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Application Exercise Date: November 14, 2014 Time: 8 a.m. to 9 a.m. Presenter: Brian N. Griffith, Ph.D. What is the energy cost to switching from aerobic to anaerobic metabolism A. C. 100 % reduction 95% reduction in energy 25% 10 A. 25% B. B. 50 % reduction D. 5% reduction 25% C. 25% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Normoxic Ischemia Energy Sources Reperfusion Baseline Glucose ATP Fatty acids NAD+ ATP Cell Homeostasis NAD+ ATP NAD+ Allostasis What metabolite(s) is produced in cardiomyocytes undergoing anaerobic metabolism A. Citrate B. Acetyl-CoA C. Lactate D. Ethanol 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Cardiac failure cause by an MI is attributed to: B. MPTP opening A. Necrosis and Apoptosis D. Increase in intracellular calcium C. All of them 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Reperfusion Injury 1. Myocardial Infarct: 2. Loss of Aerobic Respiration (Ox-Phos) 3. Increase in Lactic Acid Production 4. Decrease in ATP 5. Decrease in Adenine Nucleotide (Purine Degradation Pathway) 6. Increase in intracellular Ca+2 7. The Overall Effect is Cell Damage and Eventually cell Death. Which protein complex is directly reduced by dihydroquinol? B. Complex III A. Complex I C. Complex II 0% 10 A. D. Complex IV 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 What is the primary effect of carbon monoxide consumption? A. It inhibits complex IV B. It increases NADH and FADH2 synthesis C. It decreases complex I activity D. It inhibits ATP synthesis 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Participant Scores Points Participant Points Participant Ischemia-Reperfusion injury can cause which of the following? A.Lactic acid production B.ATP production C. A decrease in pH 0% 10 A. D. ROS production 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Reperfusion Injury 1. Increase in ROS (Reactive Oxygen Species) 2. NADPH, Xanthine Oxidase, Complex I & III 3. Inhibition of Ox-Phos allows ubiquinone to form ubisemiubiquinone. 4. Opening of the mitochondrial permeability transition pore (MPTP). Opening of MPTP can serve as an uncoupler to Ox-Phos 5. Opening of MPTP allows cytochrome C to leak out of the mitochondria (APOPTOSIS) 6. The Overall Effect is Cell Damage and Eventually cell Death. Which of the following enzymes is directly responsible for removing the free radical superoxide? A. SOD B. Catalase C. Vitamin E D. Gluthione 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 A 25-year-old patient with chronic fatigue caused by iron deficiency anemia can best be explained by which of the following mechanisms? A. A decrease in oxphos B. A decrease in CoQ D. A mutation in Hemoglobin C. A mutation in SOD 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 A 52-year-old stock broker commits suicide using cyanide (CN-). Which of the following mechanisms is NOT caused by cyanide poising? A. OX-Phos will be inhibited B. Some complexes will be oxidized C. NADH will be oxidized D. ATP production will be decreased 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 A newly discovered inhibitor was found to cause the accumulation of NADH+, reduced CoQ, but not reduced cytochrome c. The inhibitior most likely: A. Complex I B. Complex IV C. Complex II D. Complex III 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Participant Scores Points Participant Points Participant What are the biochemical uses of ATP in a myocardial cell? A. ROS production B. Na/K gradients D. Fatty acid synthesis C. Oxidation of LDLs 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 What is ischemia? A. Hypoxia causes ischemia C. Lack of blood flow 0% 10 A. B. A form of cell death D. Lack of Carbon dioxide 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Which of the following are thought to protect heart cells against irreversible ischemia-induced injury? A. Anaerobic Metabolism B. Closing of MPTP pore C. Decrease in pH D. All of the above 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 One of the following statements is NOT true. During a heart attack and when the cell is oxygen starved, anaerobic glycolysis will A. Be activated by low pO2 B. Produce ATP by Ox-Phos C. Produce lactate 0% 10 A. D. Result in lower pH 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Which of the following enzymes is responsible for the conversion of H2O2 to H2O. A. Oxygen reductase B. SOD C. Cytochrome C D. Catalase 0% 10 A. 0% B. 0% C. 0% D. Points 15. 1,500 14. 1,400 13. 1,300 12. 1,200 11. 1,100 10. 1,000 9. 900 8. 800 7. 700 6. 600 5. 500 4. 400 3. 300 2. 200 1. 100 Participant Scores Points Participant Points Participant And the winner is: