
- •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:
19. Chose the reaction of glycolysis catalyzed by an enzyme phosphofructokinase:
Production of fructose-1,6-bisphosphate
Production of glucose-6-phosphate
Production of fructose 1-phosphate
Production of dihyroxyacetone phosphate
Production of 1,3-bisphosphoglycerate
20. In glycolytic pathway all the substances are formed EXEPT:
A. acetyl-CoA
B. glyceraldehydes –3-phosphate
C. phosphoenol pyruvate
D. adenosine diphosphate
E. Fructose-bis-phosphate
21. Glycolysis is also referred to as:
A. Embden-Meyerhof-Parnas pathway
B. Lineweaver-Burk pathway
C. Krebs-Henseleit pathway
D. Watson-Crick pathway
E. Chargaff pathway
22. Which of the following is a substrate for aldolase activity in Glycolytic pathway?
Fructose1,6-bisphosphate
Glyceraldehyde-3-phosphate
Glucose-6-phosphate
Fructose-6-phosphate
Glucose1, 6-bisphosphate
23. Which of the following enzyme-catalysed reactions has a product containing a newly formed high energy phosphate bond?
2-phosphoglycerate to phosphoenolpyruvate
The phosphorylation of glucose
Fructose 1,6-bisphosphate to glyceraldehydes-3-phosphate and dihydroxyacetone phosphate
