
- •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 lipids
1. Essential fatty acids cant by synthesized because mammals do not possess the enzymes for their biosynthesis. Which of the following is an essential fatty acid:
Linoleic acid
Palmitic acid
Oleic acid
Steraric
Butyric
2. Phosphoglycerides are complex lipids, represented by:
Phosphatidylcholine
Sphingomyelin
Galactocerebroside
Thromboxane A
Ganglioside GM-2
3. Sphingomyelin contains residues of the following substance:
Sphingosine
Glycerol
Galactose
Inositol
Sulfuric acid
4. Glycolipids contain the following constituent:
Glycerol
Sulfuric acid
Sialic acid
Phosphoric acid
Choline
5. Cholesterol is a starting material for biosynthesis of:
A. Bile acids
B. N-acetyl-galactosamine
C. Lecithin
D. Prostaglandins
E. Sphingomyelin
6. Gangliosides have the following physiological significance:
Provide hydrophilic and negative charge to the cell surface.
Are used as energetic material
Activate transcription processes in cell nucleus
Catalyze the cleavage of proteins in cell cytoplasm
Are involved in activation of amino acids.
7. The following constituent is incorporated into gangliosides:
Ceramide
Serine.
Glycerol
Choline
Phosphoric acid
8. Phosphatidylinositol has the following functional significance:
Produces inositol phosphates as secondary messengers of hormones
Serves as an energetic material
Is a constituent of inner mitochondrial membrane
Regulates folding of DNA in nuclear chromatin
Induce phosphorylation of glucose
9. Ceramide is:
A derivative of sphingosine and fatty acid
A derivative of glycerol and fatty acid
Composed of fatty acid and several monosaccharide residues
Involving phosphate residue as a constituent
A compound with macroergic bond
10. Fatty acids differ from one another due to differences in:
All of the above
The number of carbon atoms
The degree of saturation
The number of double bond
11. Arachidonic acid as essential nutrient is needed for normal growth and development of animal and man. It is a precursor of biologically active substances. Indicate what compound is synthesized from arachidonic acid:
Prostaglandine E1
Ethanolamine
Triiodothyronine
Choline
Noradrenalinе
12. Triacylglycerols:
In the average individual, represent sufficient energy to sustain life for several weeks.
Would be expected to be good emulsifying agents.
Yield about the same amount of ATP on complete oxidation as would an equivalent weight of glycogen.
Are stored as hydrated molecules.
Are generally negatively charged molecules at physiological pH.
13. All of the following statements describe phosphoglycerides EXCEPT:
They are a major store of metabolic energy
They are both amphipathic and amphoteric
They arise from glycerol-3-phosphate
They are found in cell membranes
They contain two fatty acid moieties
14. Chose the lipid related compound which is primarily used as a source of metabolic energy:
Ketone bodies
Phosphoglycerides
Steroids
Sphingomyelin
Triglycerides
15. Chose from listed below a hormone, which stimulates the formation of glycogen and triacylglycerols:
insulin
norepinephrine
glucagons
epinephrine
thyroxine
16. What bioactive compound (tissue hormone) is derived from 5-hydroperoxy eicosatetraenoic acid (5-HPETE) and modulates a variety of biologic functions?
Leukotriene
Prostaglandin E2
Thromboxane
Glucocorticoid
Sphingomyelin
17. What compound of lipid nature may contain a carbohydrate moiety and is presented in most cell membranes?
Ganglioside GM2
Sphingomyelin
Phosphatydylserine
Cholesterol
Leukotrienes
18. Lipids are the most valuable energetic material for an organism. What is the main pathway of fatty acids metabolism in cell mitochondria?
–oxidation
Decarboxylation
Reduction
-oxidation
-oxidation
19. In digestion of dietary lipids there is a need of one of the digestive secretions. What secretion listed below takes part in lipids emulsification?
