- •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:
Examples of Krok 1 tests
61. Out of 200 different amino acids form in nature the number of amino acids present in protein:
A. 20
B. 25
C. 40
D. 35
E. 100
62. Choose from listed below methods ONE, which is used for fractionation of protein mixtures and isolation of individual proteins (enzyme, hormone, toxin etc):
Affinity chromatography
Precipitation with nitric acid
Boiling of extracts
Proteolysis
Radioimmunoassay
63. Determination of C-reactive protein (CRP) in blood plasma is conducted with the use of antisera, containing specific antibodies against CRP. What type of analytical method is used in this case?
Immunoprecipitation
Spectrophotomenry
Electrophoresis
Chromatography
Polarography
64. Proteins are biopolymers of principal significance in cell building, they are composed from amino acids as monomers, which are connected into chain by the next main type of chemical bond:
Peptide bond
Phosphodiester bond
Ionic bond
Hydrogen bond
Glycosidic bond
65. Protein preparations from human blood plasma are frequently used in clinical medicine for treatment of many diseases. Fractionation of blood plasma and preparation of distinct protein fractions is achieved by the next method:
Fractional precipitation with ammonium sulfate
Fractional precipitation with ethanol by Cohn VI method
Precipitation with salts of heavy metals
Electrophoresis in agarose gel
Ultracentrifugation
66. Determination of proportion between protein fractions in blood plasma or serum has an important clinical and diagnostic significance. The following routine method for obtaining results of this sort is most frequently used in clinical laboratories:
Salting out with neutral salts
Absorption chromatography
Precipitation with strong acids
Electrophoresis in agar gel or on acetyl-cellulose films
Immunoprecipitation
67. For determination of DNA synthesis in the cell usually is used measurement of incorporation of H3-thymidine into cellular biopolymers. The next type of analysis is used in this specific case:
Radioisotope method
Polymerase chain reaction (PCR)
Electrophoresis
Radioimmunoassay
Affinity chromatography
68. Proteins are biopolymers of principal significance in cell building, they are composed from amino acids as monomers, which are connected into chain by the next main type of chemical bond:
Peptide bond
Phosphodiester bond
Ionic bond
Hydrogen bond
Glycosidic bond
Clinical cases and Situational tasks
69. A protein solution was heated to 500C and lost all its properties. How can this be explained?
ANSWER: During heating there was denaturizing of protein.
70. With the use of salting out protein was separated from the biological solution. This protein will be used for treatment. What needs to be done to separate the protein from other molecular additives?
ANSWER: The separation of protein from the other molecular additives can happen with dialysis or gel-filtration
71. The total amount of protein in human blood is 50g/L. What can you conclude from this information, and what can cause this state?
ANSWER: If the total amount of protein in blood is 50g/L, this means that that person has hypoproteinemia. This state can be observed during the deficit of proteins in food, starvation, cachexia, stop of synthesis of proteins in the liver and in other states as well.
72. During analysis of urine, a positive reaction with Sulfosalicylic acid was observed. In total, 0.253% of protein was observed. What does this signify? What effects can this condition have on the organism?
ANSWER: If during analysis of urine, a positive reaction with Sulfosalicylic acid was observed, then this means that there is protein present in the urine. This occurs during cachexia, infectious sickness, nephritis, and so on. This condition can lead to hypoproteinemia, lowering of oncotic pressure and signs of inflammation.
73. The total amount of protein in blood of the patient is 95g/L. Is this normal? What is the cause of this state?
ANSWER: If the total amount of protein in human blood is 95g/L, then the condition observed is known as hyperproteinemia. This is observed during water loss by the organism, hepatitis, chronic inflammatory states, collagenosis, lymphma, endotheliomas and so on.
74. Name compartments of an animal cell:
Answer:
75. Discribe the method, shown at the picture below:
Answer: Dialysis is a passage of solutes through a semi-permeable membrane (cellulose tube). Molecules smaller than the pore size pass through the membrane (water, salts, protein fragments); protein stays in the tube.
76. Discribe the method, shown at the picture below:
Answer: Size exclusion chromatography (gel filtration chromatography) - separation based upon molecular size. Column is filled with semi-solid beads of a polymeric gel that will admit ions and small molecules into their interior but not large ones. When a mixture of molecules and ions dissolved in a solvent is applied to the top of the column, the smaller molecules (and ions) are distributed through a larger volume of solvent than is available to the large molecules. Consequently, the large molecules move more rapidly through the column, and in this way the mixture can be separated (fractionated) into its components. The porosity of the gel can be adjusted to exclude all molecules above a certain size. Sephadex, Sepharose or Sephacryl, which are fine porous beads, are trade names for gels that are available commercially in a broad range of porosities on the basis of their density and sedimentation velocity
