Intro to metabolism Flashcards

exam 2

1
Q

Predict the relative caloric needs of

an average 22 year old moderately active male
an average 22 year old male victim of a major burn
3. an average 22 year sedentary male
4. an average 32 year old sedentary female
5. an average 60 year old active female

a. 1>2>3>4>5
b. 1>3>2>4>5
c. 1>3>4>5>2
d. 2>1>3>5>4
e. 2>1>3>4>5

A

d. 2>1>3>5>4

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2
Q

Where Do Polysaccharides Get Digested?

A

mouth, intestine, colon

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3
Q

Which of the following describes the action of a-amylase?

A.  It cleaves glucose a 1→4 glucose bonds but not glucose a 	1→6 glucose bonds.

 B. It occurs in the brush border membrane of 	intestinal epithelial cells.

C.  It digests starch completely to the monosaccharide 	glucose. 

D.  Its digestion products are all short linear chains of 	glucose. 

E.  Salivary amylase remains active in the stomach.
A

A. It cleaves glucose a 1→4 glucose bonds but not glucose a 1→6 glucose bonds.

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4
Q

Active transport of glucose occurs in which tissue:

A. Brain occurs because brain requires glucose as fuel

B. Kidney to prevent loss of glucose to the urine

C. Liver to help lower blood glucose levels

Muscle to support exercise

E. Red blood cells because they have no mitochondria
A

B. Kidney to prevent loss of glucose to the urine

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5
Q

Insulin increases the transport of glucose from the blood into:

A. Brain cells

B. Kidney cells

C. Liver cells

    D. Muscle cells

E. Red blood cells
A

D. Muscle cells

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6
Q

fuel is stored as _____ limited

A

glycogen

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7
Q

fuels is stored as ______ limited but more

A

protein

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8
Q

fuels is stored as ________ limitless

A

triglycerides

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9
Q

enzymes that have same function but different structure

A

isozymes

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10
Q

why is metabolism different in tissues? (3)

A

(1) carry out different processes
(2) use/produce different fluids
(3) isozymes

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11
Q

synthesis

A

anabolism

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12
Q

degradation

A

catabolism

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13
Q

refers to the interconversions of molecules of the metabolome

A

metabolism

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14
Q

metabolism is controlled by proteins _____, which in turn results from information encoded in DNA and RNA, ______ and _______

A

controlled by the proteome and encode the genome and transcriptome

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15
Q

lacks glucose-6-phosphatase

A

muscle

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16
Q

example of isozymes

A

hexokinase and glucokinase

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17
Q

pathways may be _____ like glycolysis, ______ like TCA, or _______ like fatty acid synthesis

A

linear, cyclic, or spiral

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18
Q

what is expected to occur at steps that are out of equilibrium?

A

regulation by altering activities of the enzyme catalyzing those steps.

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19
Q

enzyme regulation can occur by ______ small molecules, _______ post-translational modification, _______ changes in enzyme amount, or _______ compartmentalization

A
  • allosteric regulation
  • phosphorylation
  • synthesis/degradation
  • fatty acid oxidation in mitochondria
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20
Q

Hormones such as ___________ can remodel enzyme activites to alter metabolism

A

insulin in the well-fade state

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21
Q

caloric intake of fat

A

9 cal/gram

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22
Q

caloric intake of protein

A

4 cal/gram

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23
Q

caloric intake of carbohydrate

A

4 cal/gram

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24
Q

what does the glycemic index of food estimates

A

its effect on blood glucose and insulin levels

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25
Q

why is cellulose, a polyglucose like amylase is not a useful source of food?

A

it has beta linkages that our enzymes cannot cleave

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26
Q

in kidney and intestine glucose/galactose transport is

A

active with a sodium co-trasnport

SGLT1,2

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27
Q

glucose is transported by ______ in most cells

A

facilitated diffusion

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28
Q

Glut 2 important in

A

liver

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29
Q

Glut 4 important in

A

muscle, fat and white cells

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30
Q

Glut 4 is regulated by

A

insulin leading to increased uptake of glucose

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31
Q

carbohydrates enter portal circulation with the ______ as an initial destination

A

liver

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32
Q

Causes of malabsorption: (4)

A

(1) lactase deficiency
(2) transported deficiency
(3) defects in SGLT1
(4) decreased intestinal surface area

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33
Q

does serine syntheis & degradation go on identical paths?

A

NO!!!!