A. Bile
B. Intestinal juice
C. Pancreatic juice
D. Saliva
E. Gastric juice
20. Phospholipids are important cell membrane components because:
They have both polar and non polar portions
They have glycerol
They can form bilayers in water
They combine covalently with proteins
They consist of fatty acids
21. Dietary fats after absorption appear in the circulation as:
Chylomicron
HDL
VLDL
LDL
Free fatty acids
22. Which one of the following is not a phospholipids:
Lysolecithin
Lecithin
Plasmalogen
Phosphatidylinositol
Phosphatydylethanolamine
23. Lipids have the following properties:
All of these
Insoluble in water and soluble in fat solvent
High energy content
Structural component of cell membrane
Precursors in biosynthesis of prostaglandins
24. Indicate which from listed below disorders of lipid metabolism occur in fat tissue:
A. Obesity
B. Steatorrhea
C. Ketosis
D. Retention hyperlipemia
E. Fatty infiltration of liver
25. Hepatic liponenesis is stimulated by:
Insulin
cAMP
Glucagon
Epinephrine
Cortisol
26. Pancreatic lipase converts triacylglycerols into:
2-Monoacylglycerol
2, 3-Diacylglycerol
1-Monoacylglycerol
3-Monoacylglycerol
1, 3-Diacylglycerol
27. Lipids are stored in the body mainly in the form of:
Triglycerides
Glycolipids
Phospholipids
Fatty acids
Steroids
28. Pancreatic lipase requires for its activity:
Co-lipase
Bile salts
Phospholipids
Amino acids
All of these
29. Waxes contain higher alcohols named as:
Cetyl
Methyl
Ethyl
Phytyl
Propionyl
30. β -Galactosidase is deficient in:
Krabbe’s disease
Fabry’s disease
Gaucher’s disease
Metachromatic leukodystrophy
Tay-sach’s disease
31. Bile acids are necessary for fat digestion. They are produced in the liver from the next precursor:
Cholesterol
Protoporphyrine IX
Corticosterol
Lecithin
Arachidonic acid
32. Adipose tissue lacks:
Glycerol kinase
Hormone-sensitive lipase
cAMP-dependent protein kinase
Glycerol-3-phosphate dehydrogenase
33. Which one of the following enzymes is NOT involved in the degradation of dietary lipids during digestion?
A. Lipoprotein lipase;
B. Pancreatic lipase;
C. Gastric lipase;
D. Phospholipase A2;
E. Cholesterol ester hydrolase
34. Free fatty acids are transported in the blood:
Combined with albumin
Combined with fatty acid binding protein
Combined with β -lipoprotein
In unbound free salts
Combined with globulin
35. Which one of the following substances is an intermediate in the synthesis of both glycerol-containing phospholipids and triacylglycerol?
A. Phosphatidic acid
B. Choline
C. Acetoacetyl CoA;
D. CDP-Ethanolamine
E. 3-Hydroxyburyrate
36. The nitrogenous base in lecithin is:
Choline
Ethanolamine
Serine
Betaine
Alanine
37. The next substance is known as bile acid:
A. Taurocholate
B. Succinate
C. Lignoceric acid
D. Mevalonate
E. Phosphatidic acid
38. Lipid stores are mainly present in:
Adipose tissue
Liver
Brain
Muscles
Kidneys
39. Co-lipase is a:
Protein
Vitamin
Bile salt
Phospholipid
Amino acid
40. Number of carbon atoms in cholesterol is:
27
17
19
30
35
41. Hexosaminidase A is deficient in:
Tay-Sachs disease
Gaucher’s disease
Niemann-Pick disease
Fabry’s disease
42. The form in which most dietary lipids are packaged and exported from the intestinal mucosa cells is as follows:
A. Chylomicrons
B. Mixed micelles
C. Free triacylglycerol
D.2-monoacylglycerol
E. Free fatty acids
43. Characteristic finding in Gaucher’s disease is:
Hepatosplenomegaly
Night blindness
Renal failure
Deafness
Nephropathy
44. The intermediates in fatty acid synthesis are linked to acyl carrier protein (ACP), a component of fatty acid synthase. The prosthetic group of ACP is:
phosphopantetheine
methionine
thiamine
biotin
Cobalamin
45. Chylomicron remnants are catabolised in:
Liver
Adipose tissue
Intestine
Liver and intestine
Kidneys
46. Adipose tissue responds to low insulin/glucagon ratio by:
Stimulating hormone-sensitive lipase.
Dephosphorylating the interconvertible enzymes.
Stimulating the deposition of fat.