3-phosphoglycerate to 2-phosphoglycerate
Dihydroxyacetone phosphate to glyceraldehydes phosphate
24. Glycolysis is mainly regulated by:
Phosphofructokinase
Enolase
glyceraldehydes-3-phosphate dehydrogenase
Aldolase
All of these
25. Pyruvate kinase requires __ ions for maximum activity.
Mg2+
Mn2+
Fe2+
Br-
Cl-
26. Glucokinase can be characterized by one of the following statements:
A. It has a much higher Michaelis constant (Km) for glucose than does hexokinase
B. It is the major regulatory enzyme of glycolysis
C. ATP is an activator of this enzyme
D. It is located in mitochondria
E. The reaction that is catalysed by this enzyme produces a high energy phosphate
27. One mole of glucose in glycolytic pathway in anaerobic conditions produces:
A. two moles of lactate
B. five moles of lactate
C. three moles of lactate
D. four moles of lactate
E. one mole of lactate
28. Lactate dehydrogenase is an oligomeric molecule which contains how many number of subunits:
Four
Two
Three
Six
Eight
29. The predominant products of starch hydrolysis by amylase are:
Maltose, maltotriose and limit dextrins
Maltose, lactose and limit dextrins
Maltotriose, limit dextrins and glucose
Glucose, maltose and maltotriose
Lactose, sucrose and maltose
30. Glycolysis proceeds in:
A. cytoplasm of every living cell
B. cytoplasm of red blood cell only
C. mitochondria of striated muscle cell
D. nuclei of liver cells
E. Lysosomal vesicles
31. Excessive intake of ethanol increases the ratio:
NADH/NAD+
NAD+ /NADH
FADH2/ FAD
FAD/FADH2
NADPH/NADP+
32. In glycolysis ATP is produced by the process of:
A. Substrate phosphorylation
B. Photosynthetic phosphorylation
C. Transfer of phosphate group from fructose-biphosphate upon ADP
D. oxidative phosphorylation
33. Conversion of glucose to glucose-6- phosphate in human liver is catalyzed by:
Glucokinase only
Hexokinase only
Hexokinase and glucokinase
Glucose-6-phosphate dehydrogenase
Glucophosphatase
34. As a result of anaerobic glycolysis glucose is converted to:
A. Lactic acid
B. Glycogen
C. Citric acid
D. Succinic acid
E. Acetoacetic acid
35. The following is an enzyme required for glycolysis:
Pyruvate kinase
Pyruvate dehydrogenase
Pyruvate carboxylase
Glucose-6-phosphatose
Glycerokinase
36. What is the net production of high energy phosphate bonds in anaerobic glycolysis?
A. 2 moles
B. 4 moles
C. 6 moles
D. 8 moles
E. 10 moles
37. When O2 supply is inadequate, pyruvate is converted to:
Lactate
Phosphopyruvate
Acetyl CoA
Alanine
Citrate
38. UDP-Glucose is converted to UDP-Glucuronic acid by:
NAD+
ATP
GTP
NADP+
FAD
39. Biosynthesis of the purine ring occurs owing to ribose-5-phosphate by gradual joining of nitrogen and carbon atoms inside the heterocycle structure and closing of the rings. The metabolic source of ribose-5-phosphate is:
A. Pentose phosphate pathway.
B. Glycolysis.
C. Glycogenosis.
D. Gluconeogenesis.
E. Glycogcnolysis.
40. Which of the following compound is a positive allosteric modifier of the enzyme pyruvate carboxylase?
Acetyl CoA
Biotin
Oxaloacetate
ATP
AMP
41. Galactose is phosphorylated by galactokinase to form:
Galactose-1-phosphate
Galactose-6-phosphate
Galactose-1, 6 diphosphate
All of these
42. Individuals who eat fresh fava beans are protected to a certain extent from malaria. Which enzyme deficiency takes place under these conditions?
Glucose-6-phosphate dehydrogenase
Transaldolase
Ribulosephoshateisomerase
Pyruvate dehydrogenase
Transketoase
43. In a patient pain along great nerve trunks is observed as well as increase of pyruvate in blood. Insufficiency of what vitamin may cause these symptoms?
Vitamin B1
Vitamin C
Vitamin B6
Vitamin K.
Vitamin PP
44. The pentose phosphate pathway sometimes is referred to as:
A. Hexose monophosphate shunt
B. Hexose bisphosphate shunt
C. Chargaff pathway
D. Krebs-Henseleit pathway
E. Embden-Meyerhof-Parnas pathway
45. In the tricarboxylic acid cycle (TCA) are oxidized:
Acetyl-CoA
Pyruvate
Lactate
Glucose
Fructose
46. Two important byproducts of pentose phosphate pathway are:
NADPH and pentose
NADH and pentose sugars
Pentose and 4 membered sugars
Pentose and sedoheptulose
Glucose and NADH
47. Lipoic acid is a cofactor of the next enzyme complex:
Pyruvate dehydrogenase
Lactate dehydrogenase
Succinate dehydrogenase
Cytochrome oxidase
Transketolase
48. Which of the following metabolite integrates glucose and fatty acid metabolism?
Acetyl CoA
Pyruvate
Citrate
Lactate
Glucose
49. Pyruvate dehydrogenase complex and α-ketoglutarate dehydrogenase complex require the following for their oxidative decarboxylation:
CoASH, TPP,NAD+,FAD, Lipoate
CoASH and lipoic acid
NAD+ and FAD
CoASH and TPP
TPP
50. The following enzyme is required for the hexose monophosphate shunt pathway:
Glucose-6-phosphate dehydrogenase
Glucose-6-phosphatase
Phosphorylase
Aldolase
Phosphofructokinase
51. UDP Glucuronic acid is required for the biosynthesis of:
Glycogen
Lactose
Starch
Chondroitin sulphates
pyruvate
55. Our body can get pentoses from:
HMP shunt
Glycolytic pathway
Uromic acid pathway
TCA cycle
Gluconeogenesis
56. Which from listed below pathways is responsible for the synthesis of ribose-5-phosphate, a component of nucleic acids:
A. pentose phosphate pathway
B. glycolysis
C. Oxidative decarboxylation of pyruvate
D. Krebs cycle
E. Embden-Meyerhof-Parnas pathway
57. Transketolase (one of enzymes of pentose phosphate pathway) contains as coenzyme:
TPP
Tocoferol
Pyridoxine
NAD
Folic acid
58. Which of the following substances inhibit pentose phosphate pathway?
NADHPH
ADP
FAD
NAD+
Mg2
59. Pyruvate dehydrogenase complex contains derivatives of the following vitamins:
Lipoic acid
Pyridoxine
Cyanocobalamine
Retinol
Ubiquinone
60. Dehydrogenase enzymes of the hexose-monophosphate shunt are
NADP+ specific
NAD+ specific
FAD specific
FMN specific
Biotin specific
61. There are several pathways for glucose transformation and utilization, one of them is pentose phosphate pathway, which actively proceeds in liver, adrenal cortex, red blood cells. What is the main aim of this pathway?
NADPH2 generation and production of pentoses
NADH2 and gluconioc acid production
FADH2 generation
Synthesis of glycogen and fat
Acetyl-CoA production
62. Oxidative decarboxylation of pyruvate requires
CoASH
NADP+
Cytichromes
Pyridoxal phosphate
Biotin
63. The next product is formed during oxidative decarboxylation of pyruvate?
A. Acetyl-CoA
B. Acyl-CoA
C. Oxaloacetic acid
D. Lactic acid
E. Succinyl-CoA
64. Which from listed below vitamins is involved in the oxidative decarboxylation of pyruvate?
Lipoic acid
Tocoferol
Pyridoxine
Ascorbic acid
Folic acid
65. Before pyruvic acid enters the TCA cycle it must be converted to:
Acetyl CoA
Lactate
α-ketoglutarate
Citrate
Glucose
66. The oxidative phase of pentose phosphate pathway is very active in red blood cells and hepatocytes. Which of the following is the end product of this phase?
Ribulose-5-phoshate
6-Phospho-gluconate
Pyruvate
Glyceraldehyde-3-phosphate
Fructose-6-phoshate
67. Which of the following enzymes catalyze reaction: Fructose+ATP → Fructose-1-phosphate + ADP:
Fructokinase
Galactokinase
Hexokinase
Glucokinase
pyruvate kinase
68. Which one of the following is a rate limiting enzyme of gluconeogenesis?
Pyruvate carboxylase
Hexokinase
Phsophofructokinase
Pyruvate kinase
Phosphoglucomutase
69. Reactions of synthesis and degradation of glycogen in cells are regulated by phosphorylation of the next key enzymes of glycogen metabolism:
Glycogen synthase and glycogen phosphorylase
Glycogen phosphorylase and lipase
Glycogen synthase and protein kinase
Phosphoprotein phosphatase and protein kinase
Adenilate cyclase and lipase
70. Phosphorolysis of carbohydrates plays a key role in a mobilization of polysaccharides. Under the action of phosphorylase from glycogen is produced by the next substance:
Glucose -1-phosphate
Glucose 1,6-bis-phosphate
Glucose 6-phosphate
Glucose
Fructose 6-phosphate
71. Glycogen synthesis takes place under the action of several enzymes. Indicate, what enzyme provides the formation of 1,6-glycosidic bonds in glycogen molecule?
Glycosyl 4,6-transglycosidase
Glycogen synthase
Hexokinase
Glucokinase
Glucose 1-phosphate uridil transferase
72. Insulin exhibits the next effect on glycogen metabolism:
Stimulation of glycogen breakdown by activation of phosphorylase
Inhibition of glycogenolysis by suppression of phosphorylase
Stimulation of glycogenesis by activation of glycogen synthase
Stimulation of glycogen utilization in muscle cells
Suppression of glycogen breakdown by inhibition of debranching enzyme.
73. Glycogen synthase is characterized by all of the following statements EXEPT:
A. It is activated by phosphorylation
B. Its substrate is uridine diphosphate glucose
C. The enzyme exists in active and inactive forms
D. It requires the primer strand of glycogen
E. It is found in association with glycogen granules
74. The greatest quantity of the body glycogen can be found in which of the following human tissue?