
- •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 іv Structure and metabolism of carbohydrates
1. The irreversible reactions of glycolysis include that catalyzed by:
6-phosphofructo-1-kinase.
fructose-bisphosphate aldolase.se.
phosphoglucose isomerase.
glyceraldehyde-3-phosphate dehydrogenase.
phosphoglycerate kinase.
2. In yeast cells occurs a process which is similar to glycolysis - alcohol fermentation. In course of this process through several stages from pyruvate is produced:
Ethanol
Lactate
Acetaldehyde
Glyceraldehyde
Pyruvate
3. Glucokinase:
Has a high Km for glucose and hence is important in the phosphorylation of glucose primarily after ingestion of a carbohydrate rich meal
None of these
Is widely distributed and occurs in most mammalian tissues
Is widely distributed in Prokaryotes
4. The reaction catalysed by phosphofructokinase:
Is the rate-limiting reaction of the glycolytic pathway
Is activated by high concentrations of ATP and citrate
Uses fructose-1-phosphate as substrate
Is inhibited by ADP
Is inhibited by fructose 2, 6-bisphosphate
5. Compared to the resting state, vigorously contracting muscle shows:
An increased conversion of pyruvate to lactate
Decreased oxidation of pyruvate of CO2 and water
A increased NADH/NAD+ ratio
Decreased concentration of AMP
6. Pasteur effect is:
Inhibition of anaerobic glycolysis
Oxygen is not involved
Inhibition of enzyme phosphofructokinase
Activation of lactate synthesis
All of these
7. Which one of the following would be expected in pyruvate kinase deficiency?
Hemolytic anemia
Increased levels of lactate in the R.B.C
Decreased ratio of ADP to ATP in R.B.C
Increased phosphorylation of Glucose to Glucose-6-phosphate
Increased levels of pyruvate
8. Which one of the following statements concerning glucose metabolism is correct?
Glucose enters most cells by a mechanism in which Na+ and glucose are co-transported
The conversion of Glucose to lactate occurs only in the R.B.C
Pyruvate kinase catalyses an irreversible reaction
An elevated level of insulin leads to a decreased level of fructose 2, 6-bisphosphatein hepatocyte
9. Anaerobic oxidation of glucose to lactate is regulated by appropriate enzymes. What enzyme is the major regulator of this process?
Phosphofructokinase
Lactate dehydrogenase
Glucose-6-phosphate isomerase
Aldolase
Enolase
10. 6-Posphofructokinase activity can be decreased by all of the following EXCEPT:
AMP
ATP at high concentration
citrate
low pH
decreased concentration of fructose 2, 6-bisphosphate
11. During glycolysis, Fructose 1,6-biphosphate is decomposed by the enzyme:
Aldolase
Enolase
Fructokinase
Diphosphofructophosphatase
Hexokinase
12. The oxidation of lactic acid to pyruvic acid requires the following vitamin derivative as the hydrogen carrier.
NAD+
Lithium pyrophosphate
Coenyzme A
FMN
FAD
13. Erythrocytes require energy of ATP for their vital functions. What process provides these cells with the necessary amount of ATP?
Anaerobic glycolysis
Aerobic oxidation of glucose
Pentose phosphate pathway
Oxidation of fatty acids
Citric acid cycle
14. Alcoholic fermentation occurs in yeast and several bacterial species. In this process product of pyruvate decarboxylation is:
A. Acetaldehyde
B. Lactate
C. Ethanol
D. Phosphoenolpyruvate
E. glucose
15. Which of the following enzymes is not involved in glycolysis?
Glucose oxidase
Enolase
Aldolose
Hexokinase
Glucokinase
16. The combination of subunits in lactate dehydrogenase molecule makes it possible to create the next number of isoenzymes:
Five
Three
Four
Six
Eight
17. In aerobic glycolysis glucose is transformed to:
A. Pyruvic acid
B. Ethylic alcohol
C. Lactic acid
D. Citric acid
E. Acetyl-CoA.
18. All of the following statements apply to the digestive enzyme α–amylase EXEPT:
It catalyses the hydrolysis of α1→4 glycosidic linkages exept those of glucose unit that serve as branch points
Glycogen and hydrated starch are normal substrates
The form of α–amylase in human pancreas is the most important isoenzyme
Glucose is the major product of α–amylase action on starch
Cellulose, a plant carbohydrate, is not hydrolysed by α–amylase in man