Increasing the amount of pyruvate kinase.
Stimulating phenylalanine hydroxylase
47. In adipose tissue, glycerol-3-phosphate required for the synthesis of triglycerides comes mainly from:
Dihydroxyacetone phosphate formed in glycolysis
Hydrolysis of pre-existing triglycerides
Hydrolysis of phospholipids
Free glycerol
Cholesterol
48. Glycerol released from adipose tissue by hydrolysis of triglycerides is mainly:
Taken up by liver
Taken up by extrahepatic tissues
Reutilised in adipose tissue
Excreted from the body
49. Mental retardation occurs in:
All of these
Tay-Sachs disease
Gaucher’s disease
Niemann-Pick disease
50. Free glycerol cannot be used for triglyceride synthesis in:
Adipose tissue
Liver
Kidney
Intestine
51. The rate-limiting step of fatty acid synthesis is catalyzed by:
acetyl-CoA carboxylase
ATP-citrate lyase
acyl-CoA synthetase
Malic enzyme
malonyl transacylase
52. Long chain fatty acids are first activated to acetyl-CoA in:
Cytosol
Microsomes
Nucleus
Mitochondria
Ribosome
53. β-Oxidation of fatty acids:
Occurs by a repeated sequence of four reactions
Generates ATP in reactions of substrate level phosphorylatin.
Is controlled primarily by allosteric effectors.
Uses only even-chain, saturated fatty acids as substrates.
Uses NADP.
54. One functional sub-unit of multi-enzyme complex for de novo synthesis of fatty acids contains:
Two —SH groups
One —SH group
Three —SH groups
Four —SH groups
Five —SH groups
55. The enzyme acyl-CoA synthase catalyses the conversion of a fatty acid of an active fatty acid in the presence of:
A. ATP
B. ADP
C. AMP
D. GTP
E. UDP
56. The high glucagon/insulin ratio seen in starvation:
All of the above
Stimulates -oxidation by inhibiting the production of malonyl CoA.
Leads to increased concentrations of ketone bodies in the blood.
. Promotes mobilization of fatty acids from adipose stores.
None of the above.
57. Long chain fatty acids penetrate the inner mitochondrial membrane:
A. As carnitine derivative
B. As acyl-CoA derivative
C. Requiring Na dependent carrier
D. Freely
E. Requiring Ca dependent carrier
58. De novo synthesis of fatty acids occurs in:
A. Cytosol
B. Mitochondria
C. Microsomes
D. All of these
E. None of these
59. Acyl Carrier Protein contains the vitamin:
A. Pantothenic acid
B. Lipoic acid
C. Biotin
D. Folic acid
E. Ascorbic acid
60. Which of the following is required as a reductant in fatty acid synthesis?
A. NADPH
B. NADH
C. FADH2
D. FMNH2
E. FAD
61. An enzyme required for the synthesis of ketone bodies as well as cholesterol is:
A. HMG CoA synthetase
B. Acetyl CoA carboxylase
C. HMG CoA reductase
D. HMG CoA lyase
E. HMG CoA dehydrogenase
62. Ketone bodies are synthesized in:
A. Liver
B. Adipose tissue
C. Muscles
D. Brain
E. Kidney
63. Carnitine is required for the transport of:
A. Long chain fatty acids into mitochondria
B. Triglycerides into mitochondria
C. Short chain fatty acids into mitochondria
D. Triglycerides out of liver
E. Glycerol into cytosol
64. What process of lipid metabolism requires a protein with covalently bound prosthetic group derived from pantothenic acid?
Fatty acid biosynthesis
β-Oxidation of fatty acids
Utilization of ketone bodies
Bile acid synthesis from cholesterol
Utilization of LDL
65. Net ATP generation on complete oxidation of stearic acid is:
A. 146
B. 131
C. 129
D. 148
E. 159
66. Refsum’s disease results from a defect in the following pathway except:
A. Beta-oxidation of fatty acids
B. Alpha-oxidation of fatty acids
C. Gamma-oxidation of fatty acids
D. Omega-oxidation of fatty acids
E. Delta-oxidation of fatty acids
67. The removal of two- carbon units from a fatty acyl coenzyme A (fatty acyl CoA) involves four sequential reactions. Which of the following best describes the reaction sequence?
