
- •Section I Control of the initial level of knowledge. Biochemical constituents of the cell. Methods of biochemical investigations.
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •77. Discribe the method, shown at the picture below:
- •78. Discribe the method, shown at the picture below:
- •Section іі Enzymes, structure and classification. Regulation of metabolism
- •Е. Whatever part of polypeptide chain of enzyme molecule.
- •Substrate concentration at which reaction rate is half maximal
- •The second enzyme has higher affinity to substrate
- •Competitive
- •Examples of Krok 1 tests
- •Cysteine
- •B. Amylase
- •Peptidases
- •Enteropeptidase
- •Clinical cases and Situational tasks
- •Section ііi Metabolic pathways and bioenergetics. Tricarboxylic acid cycle. Biological oxidation and oxidative phopshorylation
- •1. When atp forms amp:
- •B. Protons
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section іv Structure and metabolism of carbohydrates
- •19. Chose the reaction of glycolysis catalyzed by an enzyme phosphofructokinase:
- •A. Liver
- •Examples of Krok 1 tests
- •Acetoacetate, β-hydroxybulyrate, and acetone
- •Clinical cases and Situational tasks
- •Section іv Structure and metabolism of lipids
- •Examples of Krok 1 tests
- •143. A patient with high rate of obesity was advised to use carnitine as a food additive in order to enhance "fat burning". What is the role of carnitine in the process of fat oxidation?
- •144. Lipids are obvious energetic material for the body. What is the main pathway of fatty acids metabolism in mitochondria?
- •Clinical cases and Situational tasks Situational tasks
- •179. The patient is observed an allocation of undigested fat in the faeces. What are the possible causes for this?
- •184. Free cholesterol can affect cholesterol metabolism in the body by inhibiting cholesterol biosynthesis. By which step free cholesterol can inhibit its biosynthesis?
- •186. Explain the mechanism of phospholipids breakdown, shown at the scheme below:
- •Section VI Structure and metabolism of amino acids
- •B. Amylase
- •Examples of Krok 1 tests
- •112. According to clinical indications a patient was administered pyridoxal phosphate. What processes is this medication intended to correct?
- •Clinical cases and Situational tasks
- •145. In a patient 10 g of urine per day is excreted. Evaluate this result.
- •151. Skin color is the aggregate result of the expression of a number of genes modified by ethnic origin and genetic inheritance. What can cause the hypopigmentation?
- •Section VII Principles of molecular biology and molecular genetics
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •108. List and describe properties of the genetic code.
- •113. Fill in the blanks.
- •114. Put the numbers of the enzymes on their place in the picture. Using arrows indicate the direction of replication and direction of synthesis of leading and lagging strands.
- •Section VIII Molecular mechanisms of hormone action on target cells. Biochemistry of hormonal regulation
- •Examples of Krok 1 tests
- •78. For analgesia, a certain substance which imitates the physiological properties of morphine but is synthesized inside the human brain can be used. Name this substance.
- •80. A patient suffering from rheumatism was administered glucocorticoid therapy. What changes in carbohydrate metabolism in liver can be expected?
- •88. In blood of a patient a hypercalcemia, hypophosphatemia, in urine – hyperphosphaturia is observed. What is a possible cause of this state?
- •90. In 13 years old girl a hypotension and polyuria is observed. Preliminary diagnosis – diabetes insipidus. It is caused by deficiency of:
- •93. Signaling via prostanoids begins by interaction of the prostanoid with its receptor. The receptor involved is usually located in which part of the cell?
- •Clinical cases and Situational tasks
- •97. In 13 years old girl a hypotension and polyuria is observed. Preliminary diagnosis – diabetes insipidus. Which hormone deficiency can cause this disease?
- •99. The thyroid hormones t3 and t4 are synthesized in the follicular cells of the thyroid gland. From which of the following essential amino acids are the thyroid hormones synthesized?
