
- •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:
Section ііi Metabolic pathways and bioenergetics. Tricarboxylic acid cycle. Biological oxidation and oxidative phopshorylation
1. When atp forms amp:
Inorganic pyrophosphate is produced
Inorganic phosphorous is produced
Phsophagen is produced
ADP is produced
No energy is produced
2. Standard free energy (ΔG°) of hydrolysis of ATP to ADP + Pi is:
–30.5 KJ/mol
–49.3 KJ/mol
–4.93 KJ/mol
–20.9 KJ/mol
– 2.5 KJ/mol
3. Standard free energy (ΔG°) of hydrolysis of ADP to AMP + Pi is:
–27.6 KJ/mol
–43.3 KJ/mol
–30.5 KJ/mol
–15.9 KJ/mol
2.5 KJ/mol
4. Standard free energy (ΔG°) of hydrolysis of phosphoenolpyruvate is:
–61.9 KJ/mol
–43.1 KJ/mol
–14.2 KJ/mol
–9.2 KJ/mol
–4.2 KJ/mol
5. Standard free energy (ΔG°) of hydrolysis of creatine phosphate is:
–43.1 KJ/mol
–51.4 KJ/mol
–30.5 KJ/mol
–15.9 KJ/mol
–9.2 KJ/mol
6. Which of the following compounds would you expect to liberate the least free energy on hydrolysis?
AMP
ATP
ADP
Phosphoenolpyruvate
Phosphocreatine
7. Which of the following compounds would you expect to liberate the highest free energy on hydrolysis?
Phosphoenolpyruvate
ATP
ADP
AMP
Phosphocreatine
8. The degradative processess are categorized under the heading of:
Catabolism
Anabolism
Metabolism
Amphibolism
None of the above
9. Most of the metabolic pathways are either anabolic or catabolic. Which of the following pathways is considered as “amphibolic” in nature?
A. TCA cycle
B. Glycolytic pathway
C. Lipolysis
D. Glycogenesis
E. Pentosophosphate pathway
10. Enzymes of tricaboxylic acid cycle are located:
A. In the mitochondrial matrix
B. On the outer surface of the outer mitochondrial membrane
C. On the inner surface of the outer mitochondrial membrane
D. In the inner mitochondrial membrane
E. In the intermembrane space
11. Which of the following statements regarding TCA cycle is true?
A. It is amphibolic in nature
B. It occurs in cytosol
C. It contains no intermediates for Gluconeogenesis
D. It is an anaerobic process
E. It occurs in nucleus
12. Before pyruvic acid enters the TCA cycle it must be converted to:
A. Acetyl CoA
B. Lactate
C. -ketoglutarate
D. Citrate
E. Succinate
13. The formation of citrate from oxaloacetate and acetyl CoA is:
A. Condensation
B. Reduction
C. Oxidation
D. Hydrolysis
E. Isomerisation
14. Tricarboxylic acid cycle to be continuous requires the regeneration of:
Oxaloacetic acid
Pyruvic acid
α-oxoglutaric acid
Malic acid
Succinic acid
15. The next principal substrate is involved into oxidation in tricarboxylic acid cycle:
A. Acetyl-CoA
B. Pyruvate
C. Lactate
D. Glucose
E. Glutamate
16. What substance is the main fuel material for TCA cycle?
A. Acetyl-CoA
B. Glucose
C. Amino acids
D. Fatty acids
E. Succinyl-CoA
17. Malate dehydrogenase is an enzyme dependent from the presence of the next cofactor:
NAD+
TPP
Coenzyme A
NADP
FMN
18. Substrate level phosphorylation in TCA cycle is in step:
A. Succinate thiokinase
B. Malate dehydrogenase
C. Aconitase
D. Isocitrate dehydrogenase
E. Succinate dehydrogenase
19. α-ketoglutarate dehydrogenase complex contains derivatives of the following vitamin:
Thiamine
Folic acid
Retinol
Pyridoxine
Ubiquinone
20. Which of the following enzymes catalyze convetion of succinate to fumarate:
Succinate dehydrogenase
Aconitase
Fumarase
Citrate synthase
Isocitrate dehydrogenase
21. An allosteric enzyme responsible for controlling the rate of TCA cycle is:
A. Isocitrate dehydrogenase
B. Malate dehydrogenase
C. Fumarase
D. Aconitase
E. Succinate dehydrogenase
22. A principle of succinate dehydrogenase activity determination is based on the reduction of methylene blue with reduced form of the coenzyme. What coenzyme is incorporated into the structure of succinate dehydrogenase?