Dehydrogenation, hydratation, dehydrogenation, cleavage
Oxidation, dehydration, oxidation, cleavage
Reduction, dehydration, reduction, cleavage
Hydrogenation, dehydration, hydrogenation, cleavage
Reduction, hydration, dehydrogenation, cleavage
68. The enzymes of β-oxidation are found in:
A. Mitochondria.
B. Cytosol.
C. Golgi apparatus.
D. Nucleus.
E. Microsomes.
69. During each cycle of β-oxidation:
A. Two carbon atoms are removed from the carboxyl end of the fatty acid
B. One carbon atom is removed from the methyl end of the fatty acid
C. One carbon atom is removed from the carboxyl end of the fatty acid
D. Two carbon atoms are removed from the methyl end of the fatty acid
Е. Three carbon atom is removed from the methyl end of the fatty acid
70. Obesity generally reflects excess intake of energy and is often associated with the development of:
Non-insulin dependent diabetes mellitus
Nervousness
Hepatitis
Colon cancer
71. Net generation of energy on complete oxidation of palmitic acid is:
A. 129 ATP equivalents
B. 131 ATP equivalents
C. 146 ATP equivalents
D. 148 ATP equivalents
E. 159 ATP equivalents
72. NADPH required for fatty acid synthesis can come from:
A. Hexose monophosphate shunt
B. Oxidative decarboxylation of malate
C. Extramitochondrial oxidation of isocitrate
D. Citric acid cycle
E. All of these
73. Citrate stimulates fatty acid synthesis by all of the following EXCEPT:
Participating in the production of ATP.
Allosterically activating acetyl-CoA carboxylase.
Providing a mechanism to transport acetyl CoA from the mitochondria to the cytosol.
Participating in a pathway that ultimately produces CO2 and NADPH in the cytosol.
74. What process of lipid metabolism requires a protein with covalently bound prosthetic group derived from pantothenic acid?
Fatty acid biosynthesis
β-Oxidation of fatty acids
Utilization of ketone bodies
Bile acid synthesis from cholesterol
Utilization of LDL
75. De novo synthesis and oxidation of fatty acids differ in the following respect:
A. Synthesis occurs in cytosol and oxidation in mitochondria
B. Synthesis is decreased and oxidation increased by insulin
C. NADH is required in synthesis and FAD in oxidation
D. Malonyl CoA is formed during oxidation but not during synthesis
76. De novo synthesis of fatty acids requires all of the following except:
A. NADPH
B. NADH
C. Panthothenic acid
D. ATP
E. Biotin
77. Carnitine is synthesized from:
A. Lysine and methionine
B. Glycine and arginine
C. Aspartate and glutamate
D. Proline and hydroxyproline
E. Lysine and arginine
78. Acetyl CoA carboxylase regulates fatty acid synthesis by which of the following mechanism?
A. All of these
B. Covalent modification
C. Induction and repression
D. Allosteric regulation
E. None of these
79. β-Oxidation of fatty acids requires all the following coenzymes except:
A. NADP
B. FAD
C. NAD
D. CoA
80. Carboxylation of acetyl-CoA to malonyl-CoA takes place in the presence of:
A. Biotin
B. FAD
C. NAD+
D. NADP+
E. GTP
81. Malonyl-CoA reacts with the central:
A. -SH group
B. -NH2 group
C. -COOH group
D. -CH2OH group
E. –OH group
82. Propionyl CoA is formed on oxidation of:
A. Fatty acids with odd number of carbon atoms
B. Polyunsaturated fatty acids
C. Monounsaturated fatty acids
D. Fatty acids with even number of carbon atoms
E. None of these
83. Which of the following can be used as a source of energy in extrahepatic tissues?
A. Acetoacetate
B. Acetone
C. Both (A) and (B)
D. None of these
84. During the prolonged starvation in blood of a person an increase in ketone bodies content occurs. It is caused by the next factors:
Production of acetyl-CoA.
