Final Practice Exam Flashcards
Tetrahydrobiopterin deficiency is caused by inborn errors impairing the biosynthesis of biopterin. One enzyme required for its biosynthesis is GTP cyclohydrolase 1 encoded by the GCH1 gene. Mutation of this gene may lead to a disease condition similar to:
Severe combined immune deficiency
Maple syrup urine disorder
PKU
Gout
PKU
About enzymes and cofactors, which of the following statement is CORRECT?
Hydroxylation of phenylalanine to tyrosine requires tetrahydrofolate
Cytochrome P450-catalyzed oxidation uses heme as a cofactor, which is not a vitamin derivative
If a protein associates with an enzyme and modulates the enzyme activity, is is called a coenzyme
Biosynthesis of tetrabiopterin needs a vitamin precursor called biopterin
Cytochrome P450-catalyzed oxidation uses heme as a cofactor, which is not a vitamin derivative
The potential causes of elevated levels of bilirubin or its derivates in blood (hyperbilirubinemia) include the following, EXCEPT for:
Liver failure, such as hepatitis (inflammation of liver) or liver car
Genetic defects of ALA synthase
Obstruction of bile duct caused by gallstone, inflammation, tumor, or other pathological changes
Hemolytic: e.g. increased breakdown of red blood cells
Genetic defects of ALA synthase
About insulin, which of the following statement is NOT correct?
It is produced by pancreatic beta cells
Its target organs/tissues include liver, muscle and adipose
Its release is triggered by increased ATP production in B cells as a result of high blood glucose levels
It promotes both glycogenolysis and glycolysis to generate large amount of AlP in muscle
It promotes both glycogenolysis and glycolysis to generate large amount of AlP in muscle
Liver may supply other organs with fuel in the following forms, except for:
Ketone bodies
Free fatty acids
Glucose
Acetyl-CoA
Acetyl-CoA
Lack of folic acids may cause metabolic consequence and clinical manifestation similar to the deficiency of vitamin:
B7
B1
B6
B12
B12
The amino acid used for biosynthesis of serotonin is:
Histidine
Proline
Tryptophan
Tyrosine
Tryptophan
Human cells may synthesize non-essential, proteinogenic amino acids, where the carbon skeletons (a-keto acids) may derive from the following pathways, except for:
Glycolysis and gluconeogenesis
Urea cycle
Beta oxidation of palmitate
TCA cycle
Beta oxidation of palmitate
Two signaling molecules work together on the central nervous system to regulate our feeding behaviours. i.e. alpha-MSH and NYP. Generally, their effects are:
a-MSH inhibits whereas NYP stimulates food intake
a-MSH stimulates whereas NYP inhibits food intake
both stimulate food intake
both inhibit food intake
a-MSH inhibits whereas NYP stimulates food intake
The biosynthesis of multiple neurotransmitters requires decarboxylation of amino acid precursors, a reaction may be directly impaired by the lack of vitamin:
B3
B6
B9
B12
B6
Which of the following molecule is not one of the three polyamines used in packing newly synthesized DNA?
Spermine
Citrulline
Putrescine
Spermidine
Citrulline
TCA cycle usually is stimulated by an increase of the following molecules, EXCEPT for:
Calcium
NADH
ADP
AMP
NADH
S-Ado Met (SAM) serves as a methyl group donor in the following reactions, except for:
Protein methylation
Adrenaline biosynthesis
DNA methylation
Biosynthesis of polyamines
Biosynthesis of polyamines
Which of the following molecules IS NOT directly involved in the urea cycle?
Citrulline
Homocysteine
Ornithine
Aspartate
Homocysteine
AMPK is considered intracellular energy sensor. Its activity is stimulated by an increase of
ATP
ADP
AMP
cAMP
AMP
To culture cells defective in mitochondrial electron transfer chain, which of the following molecules is used to rescue the defective pyrimidine biosynthesis?
Guanine
Cytidine
Uridine
Thymidine
Uridine
NADPH is important for the following biological processes, EXCEPT FOR:
Producing ATP via ETC
Participating in oxidative biosynthesis, such as in cholesterol biosynthesis
Preventing oxidative damage to cell structures
Participating in reductive biosynthesis, such as fatty acid biosynthesis
Producing ATP via ETC
Biosynthesis of aspartate can be achieved by a transamination between:
Oxaloacetate and alanine
Oxaloacetate and asparagine
Oxaloacetate and glutamate
Oxaloacetate and glutamine
Oxaloacetate and glutamate
About metabolites in TCA cycle, which statement is NOT correct?
Oxaloacetate can be removed from the cycle to synthesize glucose, aspartate, and asparagine
Citrate can be transported to cytosol for biosynthesis of fatty acids and cholesterol
a-Ketoglutarate can be used to synthesize glutamate and glutamine
Fumarate can be used to synthesize heme and CoQ
Fumarate can be used to synthesize heme and CoQ
2-deoxy-2-(18F)fluoro-D-glucose is a glucose analog, with the positron-emitting radionuclide fluorine-18 substituted for the normal hydroxyl group at the C-2 position in the glucose molecule. This molecule is recognizable by glucose transporters and hexokinases, but the lack of 2-hydroxyl group (as in normal glucose) blocks its catabolism and leads to its intracellular accumulation. Thus, this molecule is commonly used in Positron-Emission Tomography (PET) in clinical radiology to detect tissues, such as neuronal tissues and cancers that accumulate this molecule. Its increased uptake in tumor cells is mainly based on the:
Warburg effect
Pasteur effect
Both
Neither
Both
About vitamin B1 derived cofactor thiamine pyrophosphate (TPP), which of following statements is INCORRECT?
Required for pyruvate dehydrogenase complex
Required for transketolase activity
Required for transaldolase activity
Required for a-ketoglutarate dehydrogenase complex
Required for transaldolase activity
In healthy person, after a good meal, which of the following transporters will be stimulated by insulin to translocate to the surface of adipocytes and myocytes?
Glut1
Glut2
Glut3
Glut4
Glut4
Which of the following statement about lipoproteins is NOT correct?
Chylomicrons are originated from intestinal mucosa cells, carrying ApoB48 on its surface
LDL transports cholesterol from liver to extrahepatic tissues; so it is considered bad lipoprotein
HDL transports cholesterol from liver to extrahepatic tissues, but less than LDL, thus being considered good lipoprotein.
Generally speaking, HDL/VLDL/LDL are all originated from liver, directly or indirectly
HDL transports cholesterol from liver to extrahepatic tissues, but less than LDL, thus being considered good lipoprotein.
About beta-oxidation of fatty acids, which of the following is NOT correct:
One chain fatty acyl-CoA needs carnitine and translocase to enter the mitochondrion
Each beta-oxidation cycle releases 1 acetyl CoA, 1 NADPH, and 1 NADH
The translocation step is repressed by high levels of malonyl-CoA
Unsaturated fatty acids can also be completely oxidized
Each beta-oxidation cycle releases 1 acetyl CoA, 1 NADPH, and 1 NADH
Eicosanoids serves as local hormones. Leukotrienes belong to the eicosanoids family of signaling molecules which are synthesized by:
Neurons
Hepatocytes
White blood cells
Red blood cells
White blood cells
The rate limiting enzyme of heme biosynthesis is ALA synthase. In hepatocytes, it is repressed by high levels of:
Iron
Glycine
Heme
Succinyl-CoA
Heme
Refer to Figure provided: the molecule generated from aspartate transamination with alpha-KG is:
a
b
c
d
d
To inhibit de novo biosynthesis of cholesterol, statin family drugs are developed to target HMG-COA synthase
True
False
False
The molecule Glutathione is:
A tripeptide of glutamate, cysteine, and glycine, protecting cells from oxidative stress
A byproduct of glutamate catabolism
An enzyme involved in the biosynthesis of glutamate
A methyl group donor in methylation reactions
A tripeptide of glutamate, cysteine, and glycine, protecting cells from oxidative stress
High level of ammonia in blood is toxic. Waste NH+ and amino group in skeletal muscles are transported to liver mainly in the form of:
Alanine and glutamine
Glutamate and arginine
Glutamate and glutamine
Asparagine and aspartate
Alanine and glutamine
Ornithine decarboxylase is an enzyme involved in the urea cycle
True
False
False
Oxidation of aromatic amino acids adds hydroxyl group to the ring. This type of reaction usually uses a cofactor:
Tetrahydrofolate
Tetrahydrobiopterin
Heme
PLP
Tetrahydrobiopterin