A. FAD
B. NAD
C. FMN
D. TPP
E. PALP
23. Out of 24 mols of ATP formed in TCA cycle, 2 molecules of ATP can be formed at “substrate level” by which of the following reaction?
A. Succinyl-coA→Succinic acid
B. Isocitrate→Oxaloacetate
C. Succinic acid→Fumarate
D. Citric acid → Isocitric acid
E. Fumarate→Malate
24. Which of the following enzymes catalyze reaction: Acetyl-CoA + oxaloacetate → citrate + CoASH:
Citrate synthase
Succinate dehydrogenase
Fumarase
Aconitase
Isocitrate dehydrogenase
25. Citrate is converted to isocitrate by aconitase which contains:
A. Fe2+
B. Ca2+
C. Zn2+
D. Mg2+
E. Mn2+
26. If all the enzymes, intermediates and cofactors of the citric acid cycle as well as an excess of the starting substrate acetyl-CoA are present and functional in an organelle free solution at the appropriate pH, which of the following factors of the citric acid cycle would prove to be rate limiting?
A. Molecular oxygen
B. Half life of enzyme
C. Turnover of intermediates
D. Reduction of cofactors
E. Temperature
27. In TCA cycle, oxalosuccinate is converted to α-ketoglutarate by the enzyme:
A. Isocitrate dehydrogenase
B. Fumarase
C. Aconitase
D. Succinase
E. Succinate dehydrogenase
28. In citric acid cycle, GDP is phosphorylated by:
A. Succinate dehydrogenase
B. Aconitase
C. Succinate thiokinase
D. Fumarase
E. Isocitrate dehydrogenase
29. All of the following are intermediates of citric acid cycle except:
A. Pyruvate
B. Oxaloacetate
C. Oxalosuccinate
D. Fumarate
E. Citrate
30. The reaction succinyl-CoA to succinate requires:
A. GDP
B. ADP
C. CDP
D. NADP+
E. NAD+
31. An aneplerotic reaction which sustains the availability of oxaloacetate is the carboxylation of:
A. Pyruvate
B. Glutamate
C. Citrate
D. Succinate
E. Aconitate
32. Which from listed below substances is used as an inhibitor in studies of TCA cycle functioning?
Malonate
ATP
NAD
Aconitate
Isocitrate
33. A specific inhibitor for succinate dehydrogenase is:
A. Malonate
B. Succinate
C. Citrate
D. Cyanide
E. Aconitate
34. The inhibition of isocitrate dehydrogenase by NADH is:
A. Feedback inhibition
B. Non-competitive inhibition
C. Uncompetitive inhibition
D. Competitive inhibition
E. Irreversible
35. Which of the following substances activate isocitrate dehydrogenase:
ADP
FADH2
NADH+H+
ATP
Mg2+
36. The positive allosteric modifier of the enzyme pyruvate carboxylase?
A. Acetyl CoA
B. Biotin
C. Oxaloacetate
D. ATP
E. ADP
37. How many moles of FADH2 are produced in process of oxidation of 0,25 mole of acetyl-CoA in tricarboxylic acid cycle?
0,25
0,1
0,5
1,0
1,5
38. How many moles of NADH+H+ are produced in process of oxidation of 0,25 mole of acetyl-CoA in tricarboxylic acid cycle?
0,75
0,25
0,1
0,5
1,0
39. The number of molecules of ATP produced by the total oxidation of acetyl CoA in TCA cycle is:
A. 12
B. 8
C. 10
D. 6
E. 14
40. Tricarboxylic acid cycle (TCA) generates reduced forms of NAD and FAD which are used in:
Respiratory chain of enzymes in mitochondria
Synthesis of fatty acids
Biosynthesis of ATP by substrate phosphorylation
Biosynthesis of ATP by oxidative phosphorylation
Biosynthesis of purine nucleotides
41. The inhibition of succinate dehydrogenase by malonate is:
A. Competitive inhibition
B. Non-competitive inhibition
C. Uncompetitive inhibition
D. Feedback inhibition
E. Irreversible
42. The number of ATP produced in the succinate dehydrogenase step is:
A. 2
B. 1
C. 3
D. 4
E. 5
43. Most of protons and electrons which are further involved into mitochondrial respiratory chain are supplied from the next metabolic pathways:
Tricarboxylic acid (TCA) cycle
Glycolysis
Pyruvate dehydrogenase complex
Oxidation of fatty acids
Cleavage of proteins
44. In citric acid cycle, NAD is reduced in:
A. Three reactions
B. Two reactions
C. One reactions
D. Four reactions
E. Five reactions
45. The mitochondrial electron transport chain carriers are located in:
Inner mitochondrial membrane
Mitochondrial matrix
Intermembranous space of mitochondria
On the inner surface of the external mitochondrial membrane
On the outer surface of the external mitochondrial membrane
46. Most of protons and electrons which are further involved into mitochondrial respiratory chain are supplied from the next metabolic pathways:
Tricarboxylic acid (TCA) cycle
Glycolysis
Pyruvate dehydrogenase complex
Oxidation of fatty acids
Cleavage of proteins
47. The oxidation-reduction system having the highest redox potential is:
NAD+/NADH
Ubiquinone ox/red
Fe3+ cytochrome a/Fe2+
Fe3+ cytochrome b/Fe2+
E. Fe3+ cytochrome c1/Fe2+
48. Redox potential (EO volts) of NAD+/NADH is:
A. –0.32
B. –0.67
C. –0.12
D. +0.03
E. –0.88
49. Redox potential (EO volts) of ubiquinone, ox/red system is:
A. +0.04
B. +0.08
C. +0.10
D. +0.29
E. + 0.35
50. The oxidation-reduction system having the lowest redox potential is:
A. Fe3+ cytochrome a/Fe2+
B. Ubiquinone ox/red
C. Fe3+ cytochrome b/Fe2+
D. Fe3+ cytochrome c1/Fe2+
E. NAD+/NADH
51. The correct sequence of cytochrome carriers in respiratory chain is:
A. Cyt b→cyt c1→cyt c→cyt aa3
B. Cyt aa3→ cyt b→cyt c→cyt c1
C. Cyt b→cyt c→cyt c1→cyt aa3
D. Cyt b→cyt aa3→cyt c→ cyt c
E. Cyt aa3→ cyt c1→cyt c→ cyt b
52. The sequence of the redox carriers in respiratory chain is:
NAD→FMN→CoQ→cyt b→cyt c1→cyt c→cytaa3 → O2
FMN→CoQ →NAD→cyt b→cyt aa3→cyt c1→cyt c → O2
NAD→FMN→CoQ→ cyt c1→cyt c→cyt b→cytaa3 → O2
NAD→FMN→CoQ→cyt b→ cyt aa3 cyt c1→cyt
FMN→NAD→ CoQ→cyt b→ cyt aa3 cyt c1→cyt
53. All of the following electron carriers are components of the mitochondrial electron transport chain EXEPT:
NADP+
NAD
FMN
FAD
Coenzyme Q10
54. Cytochrome c of mitochondrial respiratory chain transfers electrons:
To cytochrome oxidase
From FAD-H2
From NADP-H2
From ubiquinon
To cytochrome b2
55. In respirastory chain electrons only are transported by:
Cytochrome c
FAD
NAD
Ubiquinon
Succinate dehydrogenase
56. Dehydrogenases are enzymes which catalyze transfer of the next structural elements of the molecule:
Hydrogen
Phosphate group
Methyl group
Amino group
Oxygen anion
57. Which of the following vitamins is precursor of flavine mononucleotide?
Vitamin B2
Vitamin A
Vitamin B6
Vitamin C
Vitamin D
58. A component of the respiratory chain in mitochondria is;
A. Coenzyme Q
B. Coenzyme A
C. Acetyl coenzyme
D. Coenzyme containing thiamin
E. Coenzyme B
59. The component of respiratory chain enzymes cytochrome oxidase (cytochrome a+a3), operates as a transporter of:
A. Electrons