Decrease of free fatty acid level in blood plasma
Mobilization of high density lipoproteins
Enhancment of fatty acids biosynthesis in liver
Decrease of triacylglycerols in adipose tissue
85. What process cannot occur in the absence of carnitine?
β-Oxidation of fatty acids
Cleavage of triacylglycerol
Utilization of ketone bodies
Fatty acid biosynthesis
Biosynthesis of prostaglandin
86. Propionyl CoA formed from the oxidation of fatty acids having an odd number of carbon atoms is converted into:
A. D-Methylmalonyl CoA
B. Acetoacetyl CoA
C. Acetyl CoA
D. Butyryl CoA
E. Acety lCoA
87. What process of lipid metabolism requires a protein with covalently bound prosthetic group derived from pantothenic acid?
Fatty acid biosynthesis
β-Oxidation of fatty acids
Utilization of ketone bodies
Bile acid synthesis from cholesterol
Utilization of LDL
88. The rate limiting step cholesterol biosynthesis is:
A. HMG CoA reductase
B. Squalene synthetase
C. HMG CoA synthetase
D. Mevalonate kinase
E. Geranyl transferase
89. An experimental animal has been given excessive amount of carbon-labeled glucose for a week. What compound can the label be found in?
A. Palmitic acid
B. Methionine
C. Vitamin A
D. Choline
E. Arachidonic acid
90. The two final productsi in the β-oxidation of odd chain fatty acids are:
A. Acetyl CoA and propionyl-CoA
B. Acetyl CoA and acetyl CoA
C. Acetyl CoA and malonyl CoA
D. Acetyl CoA and succinyl CoA.
E. Acetyl-CoA and buturyl-CoA
91. In adipose tissue, glycerol-3-phosphate required for the synthesis of triglycerides comes mainly from:
Dihydroxyacetone phosphate formed in Glycolysis
Hydrolysis of pre-existing triglycerides
Free glycerol
Hydrolysis of phospholipids
92. The enzymes of β-oxidation are found in:
A. Mitochondria.
B. Cytosol.
C. Golgi apparatus.
D. Nucleus.
E. Microsomes.
93. Cholesterol is a starting material for biosynthesis of:
A. Cholic acid
B. N-acetyl-galactosamine
C. Lecithin
D. Prostaglandins
E. Sphingomyeli
94. Indicate lipid compound which is predominant in low density lipoproteins
A. Cholesterol
B. Phospholipids
C. Triglycerides
D. Sphingomyelin
E. Glucocerebroside
95. Lysolecithin is formed from lecithin by removal of:
A. Fatty acid from position 2
B. Fatty acid from position 1
C. Phosphorylcholine
D. Choline
E. Glycerol
96. Cholesterol is a starting material for biosynthesis of:
A. Cholic acid
B. N-acetyl-galactosamine
C. Lecithin
D. Prostaglandins
E. Sphingomyelin
97. The pathway of cholesterol synthesis begins from the next metabolite:
2-Oxoglutaryl-CoA
Succinyl-CoA
Acetoacetyl-CoA
Acetyl-CoA
Lauryl-CoA
98. Lipo-oxygenase is required for the synthesis of:
A. Leukotrienes
B. Prostaglandins
C. Thromboxanes
D. Prostacyclines
E. All of these
99. Chose from listed below compounds the final product of cholesterol metabolism in human body:
Chenodeoxycholic acid
Cortisol
Prostaglandine E2
Cholecalciferol
Ergrosterol
100. Triglycerides are transported from liver to extrahepatic tissues by:
A. VLDL
B. Chylomicrons
C. HDL
D. LDL
E. IDL
101. Lipoproteins contain the following constituent:
A. Lecithin
B. Ca ions
C. Albumin
D. Blood plasma proteins
E. Bile acids
102. A compound normally used to conjugate bile acids is:
A. Glycine
B. Serine
C. Glucoronic acid
D. Fatty acid
103. The rate limiting step in cholesterol biosynthesis is:
A. HMG CoA reductase
B. Mevalonate kinase
C. HMG CoA synthetase
D. Squalene synthetase
E. Geranyl transferase
104. Genetic deficiency of lipoprotein lipase causes hyperlipoproteinaemia of the following type:
A. Type I
B. Type IIa
C. Type IIb
D. Type V
E. Type III
105. This lipoprotein removes cholesterol from the body:
