
- •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:
114. Describe the structure of a synapse and explain how it operates?
Answer: Synapses occur between two neurons. Electrical activitiy in the pre-synaptic neuron influences the post-synaptic neuron. There are two types of synapses in the body: Electrical and chemical. Electrical synapses occur in pre and post synaptic neurons that are joined via gap junctions. Currents from action potentials flow across the junction through channels called connexons. This current will depolarize the membrane of the post synaptic neuron to threshold, which will continue the action potential in the cell. Electrical synapses are fast and bidirectional. However, they are mainly found in cardiac and smooth muscles, and not in the mammalian nervous system. Chemical synapses use neurotransmitters. Depolarization occurs in the pre-synaptic neuron and calcium ions rush in. The calcium ions activate neurotransmitter release into the synaptic cleft. The neurotransmitters reach the post-synaptic neuron and cause action potentials to develop.
Section X Biochemistry of the Muscular tissue
1. Anaerobic glycolysis occur under conditions of relative oxygen insufficiency. This biochemichal process is accompanied by the pH decrease in tissues resulting from the accumulation of:
А. Lactate
В. Citrate
С. Oxaloacetate
D. Succinate
Е. Fumarate
2. The fastest mechanism of ATP production for the urgent muscular contraction is:
А. ATP generation from creatine phosphate
В. Aerobic glycolysis
С. Anaerobic glycolysis
D. Glycogenolysis in muscles
Е. Triglicerides oxidation
3. In muscular dystrophies the production and excretion of creatinine is inhibited. But what index is increased in urine under these conditions?
А. Creatine
В. Urates
С. Porphyrins
D. Indicanes
Е. Bilirubin
4. Organ-specific enzymes are evaluated for the diagnosis of some diseases. What enzymes are determined to diagnose muscular dystrophies?
А. Aspartate aminotransferase, kreatine kinase
В. Arginase, pyruvate decarboxylase
С. Alanine aminotransferase, urease
D. Hexokinase, phosphorylase
Е. Fumarase, superoxide dismutase
5. The huge amount of nitrogen, derived from the amino acids, is excreted from the human organism with urea in the form of creatinine. Which amino acids participate in biosynthesis of creatine?
А. Glycine, arginine, methionine
В. Glycine, phenylalanine, cysteine
С. Valine, serine, tyrosine
D.Tryptophan, lysine, alanine
E. Leucine, histidine, glutamine
6. Indicate the right sequence of the biochemical information transfer in the mechanism of muscular contraction?
А. Са → Troponin → Tropomyosin → Actin → Myosin
В. Са → Troponin → Tropomyosin → Myosin → Actin
С. Са → Actin → Myosin → Troponin → Tropomyosin
D. Са → Tropomyosin → Troponin → Actin → Myosin
Е. Са → Tropomyosin → Troponin → Myosin → Actin
7. The sportsman ran a marathon distance, resulting in a production of lactate in his muscles. The biggest amount of this lactate:
А. Gets to blood, is caught by liver where it is converted to glucose
В. Gets to mitochondrias and is oxidized to pyruvate
С. Is excreted with urea
D. Is used for the glucose synthesis in the muscular tissue
Е. Is accumulated in the organism, causing acidosis
8. What reaction in skeletal muscles causes ATP production for the urgent muscular contraction?
А. Creatine phosphokinase
В. Phosphofructokinase
С. Adenylate kinase
D. Glucokinase
Е. Hexokinase
9. A 30 year old patient manifested a decreased tolerance to physical exercises, whereas the content of glycogen in his muscles increased. The decrease of what enzyme caused this condition?
А. Glycogen phosphorylase
В. Phosphofructokinase
С. Glycogen synthase
D. Fumarase
Е. Succinate dehydrogenase
10. The main biochemical regulator of the muscular contraction and relax is the change of the ions of:
А. Са++
В. К+
С. Mg++
D. СІ-
Е. Na+
11. In the course of studies it was evaluated that muscular contraction needs energy in the form of:
А. ATP
В. GTP
С. CTP
D. ADP
Е. AMP
12. Within short-termed muscular work with maximal activity the following processes are the source of ATP:
А. Anaerobic breakdown of glycogen
В. Resynthesis from creatine phosphate
С. Anaerobic glycolysis
D. Adenilate kinase reaction
Е. Fatty acids oxidation
13. The fibrillar proteins include:
A. F-actin
B. Myosin
C. Troponin
D. Tropomyosin
E. a- and b - actinin
14. During water extraction of muscular and nervous tissue the following compounds are released into the water solution:
A. Anserine
B. GABA
C. Carnosine
D. Creatine
E. Cholesterol
15. In which organs is creatine phosphate synthesized?
А. Kidneys and liver
В. Adrenal glands
С. Lungs
D.Pancreas
Е. Spleen
16. Which statements on the white muscular fibers are right?
А. They are characterized by anaerobic carbohydrates catabolism
В. Contain more glycogen than the red fibers