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Pharmaceutical Faculty 3- d course Module 1 General principles of metabolism. Metabolism of carbohydrates, lipids and its regulation 1. Glycogenolysis refers to A. The formation of glycogen B. The formation of urea C. Conversion of fat and/ or protein to glucose D. The anaerobic metabolism of glucose E. Conversion of glycogen to glucose ANSWER: E 2. The regulation of normal blood sugar level is accomplished by A. Insulin, glucagon and adrenalin B. Cell tissue absorption of glucose from the blood C. The breakdown of glycogen by the liver D. Glycogenesis and glycogenolysis E. All of the above ANSWER: E 3. Anaerobic metabolism refers to the generation of ATP: A. Without the involvement of ADP B. Without the use of glycogen C. In the absence of available oxygen D. By the conversion of pyruvate to lactate E. Without the use of oxygen ANSWER: E 4. Phospholipase A2 is an enzyme which removes a fatty acid residue from lecithin to form A. Lecithin fragments B. Phosphotidic acid C. Glyceryl phosphate D. Both A and D E. Lysolecithin ANSWER: E 5. Pancreatic lipase is an enzyme which hydrolyzes fats. It acts as a/an A. Peptidase B. Carbohydrates C. Dehydrogenase D. None of the above E. Hydrolase ANSWER: E 6. Bile is produced by A. Gall-bladder B. Pancreas C. Intestine D. All of the above E. Liver ANSWER: E A. B. C. D. 7. In beta-oxidation of fatty acids which of the following are utilized as co-enzymes? NAD+ and NADP+ FAD H2 and NADH + H+ FAD and FMN All of these E. FAD and NAD+ ANSWER: E 8. What is the major role of phospholipase A2? A. To cleave the phosphate group from phospholipids B. To phosphorylate the enzyme enoyl-CoA C. To transport glycerophospholipids in the blood D. None of the above E. To hydrolyze an ester bond in glycerophospholipids to form lysophosphoglyceride ANSWER: E 9. Which dietary lipid usually contains no ester bonds? A. Triacylglycerides B. Glycerophospholipids C. None of the above, all dietary lipids are esterified. D. All of the above E. Cholesterol ANSWER: E 10. Which lipid form is transported across the inner mitochondrial membrane before beta-oxidation? A. Fatty acyl CoA B. Acetoacetyl CoA C. Lysophospholipid CoA D. All of the above E. Acylcarnitine ANSWER: E 11. How many cycles of beta-oxidation are required to completely process a saturated C18 fatty acid? A. 6 B. 9 C. 18 D. 7 E. 8 ANSWER: E 12. Lipids may be either hydrophobic or A. Hydrophilic B. Organic C. Inorganic D. Soluble in polar solvents E. Amphipathic ANSWER: E 13. Fatty acids required in the diet of mammals are called A. Important B. Dietary C. Saturated D. Esters E. Essential ANSWER: E 14. Dietary triacylglycerols are digested as a result of A. Lipase action B. Bile salts C. Micelle formation D. Diffusion and absorption by intestinal cells E. All of the above ANSWER: E A. 15. The main function of the bile salts is to __________. Act as counterions for the ionized forms of lipids B. Cleave the ester bonds in triacylglycerols to release free fatty acids C. Form the surface layer of chylomicrons D. None of the above E. Emulsify lipids in the intestin ANSWER: E 16. The largest lipoproteins are the __________. A. VLDLs B. LDLs C. HDLs D. None of the above E. Chylomicrons ANSWER: E 17. The main sources of NADPH for fatty acid biosynthesis is: A. TCA cycle B. Oxidative phosphorylation C. Glycolysis D. All of the above E. The pentose phosphate pathway ANSWER: E 18. For the patient with diagnosis atherosclerosis “Linetol” is prescribed, which contains essential fatty acids. Which of the belowmentioned acids surely is a part of it? A. Stearic acid B. Palmitic acid C. Oleic acid D. Crotonic acid E. Linoleic acid ANSWER: E 19. The amount of phospholipids in the blood plasma of 45 years old patient is normal. Choose correct result: A. 2,0-5,0 g/l B. 1,2-2,5 g/l C. 0,7-2,0 g/l D. 7,0-8,0 g/l E. 1,5-3,6 g/l ANSWER: E 20. After having fatty food the patient had nausea and steatorrhea. The cause of this condition can be: A. Amylase insufficiency B. Increase of lipase excretion C. Trypsin synthesis malfunction D. Increased acidity of gastric juice E. Lack of bile acids ANSWER: E 21. Patient suffers from disorders of lipid digestion. What are the functions of bile salts in lipid digestion? A. Emulsification of lipids; decompose the cholesteryl esters B. Activation of phospholipase A2; activation of cholesterol esterase C. Inhibition of lipase; inhibition of phospholipase A2 D. All of the above E. Emulsification of lipids; activation of lipase ANSWER: E 22. Why snake venom causes the lysis of erythrocytes? A. Contains hemolytic toxins which directly destroy the erythrocytes membranes B. Contains lipase catalyzing the hydrolysis of triacylglycerols in the cellular membranes C. Contains cholesteryl esterase catalyzing the hydrolysis of cholesterol esters in the cellular membranes D. None of the above E. Contains phospholipase A2 catalyzing the hydrolysis of glycerophospholipids and formation of lysophosphoglycerides which can act as detergents and disrupt cellular membranes ANSWER: E 23. Conncentration of LDL in blood of the patient is increased. Low density lipoproteins transport ________________ from __________ to ___________ A. Triacylglycerols; intestine; liver B. Cholesterol; peripheral tissues; liver C. Triacylglycerols; liver; adipose tissue and muscles D. Triacylglycerols; liver; muscles E. Cholesterol; liver; peripheral tissues ANSWER: E 24. In an organism of 47 years old patient mobilisation of lipids is active. Tryacylglycerinlipase of fatty tissue is activated by: A. Adenosine triphosphate B. Guanosine triphosphate C. Adenosine diphosphate D. Guanosine diphosphate E. Cyclic adenosine monophosphate ANSWER: E 25. Old-time physicians often diagnosed illness on the basis of the odor of patients. Untreated diabetics sometimes have breath with a "fruity" odor due to the presence of a volatile ketone body. Which one? A. Beta-hydroxybutyric acid B. Pyruvic acid C. Stearic acid D. Acetoacetic acid E. Acetone ANSWER: E 26. Drugs called statins are now used to decrease plasma cholesterol levels by inhibiting the rate-limiting step of cholesterol synthesis. This step is catalyzed by A. Lipoprotein lipase B. Beta-ketothiolase C. Acyl carrier protein D. Transacylase E. HMG-CoA reductase ANSWER: E 27. HDL is synthesized and secreted from A. Pancreas B. Kidney C. Muscle D. Lung E. Liver ANSWER: E 28. All of the following tissue are capable of using ketone bodies except A. Brain B. Renal cortex C. Cardiac muscle D. Skeletal muscle E. Liver ANSWER: E 29. Ketone bodies are synthesized from fatty acid oxidation products by which of the following organs? A. Skeletal muscles B. Kidney C. Brain D. Heard E. Liver ANSWER: E Which of the following metabolite integrates glucose and fatty acid metabolism? A. Pyruvate B. Citrate C. Lactate D. Fumarate E. Acetyl CoA ANSWER: E 30. An aneplerotic reaction which sustains the availability of oxaloacetate is the carboxylation of A. Glutamate B. Citrate C. Succinate D. Lactate E. Pyruvate ANSWER: E 31. Pyruvate dehydrogenase complex and alfa-ketoglutarate dehydrogenase complex require the following for their oxidative decarboxylation: A. CoASH and Lipoic acid B. NAD+ and FAD C. CoASH and TPP D. CoASH, TPP, FAD, Lipoate E. CoASH, TPP,NAD+,FAD, Lipoate ANSWER: E 32. Oxidative decarboxylation of pyruvate requires A. NADP+ B. Cytochromes