A. HDL
B. VLDL
C. IDL
D. Chylomicrons
E. LDL
106. Indicate lipid compound which is predominant in low density lipoproteins:
A. Cholesterol
B. Triglycerides
C. Phospholipids
D. Sphingomyelin
E. Glucocerebroside
107. Chylomicrons are present in fasting blood samples in hyperlipoproteinaemia of the following types:
A. Types I and V
B. Types IIa and IIb
C. Types I and IIa
D. Types IV and V
E. Types V and VI
108. Increase in blood of this class of lipoproteins is beneficial to ward off coronary heart disease:
A. LDL
B. HDL
C. VLDL
D. IDL
E. Chylomicrones
109. Note an intermediate metabolite which is on the cholesterol synthesis pathway and is of multifunctional significance:
A. β-Hydroxy β-methyl glutaryl-CoA (HMG-CoA)
B. Succinyl-CoA
C. Acetoacetate
D. Palmitoyl-CoA
E. 2-Oxoglutaryl-CoA
110. Esterification of cholesterol occurs mainly in:
A. Adipose tissue
B. Liver
C. Muscles
D. Kidneys
E. Brain
111. The next compounds are intermediates in cholesterol synthesis pathway EXCEPT:
A. 2-Oxoglutaryl-CoA
B. Mevalonic acid
C. Hydroxymethylglutaryl- CoA
D. Lanosterol
E. Squalene
112. Bile acids are derivatives of:
A. Cholesterol
B. Heme
C. Sphingomyeline
D. Phosphatidyl choline
E. Long chain fatty acids
113. The β-lipoprotein fraction increases in severe:
A. Diabetes Mellitus
B. Uremia
C. Nephritis
D. Muscular dystrophy
E. Pancreatatis
114. Cholesterol is the precursor for the biosynthesis of:
A. Bile acids
B. Prostaglandins
C. Fatty acid
D. Sphingmyelin
E. Lecitine
115. HDL is synthesized in:
A. Liver
B. Kidneys
C. Intestine
D. Liver and intestine
E. Adipose tissue
116. All the following correctly describe the intermediate 3-OH-3-methyl glutaryl CoA except:
A. It is generated enzymatically in the mitochondrial matrix
B. It is formed in the cytoplasm
C. It is involved in the synthesis of cholesterlol
D. It inhibits the first step in cholesterol synthesis
E. It is involved in the synthesis of ketone bodies
117. Very low density lipoproteins are also known as:
A. Pre β--lipoproteins
B. β-lipoproteins
C. α-lipoproteins
D. None of these
118. Main metabolic end product of cholesterol:
A. Bile acid
B. 5-pregnenolone
C. Coprosterol
D. Glycine
E. Palmytoyl-CoA
119. A man 67 years old suffers from brain vessels atherosclerosis. After investigation hyperlipidemia was detected. What class of lipoproteins in blood plasma will be increased most of all in biochemical investigation?
LDL
HDL
Non esterified fatty acids in complex with albumin
Chilomicrons
VLDL
120. Chylomicron, intermediate density lipoproteins (IDL), low density lipoproteins (LDL) and very low density lipoproteins (VLDL) all are serum lipoproteins. What is the correct ordering of these particles from the lowest to the greatest density?
A. Chylomicron, VLDL, IDL, LDL
B. LDL, IDL, VLDL, Chylomicron
C. VLDL, IDL, LDL, Chylomicron
D. Chylomicron, IDL, VLDL, LDL
E. IDL, VLDL, LDL, Chylomicron
121. In a patient suffering from diabetes mellitus an increase in concentration of VLDL and triacylglycerols was detected. Cholesterol and HDL content in normal values.What type of lipid metabolism disorder can be classified such changes of indicated data?
Hyperlipoproteinemia type IY
Hyperlipoproteinemia type II
Hyperlipoproteinemia type Y
Hypelipoproteinemia type III
Hyperlipoproteinemia type II b
122. Lipoprotein lipase:
A. Is stimulated by one of the apoproteins present in VLDL.
B. Is stimulated by cAMP-mediated phosphorylation.
C. Functions to mobilize stored triacylglycerols from adipose tissue.
D. Is an intracellular enzyme.
E. Readily hydrolyzes three fatty acids from a triacylglycerol.