
- •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:
24. What compound may be used by the cns cells after extensive physical exercises and prolonged starvation?
А. Acetoacetate
В.Glycerol
С. Amino acids
D. Glutathione
Е. Purins
25. Which neurotransmitter of CNS is synthesized from alpha-ketoglutarate in the course of reaction of the following sequence – transamination and decarboxylation
А. GABA
В. Histamine
С. Tryptophan
D. Dophamine
E. Serotonine
26. What is the neurochemical background for the use of antidepressants in the treatment of depression?
A. The increase of norepinephrine concentration in the brain synapses
B. The increase of the acethylcholine concentration in brain synapses
C. The increase of GABA concentration in brain synapses
D. The inhibition of cholinesterase activity in brain synapses
E. Stimulation of monooxidase activity
27. Which methabolic pathway is the most important for the energy supply of the brain?
A. Aerobic oxidation of glucose
B. Anaerobic oxidation of glucose
C. Gluconeogenesis
D. Fatty acids oxidation
E. Ketone bodies oxidation
28. In which brain substance is the respiratory metabolism the most active?
A. Brain cortex
B. White matter
C. Sympathic part of the nervous system
D. Parasympathic part of the nervous system
E. Synapsis
29. Acetylcholine is a neurotransmitter with the following mode of action upon target cell:
Binding with specific cytoplasm receptor protein inside the cell
Binding with cell surface receptor and opening of sodium channels
Opening of chloride anion specific channels in cell membrane
Hyperpolarization of cell membrane
30. After appearance in synaptic cleft acetylcholine is rapidly inactivated by the following process:
Decarboxylation
Oxidative deamination
Hydrolytic cleavage
Reduction with NADH2
Oxidation with peroxidase
31. Cholinesterase is a serine dependent enzyme extremely sensitive to the following compound:
Allopurinol
Diisopropylfluorophosphate
Arsenic acid salts
Cyanides
Mercury chloride
32. Note the class of enzymes to which acetycholine esterase belongs:
Hydrolase
Oxidoreductase
Transferase
Lyase
Isomerase
Ligase
33. A well known neurotransmitters epinephrine and norepinephrine are produced from the following precursor amino acid:
Phenylalanine
Histidine
Lysine
Glutamate
Tryptophane
34. Dopamine as a specific neurotransmitter is produced from a precursor amino acid:
Tyrosine
Tryptophane
Methionine
Arginine
Histidine
35. Parkinson’s disease is caused by a dysfunction in the following neurotransmitter system:
Dopaminergic
Cholinergic
Catecholaminergic
Serotoninergic
Met-enkephalinergic
36. The following amino acid is a source of serotonine:
Tryptophane
Histidine
Serine
Tyrosine
Proline
37. Chose a neurotransmitter which is produced from proopiomelanocortine after its limited proteolysis in pituitary gland:
ACTH
α -MSH
β-Lipotropine
Oxitocine
Leu-enkephaline
38. Voltage gated channels have the following functional significance:
Propagation of action potential along the axon
Release of neurotransmitter into synaptic cleft
Provide hyperpolarization of neuronal membrane
39. Chose a neurotransmitter substance which is produced after decarboxylation of glutamate:
Pyroglutamate
Histamine
Serotonin
Aminobutyrate, gamma-
Dopamine
40. Ligand gated channels are integral membrane proteins with the following functional significance:
Propagation of action potential along the axon
Provide a synaptic transmission
Break in the propagation of action potential
41. Biogenic amines with a neurotransmitter activity are rapidly inactivated in the synaptic cleft by the action of the following enzyme:
Monoamine oxidase
Peroxidase
FAD-dependent oxygenase
Superoxide dismutase
Glucuronyl transferase
42. The energetic metabolism of brain tissue depends mainly from the following metabolic pathways:
Aerobic glucose oxidation
Oxidation of nonesterified fatty acids
Ketone bodies utilization
Gluconeogenesis
Glycogenolysis
43. Myelin sheets of nerve fibers are composed from the sphingomyelin, which contains the next substance as a constituent:
Glycerol
Phosphocholine
Galactose
Neuraminic acid
Glucuronic acid
