 
A. First sentence true, second false 
B. First false, second true 
C. Both true
D. Both false
A

C

214
Q 
A patient has deficiency in converting  coproporphyrinogen III to protoporphyrinogen III. He has 
A. Acute intermittent porphyria
B. Variegate porphyria
C. Porphyria cutanea tarda
D. Congenital erythropoetic porphyria 
E. Hereditary coproporphyria
A

E

215
Q 
A patient is suffering from deficiency in platelet adhesion. He has 
A. Gertsmann syndrome 
B. Bernard- Soulier disease 
C. Willebrand syndrome 
D, Glanzmann's thrombesthenia
A

B. If deficiency sa platelet aggregation, Glanzmann’s

216
Q

End product of tissue factor pathway

A

Fibrin

217
Q 
Gla-containing zymogens except 
A. Factor II 
B. factor III 
C. Factor VII 
D. Factor IX 
E. Factor x.
A

B

218
Q

End product of contact activation pathway

A

Fibrin

219
Q

the stimulus for the contact phase of the contact activation pathway
A. Releasing of vwf
B. Exposure of collagen to vessel surface
C. Hypoxia
D. Low carb diet

A

B

221
Q 
Important cofactor in the prothrombinase complex 
A. Factor III
B. Factor V
C. Factor VIII
D. Factor XIII
A

B

222
Q

The ff factors are activated by thrombin except
A. Factor V
B. Factor VII
C. Factor IX

A

C

223
Q 
Tissue factor pathway inhibitor with factor x. Inactivates 
A .factor III
B. Factor VII 
C. Factor X 
D. All of the above
A

B

224
Q

What factors is inhibited by protein c and s

A

Factor VIIIa and Va

225
Q 
The ff compounds inhibit platelet aggregation except 
A. ADP
B. nitric oxide 
C. Prostacyclin
D. Thrombomodulin
A

A

226
Q

Factors inhibited by antithrombin III

A

Factors IXa, xa, IXa, XIIa

227
Q

Which of the ff does not refer to heparin
A. Binds to antithrombin III
B. Is antagonized by strong anionic peptides
C. Inhibits factor Xa
D. Requires aPTT as monitoring parameter

A

B. Dapat cationic

Biochem (8 decks)

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