- •101. Name types of signalling:
- •Section IX Biochemistry of the nervous tissue
- •С. Ketone bodies
- •24. What compound may be used by the cns cells after extensive physical exercises and prolonged starvation?
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •114. Describe the structure of a synapse and explain how it operates?
- •Section X Biochemistry of the Muscular tissue
- •D. Glycogenolysis in muscles
- •С. Fatigue faster compared to the red fibers
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section XI Biochemistry of nutrition
- •1. Note substance, which activates pepsinogen to pepsin:
- •2. Chose the enzyme which plays an important role in production of hydrochloric acid by parietal cells of gastric mucosa glands:
- •3. Which of the following is not a function of the pancreas?
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •62. The clinical and laboratory examination of the patient evaluated the presence of the lactic acid in his gastric juice. What does it indicate? What should be recommended to the patient?
- •69. Discribe the mechanism of hydrochloric acid production shown at the picture:
- •Section XII Functional role of water soluble and fat soluble vitamins in metabolism and providement of cell functions
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •100. A deficiency in thiamine (vitamin b1) would most likely lead to which clinical manifestations?
- •Section XIII Biochemistry and pathobiochemistry of blood
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •89. The blood clotting cascade in humans is represented in the picture below. Using this scheme answer the following questions:
- •Section XIV Functional and clinical biochemistry of liver tissue. Biotransformation of xenobiotics and endogenous toxic compounds
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section XV Water and mineral metabolism
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section XVI Functional role of kidneys in urinogenesis. Normal and pathological constituents of urine
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section XVII Biochemical constituents of connective tissue
- •Examples of Krok 1 Tests
- •Clinical cases and Situational tasks
- •34. Patient with burn disease is at the risk of formation of blood clots in blood vessels. What glycosaminoglycan may be used to prevent formation of blood clots?
- •Section XVIII Biochemistry of saliva and tooth tissue
- •Examples of Krok 1 tests
- •Clinical cases and Situational tasks
- •Section XIX. Biochemical reactions
- •References:
DANYLO HALYTSKYI
LVIV NATIONAL medical UNIVERSITY
DEPARTMENT OF BIOLOGICAL CHEMISTRY
MCQs
in biochemistry
for students of medical, dentistry and pharmaceutical faculty
Lviv – 2012
Prepared by:
Prof. Sklyarov A.Ya., M.D., Ph.D
Prof. Lutsik M.D., M.D., Ph.D
Fomenko I.S., Ph.D
Klymyshin D.O., Ph.D
Nasadyuk C.M., M.D., Ph.D
Editor: prof. Sklyarov A.Ya., M.D., Ph.D.
Reviewed by: prof. Pinyazhko O.R., M.D., Ph.D
prof. Komarytsia J.D., M.D., Ph.D
Foreword
biological chemistry is a fundamental medical discipline. The understanding of the processes of proteins, carbohydrates, lipids and water turnover as well as the role of vitamins, trace elements and regulatory mechanisms in the organism is the background for the interpretation of the laboratory indices in health and disease in clinical practice.
The obtaining of the proper knowledge, based on the use of the different methodological approaches, i.p. test control, is one of the main tutorial elements for the students of the higher educational medical institutions.
Aimed at the improving of the students’ knowledge and the level of their preparation for the practical exercises, modul controls and integral examination “Krok-1”, the department prepared a guide, which according to the program, includes: tests, clinical cases, schemes of chemical transformations on key questions, which are presented in Chapter 13 of the guide. The list of references includes the main guides on biochemistry, accessible in the university library.
The authors hope that the use of this guide will improve the level of students’ knowledge and be helpful in mastering of the learning material.
