
- •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:
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.
A. Endorphine.
B. Oxytocin.
C. Vasopressin.
D. Calcitonin.
E. Somatoliberin.
79. Laboratory testing of the patient's blood plasma showed K+ level that is equal to 7.0 mM/1. What is the possible cause of such state?
A. Decrease of aldosterone level.
B. Increase of aldosterone level.
C. Decrease of thyroid hormones level.
D. Increase of thyroid hormones level.
E. Increase of sexual hormones level.
80. A patient suffering from rheumatism was administered glucocorticoid therapy. What changes in carbohydrate metabolism in liver can be expected?
A. Stimulation of gluconeogenesis
B. Stimulation of glycogenesis
C. Stimulation of glycogen hydrolysis
D. Stimulation of glycogen phosphorolysis
E. Increase of glycogen phosphorylase activity
81. A 35-year-old addicted to alcohol patient manifests sharp muscle and cardiac weakness against the background of treatment by diuretics. The patient has vomiting, diarrhea, depression, A/P - 100/60. The cause of such state is the increased excretion through the urine of:
A. Potassium.
B. Sodium.
C. Chlorine.
D. Calcium.
E. Phosphates.
82. A 23-year-old patient complains of a headache, change of appearance (increase in feet and wrists size, face features distortion). His voice grew harsh, the memory worsened. The disease set in three years ago without apparent causes. The analysis of the urine is without special changes. A possible cause of this status can be:
A. Hyperproduction of somatotropin.
B. Deficiency of glucagon.
C. Deficiency of thyroxine.
D. Deficiency of aldosterone.
E. Hyperproduction of corticosteroids.
83. A 10-year-old boy was brought to a hospital for the inspection of the cause of growth retardation. He had grown only by three centimeters in the last two years. What hormone's deficiency is the cause of such state?
A. Somatotropin.
B. Corticotropin.
C. Gonadotropin.
D. Thyrotropin.
E. Parathormone.
84. A 35-year-old addicted to alcohol patient manifests sharp muscle and cardiac weakness against the background of treatment by diuretics. The patient has vomiting, diarrhea, depression, A/P - 100/60. The cause of such state is the increased excretion through the urine of:
A. Potassium
B. Sodium
C. Chlorine
D. Calcium
E. Phosphates
85. A 23-year-old patient complains of a headache, change of appearance (increase in feet and wrists size, face features distortion). His voice grew harsh, the memory worsened. The disease set in three years ago without apparent causes. The analysis of the urine is without special changes. A possible cause of this status can be:
A. Hyperproduction of somatotropin
B. Deficiency of glucagon
C. Deficiency of thyroxine
D. Deficiency of aldosterone
E. Hyperproduction of corticosteroids
86. A patient complains of body weight loss, excessive irritability, insignificant increase of temperature, exophtalmia. Hyperglycemia and the rise of nitrogen-containing substances in blood serum were detected. Which is the most credible diagnosis in this case?
Diffuse toxic goiter
Neurosis
Bronzed disease
Tuberculosis of adrenal glands.
Myxedema
87. Some compounds increase the permeability of internal membranes of mitochondria for Н+, that results in disconnection of processes of respirations with phosphorylation and stopping of ATP synthesis. Name this compound:
A. Thyroxine
B. Vasopressin
C. Adrenalin
D. Insulin
E. Oxytocin