
- •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:
B. Protons
C. Anions
D. Cations
E. Hydrogen
60. A copper containing oxidase is:
Cytochrome oxidase
Flavin mononucleotide
Flavin adenine dinucleotide
Xanthine oxidase
Lysine oxidase
61. Peroxidase belongs to the next class of enzymes:
Oxido-reductases
Transferases
Hydrolases
Lyases
Isomerases
62. The redox carriers are grouped into respiratory chain complex:
A. In the inner mitochondrial membrane
B. In mitochondiral matrix
C. On the outer mitochondrial membrane
D. On the inner surface of outer mitochondrial membrane
E. Cytosol
63. The next enzyme complex serves as a point of entry for most of the electrons generated by the action of the citric acid cycle:.
Complex I
Complex II
Complex III
Complex IY
ATP synthase
64. Reducing equivalents from succinate enter the mitochondrial respiratory chain at:
FAD
NAD
Coenzyme Q
Cyt c
Cyt b
65. If the reducing equivalents enter from NAD in the respiratory chain, the phosphate:oxygen ration (P:O) is:
3
1
2
4
5
66. If the reducing equivalents enter from FAD in the respiratory chain, the phosphate:oxygen ration (P:O) is:
2
1
3
4
5
67. Reducing equivalents from succinate enter the mitochondrial respiratory chain at:
A. FAD
B. Coenzyme Q
C. NAD
D. Cyt c
E. Cyt b
68. Some of the free energy released in the mitochondrial electron transport chain can be harnessed to the formation of ATP. How many moles of ATP can be formed per a pair of electrons transferred from reduced FAD to oxygen?
2
0
1
3
4
69. Some of the free energy released in the mitochondrial electron transport chain can be harnessed to the formation of ATP. How many moles of ATP can be formed per pair of electrons transferred from reduced NAD to oxygen?
A. 3
B. 1
C. 2
D. 0
E. 4
70. Cytochrome oxidase is an enzyme of respiratory chain with the next characteristics:
contains copper ions
trasfers electrons to cytochrome c
is not inhibited by cyanides
contains two iron sulfur centers
is a simple protein
71. An enzyme catalyzing oxidoreduction, using oxygen as hydrogen acceptor is:
Cytochrome oxidase
Lactate dehydrogenase
Malate dehydrogenase
Succinate dehydrogenase
Fumarase
72. Which of the following enzymes is tightly associated with inner mitochondrial membrane?
Succinate dehydrogenase
Citrate synthase
Alpha-ketoglutarate dehydrogenase
Fumarase
Malate dehydrogenase
73. Reducing equivalents from pyruvate enter the mitochondrial respiratory chain at:
A. NAD
B. FMN
C. Coenzyme Q
D. Cyt b
E. Cyt aa3
74. Brown adipose tissue is:
Characterised by high content of mitochondria
A prominent tissue in human
Associated with high activity of ATP synthase
Characterised by low content of cytochromes
TCA doesn’t occur here
75. One of the respiratory chain enzymes, namely cytyochrome c, is a transporter of:
Electrons
Protons
Cations
Hydrogen atoms
Oxygen anion
76. Most of hydrogen atoms (protons and electrons) involved in process of tissue respiration are transported to the respiratory chain by the next compound:
NADH+H+
NADPH+H+
FMNH2
FADH2
Pyruvate
77. Which from the respiratory chain enzymes needs FAD as coenzyme?
Succinate dehydrogenase
NAD H2-ubiquinone reductase
Ubiquinone-cytochrome c reductase
Cytochrome oxidase
Complex 3 enzymes
78. Dehydrogenases utilize, as coenzymes, all of the following except:
A. FH4
B. NADP+
C. FAD
D. NAD+
E. FMN
79. A mitochondrial marker enzyme is:
A. Succinate dehydrogenase
B. Amylase
C. Aldolase
D. Pyruvate dehydrogenase
E. Pepsin
80. Activity of what enzyme can be detected due to the color development of benzidine after its oxidation?
А. Phenol oxidase
В. Cytochrome c
С. Aldehyde dehydrogenase
D. Peroxidase
Е. Lactate dehydrogenase
81. What reaction conditions are needed for oxidation of pyrocatechin by molecular oxygen in presence of phenoloxidase and production of oxidation products with brown color?
