
- •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
85. In modern biochemical investigations for diagnostics of inherited diseases, detection of certain viruses (for example HIV), authentification of individual (gene dactylography in forensic medicine) so called "DNA-diagnostics" is imployed. What method is used in these investigations?
A. Polymerase chain reaction
B. Chromatography
C. Electrophoresis
D. Rentgen-structural analysis
E. Electron microscopy
86. From nitrates, nitrites and nitrosamines in organism is formed nitrous acid which causes oxidative deamination of nitrogene bases of nucleotides. This induce a point mutation by replacement of cytosine to:
A. Uracil
B. Thymine
C. Adenine
D. Guanine
E. Inosine
87. 5’-bromouracil inhibits the biosynthesis of one from the listed below compounds. Chose this compound:
DNA
Protein
mRNA
rRNA
Histones
88. A physician prescribed allopurinol to a patient suffering from gout. What pharmacological property of allopurinol provides a therapeutic effect in this case?
Competitive inhibition of xanthine oxydase
Acceleration of pyrimidine nucleotides catabolism.
Increace of nitrogen-containing substances excretion.
Decrease of pyrimidine nucleotides reutilization.
Acceleration of nucleic acids biosynthesis
89. In a child a physical and mental underdevelopment is observed. In urine is excreted large quantity of orotic acid. This hereditary disease is a result of the next metabolic disorder:
A. Pyrimidine nucleotides synthesis
B. Pyrimidine nucleotides breakdown
C. Purine nucleotides synthesis
D. Purine nucleotides breakdown
E. Ornithine cycle of urea production
90. In one month old child an enhanced content of orotic acid in urine is detected, a child has diminished weight gain. What treatment must be undertaken in order to correct metabolic disorders?
A. Injections of uridine
B. Injections of adenosine
C. Injections of guanosine
D. Injections of thymidine
E. Injections of histidine
91. The decrease of uric acid concentration and the accumulation of xanthine and hvpoxanthine were found in the blood of a 12-year-old boy. The genetic defect of the synthesis of what enzyme does it testifies to?
A. Xanthine oxydase
B. Arginase
C. Urease
D. Ornithine carbamoyl transferase
E. Glycerol kinase
92. RNA of AIDS virus invaded leukocyte and caused production of viral DNA in a cell with the aid of the enzyme revertase. This is based on the next process:
A. Reversed transcription
B. Operone activation
C. Operone repression
D. Convariant replication
E. Reversed translation
93. Into human body were incorporated mercury ions. This led to the increase in rate of transcription of the gene, responsible for detoxification of heavy metals. What protein gene amplification is in the background of this process?
A. Metallothioneine
B. Ceruloplasmin
C. Interferone
D. Transferrin
E. Ferritin
94. Oncology patient was administered an antitumor drug – metothrexate. After some period tumor cells lost sensitivity to this drug. What gene amplification caused this effect?
A. Dihydrofolate reductase
B. Glutathion reductase
C. Thioredoxine reductase
D. Ribonucleitide reductase
E. Methemoglobin reductase
95. For identification of father of a child is used the next analytical technique:
A. Polymerase chain reaction (PCR)
B. Northern blot analysis
C. Restriction fragmrnt length polymorphism analysis
D. DNA fingerprint analysis
E. Southern blot analysis
96. In oncology patients prolong application of antitumor drugs induce appearance of resistance of target cells to this drugs. What process is responsible for this effect?
A. Gene mutation
B. Gene recombination
C. Gene modification
D. Gene expression
E. Gene amplification
97. In a patient was recognized endemic goiter. What type of post-translational modification of thyroglobuline is damaged in a patient?
Iodination
Phosphorylation
Methylation
Acetylation
Glycosylation
98. A 50-year-old patient is diagnosed with gout and there is hyperuricemia in his blood. The metabolism of what substances is disturbed?
A. Purines
B. Fats
C. Amino acids
D. Carbohydrates
E. Pyrimidines.
99. The samples of blood of a child and of a supposed father were directed for affiliation to medical forensic examination. Which chemical components need to be identified in the explored samples of blood?
DNA
tRNA
rRNA
mRNA
mnRNA
100. Parents of a 5-year-old child consulted a doctor. Examination of the child discovered retardation in mental development and growth, as well as abasement of the child's agility. The basal metabolism is lowered. What disease does the child suffer from?
A. Lesch-Nyhan syndrome.
B. Cretinism.
C. Phenylketonuria.
D. Hyperparathyroidism.
E. Endemic goiter.
101. A 65-year-old man, suffering from gout, complains of pains in the area of kidneys. Ultrasonic inspection revealed the presence of stones inside the kidneys. Which biochemical process is the main cause of kidney stones formation?
A. Degradation of purine nucleotides.
B. Catabolism of proteins.
C. Ornithine cycle.
D. Degradation of heme.
E. Reduction of cysteine.
102. In a man 45 years old, suffering from gout, increased concentration of uric acid in blood was observed. For treatment allopurinol was administered, which is a competitive inhibitor of the following enzyme:
A. Xanthine oxidase
B. Adenosine deaminase
C. Hypoxanthine phosphoribosyl transferase
D. Guanine deaminase
E. Adenin phosphoribosyl transferase
103. An 8-year-old boy suffers from Lesch-Nyhan's disease. The increased concentration of uric acid was determined in his blood. Which biochemical process disorder is the cause of this inherited disease?
A. Degradation of purine nucleotides
B. Synthesis of purine nucleotides.
C. Synthesis of pyrimidine nucleotides.
D. Degradation of pyrimidine nucleotides.
E. Synthesis of deoxyribonucleotides
104. A 72 years old woman complains on pains in joints, restriction of movement in joints. The joints are swollen, looking as enlarged knots. In blood and urine an increased concentration of uric acid is detected. What disease is characterized by these symptoms?
A.Gout
B.Pellagra
C.Alkaptonuria
D.Thyrosinosis
E.Liver cirrhosis
105. If a double-stranded DNA molecule undergoes two rounds of replication in an in vitro system that contains all of the necessary enzymes and nucleoside triphosphates that have been labeled with 32P, which of the following best describes the distribution of radioactivity in the four resulting DNA molecules?
A. Two of the molecules contain radioactivity in both strands.
B. Exactly one of the molecules contains radioactivity in only one strand.
C. Exactly one of the molecules contains no radioactivity.
D. Three of the molecules contain radioactivity in both strands.
E. All four molecules contain radioactivity in only one strand.