C. Pyridoxal phosphate D. Pyridoxine E. CoASH ANSWER: E 33. A. 1 B. 3 C. 4 D. 5 E. 2 ANSWER: E The number of ATP produced in the succinate dehydrogenase step is 34. The following coenzyme is needed for the oxidative decarboxylation of ketoacids: A. NADP+ B. Folate coenzyme C. Biotin coenzyme D. Both B and C E. TPP ANSWER: E A. B. C. 35. The conversion of pyruvate to acetyl CoA and CO2 Is reversible Depends on the coenzyme biotin Occurs in the cytosol D. Both A and B E. Involves the participation of lipoic acid ANSWER: E 36. Prosthetic group of cytochrome is: A. FAD B. Ubiqinon C. Biotin D. Cooper contain porphyryn complex E. Iron porphyryn complex ANSWER: E 37. How many ATP molecules can be derived from each molecule of acetyl CoA that enters the Krebs’ Cycle? A. 6 B. 18 C. 38 D. 39 E. 12 ANSWER: E 38. Catabolism is a form of metabolism in which molecules are converted into A. Large start product B. Peptides, proteins C. Food, storage D. All of the above E. Simple end product, energy ANSWER: E 39. Energy is carried from catabolic to anabolic reactions in the form of A. ADP B. Coenzymes C. Inorganic phosphate D. Oxygen E. High-energy ATP bonds ANSWER: E 40. Which term most precisely describes the general process of breaking down large molecules into smaller ones? A. Anabolism B. Dehydration C. Catalysis D. Metabolism E. Catabolism ANSWER: E 41. Anabolic pathways _______ A. Do not depend on enzymes B. Lead to the synthesis of catabolic compounds C. Release energy as they degrade polymers to monomers D. All of the above E. Consume energy to build up polymers from monomers ANSWER: E 42. The coenzyme electron carriers produced in the Krebs cycle are A. ATP and ADP B. Pyruvate and acetyl CoA C. NAD and NADH D. NADH and ATP E. FADH2 and NADH ANSWER: E 43. Why is ATP an important molecule in metabolism? A. Its hydrolysis provides an input of free energy for exergonic reactions. B. Its terminal phosphate group contains a strong covalent bond that when hydrolyzed releases free energy. C. A and B only D. A, B and C E. It provides energy coupling between exergonic and endergonic reactions. ANSWER: E 44. The patient with cyanide poisoning was delivered to clinic. What mast be immediately used for the improvement of his state? A. Glucose B. Ascorbic acid C. Vitamin B1 D. Nicotine amide E. Cytochromoxidase ANSWER: E 45. A deficiency in thiamin causes the disease beriberi. Which might you expect to have a higher than normal blood concentration in an individual with this condition? A. Isocitrate B. Oxaloacetate C. Acetyl CoA D. Malate E. Pyruvate ANSWER: E 46. In blood and urine of a patient an increase value of pyruvic and ketoglutaric acids takes place. The deficiency of which coenzyme causes these changes? A. Pyridoxal phosphate B. Flavin mononucleotide C. Biotin D. Ubiquinon E. Thiamin pyrophosphate ANSWER: E 47. As resalt of hypovitaminosis a 55 year old woman has sympthoms of pyruvate oxidative decarboxilation inhibition. Aerobic oxidation of pyruvate to CO2 and H2O results in formation of molecules ATP: A. 38 ATP B. 12 ATP C. 3 ATP D. 2 ATP E. 15 ATP ANSWER: E 48. For treatment of many diseases cocarboxylase (thiaminpyrophosphate) is used for providing of energy for cells. Choose what metabolic process is activated in this case? A. Deamination of glutamate B. Decarboxylation of histidine C. Transamination of aspartate D. Substrate level phosphorylation E. Oxidative decarboxylation of pyruvate ANSWER: E 49. A. B. During wet beriberi (thiamin deficiency), peripheral vessels dilate and heart muscles loose their contractility. Some people think this is a result of a failure of the TCA cycle. Evidence for this is an increase in the Rate of production of succinate