
- •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:
Substrate concentration at which reaction rate is half maximal
Optimal pH for activity of enzyme
Enzyme concentration, which provides half maximal velocity of reaction
Concentration of substrate, at which rate of reaction reach maximal value
Ionic strength of medium favoring maximal activity of enzyme
57. When [s] is equal to Km, which of the following conditions exist?
Half the enzyme molecules are bound to substrate
The velocity of the reaction is equal to Vmax
The velocity of the reaction is independent of substrate concentration
Enzyme is completely saturated with substrate
The velocity of the reaction is independent of enzyme concentration
58. Michaelis-Menten constants of two enzymes are 1,3x10-5 M/l and 2,3x10-3 M/l subsequently. Indicate true statement about the affinity of these enzymes to substrate.
The second enzyme has higher affinity to substrate
Enzymes possess equal affinity to substrate
The first enzyme has higher affinity to substrate
For decision an information on concentration of enzyme is needed
Data are incomplete and it is impossible to draw a conclusion
59. In an enzyme assay the substrate concentration was taken much higher than Km. In this conditions the rate of the reaction will be as follows:
Shows zero-order kinetics
Approaches 50 % value of Vmax
Is proportional to substrate concentration
Is independent of enzyme concentration
Is independent of temperature
60. The Michaehis-Menten hypothesis:
Postulates the formation of an enzyme substrate complex
Enables us to calculate the isoelectric point of an enzyme
States that the rate of a chemical reaction may be independent of substrate concentration
States that the reaction rate is proportional to substrate concentration
61. ‘Lock’ and ‘Key’ model of enzyme action proposed by Fisher implies that:
The active site is complementary in shape to that of the substrate
The active site is flexible and adjusts to substrate
The active site requires removal of PO4 group
The active site is not changed
Substrates change conformation prior to active site interaction
62. According to international convention (EC) as a unit of enzymatic activity is accepted 1 catal, which can be defined as:
Quantity of enzyme which transform 1 mole of substrate in 1 second
Quantity of enzyme which transform 1 umole of substrate in 1 minute
Quantity of enzyme which transform 1 umole of substrate in 1 second
Activity of 1 mg of pure enzyme
Number of substrate molecules transformed in 1 minute
63. The specific activity of an enzyme is:
The number of enzyme units per miсrogram of enzyme protein
The amount of enzyme that produces 1 mole of product per second under standard conditions
The activity of an enzyme in relation to a standard preparation of the enzyme
The amount of enzyme causing transformation of one micromole of substrate per minute under standard conditions
The activity of an enzyme in the presence of its preferred substrate molmin-1 of protein -1 or U/mg
64. Acetylcholin esterase cleaves acetylcholin hydrolytically. Insecticides, pesticides and nerve gases of fluorophosphates structure irreversibly inhibit acetylcholin esterase. How do they act?
Inhibitors bind with serine residue in active center
Inhibitors are structural analogs of true substrate
Inhibitors bind with histidine residue in allosteric center
Inhibitors form complex with acetylcholine
Inhibitors induce denaturation of enzyme
65. Trypsin and related to it proteolytic enzymes (chymotrypsin, thrombin et al.) contain in active center a specific amino acid residue, which is covalently modified by fluorophosphate compounds with irreversible lost of enzymatic activity. What is this amino acid residue?
Serine
Tyrosine
Threonine
Aspartate
Methionine
66. Pancreatic juice has a great number of enzymes. Some of them are secreted in inactive form. What these enzymes are?
Trypsinogen, chymotrypsinogen
Amylase, sucrase
Ribonuclease, pepsin
Lipase, phosphatase
DNA-ase, aminopeptidase
67. Zymogens of proteolytic enzymes are activated by the next process:
Limited proteolysis
Phosphorylation of serine residues in protein molecule
Carboxylation of glutamic acid
Decarboxylacion of aspartic acid side chain
Hydroxylation of lysine
68. Note substance, which induce transformation of pepsinogen to pepsin:
Hydrochloric acid
Enterokinase
Adenosine triphosphate
Bile acids
Trypsin
69. Trypsinogen is produced in exocrine /endocrine (chose the correct position) part of pancreatic gland and excreted to duodenum, where it is activated by the next factor:
Enteropeptidase
Secretin
Gastrin
Cholecystopancreozymine
Chymotrypsinogen
70. In course of chymotrypsinogen activation the next effect is achieved:
Formation of active center
Formation of allosteric center
Elimination of allosteric inhibitory sites
Attachment of specific cofactor (coenzyme) determining enzymatic activity
Modification of amino acid residues involved into allosteric center
71. The activation of chymotrypsinogen is achieved by the next process:
Limited proteolysis
Phosphorylation of serine residues with the use ofATP
Acetylation of free amino groups
ADP-ribosylation
Carboxylation of aspartic acid residues
72. Enzymes requiring NAD as co-substrate can be assayed by measuring change in absorbance at:
340 nm
210 nm
290 nm
365 nm
690 nm
73. Chose from listed below organs one producing and secreting amylase:
Salivary gland parotis
Liver
Kidneys
Intestinal mucosa
Spleen
74. What diagnostic significance has enhanced activity of amylase in urine?
A. Indicates on damage of exocrine pancreas tissue
B. Indicates on disorder in liver tissue
C. Indicates on some disease of bones
D. Indicates on riquets
E. Indicates on vitamin C deficiency
75. What is the mechanism of inhibition of folic acid synthesis by sulfanylamides?