USMLE Flashcards

1
Q

Purines

A

Pure AG

A
G

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2
Q

Pyrimidines

A

CUT the PY

C
U
T

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3
Q

Amino acid requirement for purine synthesis

A

GAG

Glycine
Aspartate
Glutamine

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4
Q

Amino acid requirement for both purine and pyrimidine synthesis

A

Aspartate

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5
Q

MOA of
MTX
TMP (trimethoprim)
Pyrimethamine

A

Inhibit dihydrofolate reductase

MTX - humans
TMP - bacteria
Pyrimethamine - protozoans

(pyrimidine synthesis)

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6
Q

MOA of 5-FU

A

Inhibits thymidylate synthase

pyrimidine synthesis

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7
Q

MOA of

6-MP and azathioprine

A

Inhibit de novo purine synthesis

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8
Q

MOA of hydroxyurea

A

Inhibits ribonucleotide reductase

purine and pyrimidine synthesis

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9
Q

Lesch-Nyhan syndrome absent enzyme

A

HGPRT

leads to:
Hyperuricemia
Gout
Pissed off (aggression and self-mutilation)
Retardation
T (dysTonia)
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10
Q

Unambiguous genetic code features

A

Each codon specifies only 1 amino acid

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11
Q

Degenerate or redundant genetic code features

A

Most AA are coded by multiple codons
EXCEPT:
Methionine - AUG (MET tayo in AUG)
Tryptophan - UGG

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12
Q

Transition mutation

A

Purine to purine

Pyrimidine to pyrimidine

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13
Q

Transversion mutation

A

Purine to pyrimidine

Pyrimidine to purine

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14
Q

Most severe mutation

A

Frameshift

Frameshift > nonsense > missense&raquo_space; silent

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15
Q

Missense mutation

A

Changed AA

Sickle cell dse (glutamate to valine)
Sick GV

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16
Q

Nonsense mutation

A

Early stop codon
Nonfunctional protein

Stop this nonsense!

17
Q

Frameshift mutation

A

Deletion or insertion of nucleotides not divisible by 3
Leads to misreading of downstream nucleotides

Duchenne muscular dystrophy
Tay-Sachs dse

18
Q

Rate limiting enzyme of

Glycolysis

A

Phosphofructokinase-1 (PFK-1)

19
Q

Rate limiting enzyme of

Gluconeogenesis

A

Fructose-1,6-bisphosphatase

20
Q

Rate limiting enzyme of

TCA cycle

A

Isocitrate dehydrogenase

21
Q

Rate limiting enzyme of

Glycogenesis

A

Glycogen synthase

22
Q

Rate limiting enzyme of

Glycogenolysis

A

Glycogen phosphorylase

23
Q

Rate limiting enzyme of

HMP shunt

A

G6PD

24
Q

Rate limiting enzyme of

De novo pyrimidine synthesis

A

Carbamoyl phosphate synthetase II

25
Q

Rate limiting enzyme of

De novo purine synthesis

A

Glutamine - phosphoribosylpyrophosphate(PRPP) amid9 transferase

26
Q

Rate limiting enzyme of

Urea cycle

A

Carbamoyl phosphate synthetase I

27
Q

Rate limiting enzyme of

Fatty acid synthesis

A

Acetyl-CoA carboxylase

28
Q

Rate limiting enzyme of

Fatty acid oxidation

A

Carnitine acyltransferase I

29
Q

Rate limiting enzyme of

Ketogenesis

A

HMG-CoA synthase

30
Q

Rate limiting enzyme of

Cholesterol synthesis

A

HMG-CoA reductase

31
Q

Other name for Glycolysis

A

EMP

Embden Meyerhof Parnas

32
Q

Other name for HMP shunt

A

PPP

Pentose Phosphate Pathway

33
Q

Other name for TCA cycle

A

Citric cycle

Krebs cycle

34
Q

AA special group of guanidinium

A

Arginine, R

35
Q

AA special group of Benzene

A

Phenylalanine, F

36
Q

AA special group of Phenol

A

Tyrosine, Y

37
Q

AA special group of Indole

A

Tryptophan, W

38
Q

AA special group of Imidazole

A

Histidine

39
Q

AA special group of Pyrrolidine

A

Proline, P

imino acid