CONTENTS
|
FOREWORD |
|
Section І |
Control of the initial level of knowledge. Biochemical constituents of the cell. Methods of biochemical investigations
|
5 |
Section II |
Enzymes and coenzymes. Regulation of metabolism.
|
19 |
Section III |
Metabolic pathways and bioenergetics. Tricarboxylic acid cycle. Biological oxidation and oxidative phopshorylation
|
40 |
Section IV |
Structure and metabolism of carbohydrates |
65 |
Section V |
Structure and metabolism of lipids |
91 |
Section VI |
Structure and metabolism of amino acids |
121 |
Section VII |
Principles of molecular biology and molecular genetics |
146 |
Section VIII |
Molecular mechanisms of hormone action on target cells. Biochemistry of hormonal regulation |
167 |
Section IX |
Biochemistry of the nervous tissue
|
191 |
Section X |
Biochemistry of the muscular tissue
|
202 |
Section XI |
Biochemistry of nutrition
|
214 |
Section XII |
Functional role of water soluble and fat soluble vitamins in metabolism and providement of cell functions.
|
227 |
Section XIII |
Biochemistry and pathobiochemistry of blood.
|
243 |
Section XIV |
Functional and clinical biochemistry of liver tissue. Biotransformation of xenobiotics and endogenous toxic compounds.
|
257 |
Section XV |
Water and mineral metabolism.
|
270 |
Section XVI |
Functional role of kidneys in urinogenesis. Normal and pathological constituents of urine
|
276 |
Section XVII |
Biochemical constituents of connective tissue.
|
284 |
Section XVIII |
Biochemistry of saliva and tooth tissue |
290 |
Section XIX |
Biochemical reactions |
306 |
|
References: |
310 |
Section I Control of the initial level of knowledge. Biochemical constituents of the cell. Methods of biochemical investigations.