44. Gangliosides are important components of neuronal plasma membrane. They contain the following constituents EXCEPT:
Acetylneuraminic acid
Ceramide
Phosphoric acid
Lignoceric acid
Galactose
45. Cerebrosides are glycolipids of brain tissue and the following sugar is incorporated in their structure:
Lactose
Galactose
Mannosamine
Acetylneuraminic acid
Muramic acid
46. In a brain of patients with schizophrenia the increased number of the following neurotransmitter receptors is registered:
Dopamine specific
Serotonin specific
Adrenoreceptors
Cholinoreceptors
GABA-receptors
47. Disorders in myelinization of nerve fibers leads to severe neurologic disorders and mental retardation. Such disorders are typical for inborn errors in metabolism of:
Neutral lipids
Cholesterol
Sphingolipids
Glycerophosphatides
Lipoproteins
48. Cerebrosides contain all the following except:
A. Sulphate
B. Galactose
C. Sphingosine
D. Fatty acid
49. Cholinesterase is a serine dependent enzyme extremely sensitive to the next compound:
Diisopropylfluorophosphate
Allopurinol
Arsenic acid salts
Cyanides
Mercury chloride
50. Fabry’s disease (one of sphingolipidoses) is an autosomal recessive disease. Major symptoms of this disease: skin rash, kidney failure, pain in lower extremities. It is caused by a deficiency of:
Hexosaminidase A and B
Gm1 Gangliosidase
Galactocerebrosidase
α-Galactosidase A
Ceraminase
51. A well known neurotransmitters epinephrine and norepinephrine are produced from the next precursor amino acid:
Phenylalanine
Histidine
Lysine
Glutamate
Tryptophane
52. Cerebonic acid is present in:
A. Cerebrosides
B.Triglycerides
C Esterified cholestrol
D Sphingomyelin
53. Parkinson’s disease is caused by a dysfunction in the following neurotransmitter system:
Cholinergic
Catecholaminergic
Dopaminergic
Serotoninergic
Met-enkephalinergic
54. Gangliosides are complex glycosphingolipids found in:
A. Brain
B. Liver
C. Kidney
D. Muscle
E. Fat
55. Chose a neurotransmitter which is produced from proopiomelanocortine after its limited proteolysis in pituitary gland:
Leu-enkephaline
ACTH
α -MSH
β-Lipotropine
Oxitocine
56. Voltage gated channels have the next functional significance:
Provide hyperpolarization of neuronal membrane
Propagation of action potential along the axon
Release of neurotransmitter into synaptic cleft
57. Chose a neurotransmitter substance which is produced after decarboxylation of glutamate:
Aminobutyrate, gamma-
Pyroglutamate
Histamine
Serotonin
Dopamine
58. Ligand gated channels are integral membrane proteins with the following functional significance:
Propagation of action potential along the axon
Provide a synaptic transmission
Break in the propagation of action potential
59. Biogenic amines with a neurotransmitter activity are rapidly inactivated in the synaptic cleft by the action of the next enzyme:
Monoamine oxidase
Peroxidase
FAD-dependent oxygenase
Superoxide dismutase
Glucuronyl transferase
60. NH3 is detoxified in brain mainly as:
A. Glutamine
B. Uric acid
C. Creatinine
D. Asparagine
E. Urea
61. Myelin sheets of nerve fibers are composed from the sphingomyelin, which contain the next substance as a constituent:
Glycerol
Phosphocholine
Galactose
Neuraminic acid
Glucuronic acid
62. Which of the following is not a neurotransmitter?
Cyclic AMP
Acetylcholine
Noradrenaline
Dopamine
Epinephrine
63. Cerebrosides are glycolipids of brain tissue and in their structure is incorporated the next sugar:
Galactose
Lactose
Mannosamine
Acetylneuraminic acid
Muramic acid
64. In a brain of patients with schizophrenia the increase in number of the next neurotransmitter receptors is registered:
Dopamine specific
Serotonin specific
Adrenoreceptors
Colinoreceptors
GABA-receptors
65. Disorders in myelinization of nerve fibers leads to severe neurologic disorders and mental underdevelopment. Such disorders are typical for inborn errors in metabolism of:
Sphingolipids
Neutral lipids
Cholesterol
Glycerophosphatides
Lipoproteins
66. Tetanus toxin induces tonic straining of skeletal and vessel muscles due to inhibition of secretion by nerve endings such neurotransmitter as:
Glycine
GABA
Norepinephrine
Acetylcholine
Glutamate