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34
Q

allosteric inhibition or stimulation by small molecules is

A

immediate

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35
Q

covalent modification like phosphorylation is

A

rapid, allows for signaling control

36
Q

adaptive response by regulation of the amount of enzyme

A

slower, inhibition/stimulation of gene transcription

protein degradation/stabilization

37
Q

compartmental separation

A

specific tissues important for specific processes

38
Q

hormone of the well-fed state

A

insulin

39
Q

hormone of the starved state

A

glucagon

40
Q

hormone of acute stress

A

epinephrine

41
Q

hormone for longer term reponses

A

cortisol

42
Q

alpha-amylase digestion yields

A

maltoses and Limit dextrins

43
Q

bacteria digest un absorbed carbs

A

colon

44
Q

glucagon, epinephrine and cortisol are

A

glucose mobilizers or glucose synthesis promoters

45
Q

activity beats age!!! keypoint!

A

active older needs more calories than younger

46
Q

(3) sources of sugar

A

(1) monosaccharides
(2) disaccharides
(3) polysaccharides

47
Q

alpha-amylase: released by and breaks what?

A

released by salivary glands of mouth and breaks 1-4 linkages in polysaccharides

48
Q

why is there no carbohydrate digestion in the stomach?

A

low pH of stomach inhibits alpha-amylase

49
Q

what does the Gallbladder release?

A

CCK

50
Q

CCK stimulates

A

Alpha-amylase

51
Q

who will further release alpha-amylase?

A

pancreas

52
Q

intestinal epithelium releases

A

lactase, sucrase, isomaltase and glucoamylase

53
Q

cleaves 1-6 linkages

A

isomaltase

54
Q

what happens in lactase deficiency?

A

lactose that is not digested in stomach moves into lower GI

55
Q

Lactase deficiency: bacteria digest lactose giving ____ as a by product; lactose digested into ______ and _______

A

GAS, and digested into lactic acid and fatty acid

56
Q

What does lactic acid and FAs create?

A

fluid load, has osmotic effect which drags water out of cells causing diarrhea

57
Q

innapropriate release of pancreatic anylase gives

A

pancreatic disease also seen in CF

58
Q

genetic defects can give improper enzyme resulting in

A

congenital sucrase or isomaltase deficinecy

59
Q

transporter insufficiency of SGLT1 can results in

A

improper fructose absorption

60
Q

damage to brush border causes

A

low surface area

61
Q

polysaccharide that remains undigested

A

fiber

62
Q

undigested polysaccharide gives

A

bulky stool, affects intestinal mobility, lowers cholesterol and absorbs carcinogens

63
Q

simple diffusion

A

diffusion down concentration gradient

64
Q

when does simple diffusion occur

A

only with rare sugar at [low]

65
Q

facilitated diffusion

A

increases rate of transport, but no energy used

66
Q

facilitated diffusion:

Glut 5 on intestinal lumen

A

move fructose into cells

67
Q

facilitated diffusion:

Glut 2 moves

A

sugar in cell out into blood

68
Q

active transport

A

increased rate of transport, against gradient and uses energy

69
Q

SGLT1

A

actively transport glucose and galactose

70
Q

expenditure of ATP to maintain concentration gradient of ______ allows glucose and galactose to move ________________

A

expenditure of ATP to maintain concetration gradient of Na+ allows glucose and galactose to move down their gradient

71
Q

SGLT2

A

used in kidney to actively pump glucose back into blood from kidney

72
Q

active transport:

Glucose absorption

A

SGLT1

73
Q

active transport:

Glucose reabsorption

A

SGLT2

74
Q

only transporter sensitive to insulin

A

Glut 4

75
Q

transporter of glucose into liver

A

Glut 2

76
Q

Fanconi-Bickel syndrome

A

defect in Glut 2

77
Q

what happens in Fanconi?

A

liver cannot uptake glucose giving postprandial hyperglycemia

78
Q

after glucose meal

A

blood glucose increases then eventually will level off

79
Q

food with high glycemic index will have

A

more insulin release

80
Q

diabetes means low insulin levels which results in

A

higher resting glucose, higher glycemic index, and slower return to base levels

81
Q

ubiquitous

A

hexokinase

82
Q

found in liver and Beta-pancreatic cells

A

glucokinase

83
Q

type of diabetes associated with faulty glucokinase

A

MODY

84
Q

why does the liver acts as glucose filter to normalize sugar levels?

A

because glucokinase has high Vmax

85
Q

Both hexokinase and glucokinase

A

phosphorylates sugars to bring them into cell

86
Q

has high maximal activity and thus can bring large amount of glucose into cells

A

glucokinase