1. All proteins contain the:
A. Same 20 amino acids
B. Different amino acids
C. 300 amino acids occurring in nature
D. Same 5 amino acids
E. Only a few amino acids
2. Proteins contain:
A. Only L- - amino acids
B. Only D-amino acids
C. D, L-Amino acids
D. Only L- β- amino acids
E. Only D- β- amino acids
3. In proteins the -helix and β-pleated sheet are examples of:
A. Secondary structure
B. Primary structure
C. Tertiary structure
D. Quaternary structure
E. All of these
4. Living cells have the unique ability to synthesize only ___ the form of optical isomer of amino acids due to __:
A. ‘L’ form stereospecific enzymes ‘
B. D’ form, stereospecific enzymes
C. ‘D’ form, DNA
D. ‘L’ form, DNA
E. ‘D’ form, RNA
5. Isoelectric pH of an amino acid is that pH, at which it has a:
A. Nil net charge
B. Negative charge
C. Positive charge
D. None of these
E. All of these
6. A Zwitter ion is one which has in aqueous solution:
A. No electrical charges at all
B. Two positive charges and one negative charge
C. Two negative charges and one positive charge
D. One positive charge and one negative charge
E. One positive charge
7. This amino acid can not have optical isomers:
A. Glycine
B. Histidine
C. Threonine
D. Alanine
E. Arginine
8. The amino acid containing hydroxyl group:
A. Threonine
B. Isoleucine
C. Arginine
D. Alanine
E. Ornithine
9. An aromatic amino acid is:
A. Tyrosine
B. Lysine
C. Taurine
D. Arginine
E. Alanine
10. Primary structure of a protein is formed by:
A. Peptide bonds
B. Hydrogen bonds
C. Disulphide bonds
D. All of these
E. None of these
11. Two amino groups are present in:
A. Lysine
B. Glutamate
C. Leucine
D. Threonine
E. Alanine
12. Branched chain amino acids are:
A. Valine, Leucine and Isoleucine
B. Tyrosine and Tryptophan
C. Glycine and Serine
D. Cysteine and cystine
E. Glutamine and Asparagine
13. The sulphur containing amino acid:
A. Methionine
B. Serine
C. Homoserine
D. Valine
E. Tyrosine
14. Which of the following statement about the peptide bond is true?
A. It is planar
B. It has cis hydrogen and oxygen groups
C. It is a carbon-carbon bond
D. It has rotational freedom
15. An amino acid not found in proteins is:
A. β-Alanine
B. Proline
C. Lysine
D. Histidine
E. Arginine
16. Starch is a:
A. Polysaccharide
B. Monosaccharide
C. Disaccharide
D. Protein
E. None of these
17. Polysaccharides are:
A. Polymers
B. Acids
C. Proteins
D. Oils
E. Fats
18. The general formula of monosaccharides is:
A. CnH2nOn
B. C2nH2On
C. CnH2O2n
D. CnH2nO2n
E. CnO2n
19. A polysacchharide which is often called animal starch is:
A. Glycogen
B. galactose
C. Inulin
D. Dextrin
E. Glucose
20. The sugar found in milk is:
A. Lactose
B. Glucose
C. Fructose
D. Galactose
E. Ribise
21. A triose sugar is:
A. Glycerose
B. Ribose
C. Erythrose
D. Fructose
E. Glucose
22. An example of a saturated fatty acid is:
A. Palmitic acid
B. Oleic acid
C. Linoleic acid
D. Erucic acid
E. Arachidonic acid
23. The cholesterol molecule is:
A. Steroid
B. Quinoline derivative
C. Benzene derivative
D. Straight chain acid
E. Amino acid
24. Vitamins are:
A. Accessory food factors
B. Generally synthesized in the body
C. Produced in endocrine glands
D. Proteins in nature
E. Carbohydrates
25. A nucleoside consists of:
A. Purine or pyrimidine base + sugar
B. Nitrogenous base
C. Purine or pyrimidine base + phosphorous
D. Purine + pyrimidine base + sugar +phosphorous
E. Sugar + phosphorous
26. The sugar moiety present in RNA is:
A. Ribose
B. Arabinose
C. Ribulose
D. Deoxyribose
E. Glucose
27. The nitrogenous base present in the RNA molecule is:
A. Uracil
B. Thymine
C. Xanthine
D. Hypoxanthine
E. Methylthymone
28. The sugar found in DNA is:
A. Deoxyribose
B. Ribose
C. Xylose
D. Ribulose
E. Glucose
29. The most active site of protein synthesis is the:
A. Ribosome
B. Nucleus
C. Mitochondrion
D. Cell sap
E. The Golgi complex:
30. A nucleotide consists of:
A. Purine or pyrimidine base + sugar + phosphorous
B. A nitrogenous base like choline
C. Purine or pyrimidine base + sugar
D. Purine or pyrimidine base + phosphorous
E. Sugar + phosphorous
31. A purine nucleotide is:
A. AMP
B. UMP
C. CMP
D. TMP
E. TDP
32. A pyrimidine nucleotide is:
A. CMP
B. AMP
C. GMP
D. IMP
E. ATP
33. The most abundant free nucleotide in mammalian cells is:
A. ATP
B. NAD
C. GTP
D. FAD
E. FMN
34. RNA does not contain:
A. Thymine
B. Adenine
C. Uracil
D. Ribose
E. Phosphorous
35. Genetic code is:
A. Collection of codons
B. Collection of amino acids
C. Collection of purine nucleotide
D. Collection of pyrimidine nucleotide
E. Collection of fatty acids
36. Genetic information of nuclear DNA is transmitted to the site of protein synthesis by:
A. mRNA
B. rRNA
C. tRNA
D. Polysomes
E. DNA
37. Synthesis of DNA is also known as:
A. Replication
B. Duplication
C. Transcription
D. Translation
E. Mutation
38. Nucleic acids are biopolymers, which are formed from the next monomers:
Mononucleotides
Amino acids
Carbohydrates
Isoprene units
Fatty acids
39. Genetic information flows from:
A. DNA to RNA
B. DNA to DNA
C. RNA to cellular proteins
D. DNA to cellular proteins
E. RNA to DNA
40. Oxidation of which substance in the body yields the most calories:
A. Lipids
B. Glycogen
C. Protein
D. Glucose
E. Vitamins
41. Eukaryotes have defined cells, which exhibit the next structural peculiarity:
Genetic information is stored in DNA, organized as nuclear chromatin
The cell possess a cell wall
The cell contains specific particles, responsible for cell respiration
Genetic information is stored in DNA, uniformly distributed throughout the cytoplasm
Genetic information is stored in messenger RNA
42. Lysosomes are cellular organelles, which have the following functional significance:
Degradation of complex biomolecules (proteins, nucleic acids, oligosaccharides etc.)
Production of energy (biosynthesis of ATP)
Post-translational modification of proteins
Oxygen consumption by the cell (respiration)
Cell movement
43. Proteasomes are subcellular particles responsible for the next process in the cell:
A. Hydrolysis of polypeptides and proteins
B. Specific folding of protein polypeptide chain
C. Post-translational modification of proteins
D. Degradation of damaged nucleic acds
E. Degradation of oligosaccharide part of glycoproteins
44. The cellular organelles called “suicide bags” are:
A. Lysosomes
B. Ribosomes
C. Nucleolus
D. Golgi’s bodies
E. Mitochondria
45. The following chemical constituent stores genetic information in the cell:
Nuclear DNA
Messenger RNA
Euchromatin
Heterochromatin
Ribosomal RNA collected in nucleoli
46. Biosynthesis of protein in the cell takes place in specialized subcellular particles which are called:
Ribosomes
Nucleosomes
Proteasomes
Centrosomes
Peroxysomes
47. The following substances are cell inclusions except:
A. Centrosome
B. Glycogen
C. Lipids
D. Melanin
E. Vitamins
48. The power house of the cell is:
A. Mitochondria
B. Cell membrane
C. Nucleus
D. Lysosomes
E. Peroxysomes
49. The digestive enzymes of cellular compounds are confined to:
A. Lysosomes
B. Ribosomes
C. Peroxisomes
D. Polysomes
E. Mitochondria
50. In determination of concentration of hormones in blood the next method is routinely used in clinical laboratory investigations:
Immunoenzymatic assay
Immunoprecipitation
Chromatography
Spetrophotometry
Polarography
51. In determination of protein concentration in blood plasma the next method is the most convenient and most frequently used in laboratory practice:
Colorimetry
Precipitation by salts of heavy metals
Precipitation with strong acids
Electrophoresis
Polarography
52. The movement of charged particles towards one of the electrodes under the influence of electrical current is:
A. Electrophoresis
B. Molecular sieving
C. Gas liquid chromatography
D. Gel filtration
E. Spectrometry
53. Detection of protein in biological fluids, e.g. in urine, is achieved with the next methodical approach:
Precipitation with strong inorganic or organic acids
Amino acid analysis after acid hydrolysis of sample.
Immunoprecipitation with specific antiserum
Determination of optical density at 280 nm
Polarimetry
54. Indicate optical method of investigation, which is used in clinical biochemistry:
А. Photocolorimetric
В. Affinity chromatography
С. Salting out
D. Electrophoresis
Е. Immunoenzyme assay
55. The sorting out of molecules according to size and shape may be adapted to protein purification in this technique:
A. Gel filtration chromatography
B. Adsorption chromatography
C. Paper chromatography
D. Electrophoresis
E. Immunoenzyme assay
56. Separation of molecules according to their molecular mass is achieved by the next chromatographic method:
Gel filtration chromatography
Ion exchange chromatography
Absorption chromatography
Partition chromatography
Affinity chromatography
57. Biuret reaction is specific for:
A. –CONH-linkages
B. –CSNH2 group
C. –(NH)NH2 group
D. –SH groups
E. All of these
58. Which of the following techniques purifies proteins:
A. Ion exchange chromatography
B. Photocolorimetry
C. Polarography;
D. Fluorescent analysis
E. Immunoenzyme assay
59. The solubility of most proteins is lowered at high salt concentrations process called:
A. Salting out process
B. Salting in process
C. Isoelectric focussing
D. None of these
60. The degradative processess are categorized under the heading of:
A. Catabolism
B. Anabolism
C. Metabolism
D. Amphibolism
E. None of the above