А. In presence of pyrocatechin and potatoe juice
В. After boiling of potatoe juice
С. Absence of pyrocatechin
D. In presence of Na2S
Е. In strong acidic medium
82. Which of the following actions describes the uncoupling of oxidative phosphorylation in a mitochondrial system?
The phosphorylation of ADP stops but oxygen uptake continues
The phosphorylation of ADP to ATP accelerates
The phosphorylation of ADP continues but oxygen uptake stops
Oxygen uptake stops
Produced ATP is not translocated across inner membrane to cytoplasm
83. Chemiosmotic theory for oxidative phosphorylation has been proposed by:
A. P. Mitchell
B. Pauling and Corey
C. S. Waugh
D. Chance and Williams
E. H. Krebs
84. Activity of cytochrome oxidase is inhibited by:
A. Cyanide
B. Sulphate
C. Arsenite
D. Sulphite
E. Chloride
85. The chemical inhibiting oxidative phosphorylation, a dependent on the transport of adenine nucleotides across the inner mitochondrial membrane is:
A. Oligomycin
B. Atractyloside
C. Dinitrophenol
D. Pentachlorophenol
E. Progesteron
86. ATP synthetase is a multichain enzyme complex with the next characteristic features:
It possess ion selective channel which selectively conduct protons
Cyanides inhibit its enzymatic activity irreversibly
It contains four iron-sulfur centers
It is integral membrane protein associated with outer membrane of mitochondria
It is inhibited by high concentration of ADP and inorganic phosphate
87. Note a compound which is considered as natural uncoupler of oxidative phosphorylation:
Thermogenin
Progesteron
Succinic acid
Sapogenin
Stearic acid
88. Reactive oxygen species (ROS) include the next substances EXEPT:
Hydrogen ions
Hydrogen peroxide
Superoxide anion
Hydroxyl radical
Organic hydroperoxides
89. Uncouplers of oxidative phosphorylation are acting as follows:
Collapse proton gradient across outer mitochondrial membrane
Allow electron transport to proceed and block ATP synthesis
Arrest electron transport and ATP synthesis simultaneously
Competitively inhibit FMN-dependent ubiquinone reductase
Inhibit the electron transport in cytochromes chain
90. An enzyme catalyzing oxidoreduction, using oxygen as hydrogen acceptor is:
Cytochrome oxidase
Lactate dehydrogenase
Malate dehydrogenase
Succinate dehydrogenase
Fumarase
91. The chemiosmotic hypothesis of oxidative phosphorylation suggests that ATP is formed because:
Formation of proton gradient across the inner membrane
The change in the permeability of inner mitochondrial membrane toward ADP and inorganic phosphate
Due to formation of high energy bonds in mitochondrial proteins
ADP is pumped out of the matrix into the intermembrane space
Protons are pumped into the mitochondrial matrix
92. Some hormones are acting as uncouplers of oxidative phosphorylation. Chose from listed below hormones one considered as potent uncoupler.
Thyroxine
Norepinephrine
Testosterone
Insulin
Cortisol
93. Catalase represents the next class of enzymes:
Oxidoreductases
Transferases
Hydrolases
Lyases
Isomerases
94. Rotenone inhibits the respiratory chain at:
A. FMN → coenzyme Q
B. NAD → FMN
C. Coenzyme Q → cyt b
D. Cyt b → Cyt c1
E. Cyt c1→Cyt a3
95. The transfer of reducing equivalents from NADH to coenzyme Q is specifically inhibited by:
A. Piericidin A
B. Oligomycin
C. Carboxin
D. Rotenone
E. Theroxine
96. Note an endogenous compound which induces heat production due to uncoupling of oxidative phosphorylation
Thermogenin
Succinate
Stearate
Progesteron
Sapogenin
97. Chose a toxic substance acting as potent uncoupler of oxidative phosphorylation:
Dinitrophenol
Phenol
Picric acid
Sodium cyanide
Heme
98. Cychrome aa3 belongs to the next class of enzymes:
Oxido-reductases
Transferases
Hydrolases
Lyases
Isomerases
99. Catalase is an enzyme with the next properties:
It catalyses the decomposition of hydrogen peroxide with formation of water and oxygen as products
It reduces hydrogen peroxide using substances providing hydrogen atoms with formation of water and oxidized substance
Catalyses interaction of CO2 and water and produce oxygen and formaldehyde as final products.
Contains FMN as coenzyme
It is NAD-dependent enzyme
100. The driving force for ATP synthesis in mitochondria is created due to:
Asymmetric distribution of protons across inner mitochondrial membrane
Transport of electrons along the chain of cytochromes
Reduction of oxygen and production of water with free energy release
Generation of high energy intermediates during electron transport
Difference in electric charge between inner and outer mitochondrial membranes
101. What products are produced from superoxide anion under the action of superoxide dismutase?
Free oxygen
Hydroxyl radical
Protons
NAD
FMN reduced
102. Cytochrome oxidase is an enzyme of respiratory chain with the next characteristics:
It contains copper ions
It trasfers electrons to cytochrome c
It is not inhibited by cyanides
It contains two iron sulfur centers
It is an integral membrane protein associated with outer mitochondrial membrane
103. What enzyme can decompose hydrogen peroxide without involvement of organic compounds as donors of hydrogen?
Catalase
Peroxidase
Monooxygenase
Cytochrome P450
Lipoxygenase
104. Superoxide radicals can be detoxified by:
Cytochrome c
Cytochrome b
Cytochrome a
Superoxide dismutase
Peroxidase
105. Rate of tissue respiration is raised when the intracellular concentration of:
ADP increases
ATP increases
ADP decreases
AMP decreases
None of these
106. Hydrogen peroxide may be detoxified in the absence of an oxygen acceptor by:
Peroxidase
Catalase
Cytochrome a
Superoxide dismutase
Oxygenase