Rate of production of NADH C. Production of ATP D. Production of FADH2 E. Concentration of alpha-ketoglutarate and pyruvate ANSWER: E 50. A patient was diagnosed with beri-beri disease (thiamin deficiency). Activity of which enzyme is inhibited in an organism of the patient? A. Fumarase B. Citrate synthase C. Malate dehydrogenase D. Succinate dehydrogenase E. Pyruvate dehydrogenase ANSWER: E 51. The accumulation of pyruvate in blood, decrease of activity of transketolase of red blood cells takes place in organism of a 46 years old chronic alcoholic. Insufficiency of coenzyme form of which vitamin causes such changes? A. Carboxybiotin B. Metylcobalamin C. Phosphopyridoxal D. Tetrahydrofolate E. Thiamine diphosphate ANSWER: E 52. The coenzymes NAD and FAD carry electrons to the A. Nucleus B. Citric Acid cycle C. Plasma membrane D. Lysosoms E. Electron transport system ANSWER: E 53. When a phosphate is transferred from a high-energy molecule of ADP to form ATP it's referred to as _____. A. Photophosphorylation B. Substrate-level phosphorylation C. Citric cycle D. Decarboxilation of pyruvat E. Oxidative phosphorylation ANSWER: E 54. The final electron acceptor in the electron transport system is _____. A. FADH2 B. Coenzyme Q C. Cytochrome b D. Cytochrome c E. O2 ANSWER: E 55. How many ATP molecules are produced when FADH2 delivers electrons to the electron transport system? A. 1 B. 4 C. 36 D. 12 E. 2 ANSWER: E 56. A. B. Almost all of the oxygen (O2) one consumes in breathing is converted to: Acetyl-CoA Carbon dioxide (CO2) C. Carbon monoxide and then to carbon dioxide D. None of the above E. Water ANSWER: E 57. In the electron transport chain, the hydrogen ions enter the inner compartment of mitochondria through special channels formed by A. Coenzyme A B. Acetyl CoA C. Oxygen D. Water E. ATP synthase ANSWER: E 58. The coenzyme electron carriers produced in the Krebs cycle are A. ATP and ADP B. Pyruvate and acetyl CoA C. NAD and NADH D. NADH and ATP E. FADH2 and NADH ANSWER: E 59. The iron-sulfur proteins appear to function as electron carriers by undergoing reversible : A. Cu (I) to Cu (II) transitions B. Na (I) to Na (II) transitions C. Mg (I) to Mg (II) transitions D. None of the above E. Fe(II)-Fe(III) transitions ANSWER: E 60. The cytochromes are localized in the: A. Cytosol B. Nucleus C. Ribosoms D. Matrix of mitochondria E. Inner mitochondrial membrane ANSWER: E 61. FMN - prosthetic group of: A. Lactate dehydrogenase B. Alcohol dehydrogenase C. Creatin kinase D. Amino transferase E. NADH- dehydrogenase ANSWER: E 62. Antibiotic antimycin blocks electron transport in the span from: A. NADH to Fe-S proteins B. Cytochrome c to aa3 C. NADH to ubiquinone D. NADH to cytochrome b E. Cytochrome b to c1 ANSWER: E 63. A. 1 B. 10 C. 3 D. 5 E. 2 ANSWER: E How many ways of ATP formation are in the organism? 64. The main hormones that regulate the synthesis and decomposition of glycogen are: A. Insulin, glucocorticoids, thyroxin B. Gglucagons, glucocorticoids, vasopressin C. Glucocorticoids, glucagons, epinephrine D. All of the above E. Insulin, glucagon, epinephrine ANSWER: E 65. Glycolysis is defined as: A. Aerobic process in which glucose is transformed to CO2 and H2O B. Anaerobic process in which glucose is transformed to pyruvate C. Anaerobic process in which glucose is converted to pentoses and NADPH is produced D. Aerobic process in which glucose is converted to glycogen E. Anaerobic process in which glucose is transformed to lactate ANSWER: E 66. Glycolysis takes place in: A. Mitochondria B. Nucleus C. Lysosomes D. None of the above E. Cytoplasm ANSWER: E 67. The are: A. Conversion B. Conversion C. Conversion D. All of the E. Conversion ANSWER: E 68. A. 1 B. 3 C. 4 D. 0 E. 2 ANSWER: E 69. possible metabolic pathways for pyruvate in anaerobic conditions to lactate to ethanol to lactate above to lactate or acetyl CoA or acetyl CoA or ethanol or acetyl CoA or ethanol How many molecules of ATP have to be spent during glycolysis? How many substrate level phosphorylation reactions are in glycolysis? A. 1 B. 3 C. 4 D. 0 E. 2 ANSWER: E 70. The three control sites in glycolysis are the reactions catalyzed by: A. Hexokinase, phosphofructokinase 1 and aldolase B. Phosphofructokinase 1, aldolase and pyruvate kinase C. Hexokinase, aldolase and pyruvate kinase D. All of the above E. Hexokinase, phosphofructokinase 1 and pyruvate kinase ANSWER: E 71. A. A patient is found to be deficient in the enzyme galactose 1phosphate uridylyltransferase. Specifically due to this deficiency what might a doctor recommend? Avoid all strenuous exercise B. Eat a fat-free diet C. Increase intake of vitamin C D. All of the above. E. Avoid ingestion of milk and milk products ANSWER: E 72. The enzyme which the key regulatory step in glycogen biosynthesis is A. Glycogenin B. Branching enzyme C. Phosphoglucomutase D. UDP-glucose pyrophosphorylase E. Glycogen synthase ANSWER: E 73. The normal concentration of lactate in blood is: A. 4,4-6,6 mmol/l B. 3,3-5,5 mmol/l C. 4,4-5,5 mmol/l D. 5,5-6,6 mmol/l E. 1-2 mmol/l ANSWER: E 74. The products of sucrose decomposition in the intestine are: A. Glucose, galactose B. Fructose, galactose C. Maltose, ribose D. Ribose, glucose E. Glucose, fructose ANSWER: E 75. The products of lactose decomposition in the intestine are: A. Glucose, fructose B. Fructose, galactose C. Maltose, ribose D. Ribose, glucose E. Glucose, galactose ANSWER: E 76. How many ATP molecules are formed with complete oxidation of glucose in aerobic condition? A. 2 B. 8 C. 42 D. 30 E. 38 ANSWER: E 77. The process of glucose oxidation in anaerobic condition is: A. Glyconeogenesis B. Glycogenolysis C. Glycogenogenesis D. Lipolysis E. Glycolisis ANSWER: E 78. The end produtcs of aerobic glucose oxidation: A. Lactic acid B. CO2 and H2O C. Ethanol D. Acetaldehyde E. Pyruvate ANSWER: E 79. The concentration of glucose in the blood is normal. Which of the below-mentioned index proves this? A. 3-10 mmol/l B. 4-8 mmol/l C. 10-15 g/l D. 1-2 mmol/l E. 3,3-5,5 mmol/l ANSWER: E 80. The sequence of glucose oxidation to lactate in peripheral tissues, delivery of lactate to the liver, formation of glucose from lactate in the liver, and delivery of glucose back to peripheral tissues is known as the ______. A. Glyoxylate cycle B. Kreb's cycle C. Gluconeogenesis cycle D. None of the above E. Cori cycle ANSWER: E 81. At starvation how long in humans glycogen store in a liver may be used? A. 10 minutes B. 4 hours C. 1 week D. 2 weeks E. 24 hours ANSWER: E 82. What is the prosthetic group of transketolase? A. Biotin B. Pyridoxal phosphate C. NAD+ D. FAD E. Thiamine pyrophosphate ANSWER: E 83. A basic role in digestion of carbohydrates in a digestive tract belongs to following enzymes: A. Alfa-amylase, hexokinase, lactase B. Maltase, sucrase, enterokinase C. Sucrase, maltase, glycogen phosphorylase D. Aldolase, glucokinase, beta-amylase E. Lactase, alfa-amylase, sucrase ANSWER: E 84. Enzymes that are activated by proteolytic cleavage are referred to as __________. A. Covalently modified enzymes B. Enzyme complexes C. Polymerized D. Free radicals E. Zymogens ANSWER: E 85. An enzyme without its required co-factor prosthetic group is referred to as the____________________. A. Cenzyme B. Apoenzyme C. Izoensymes D. None of the above E. Holoenzyme ANSWER: E 86. What component is not included in the structure of holoenzymes? A. Apoenzyme B. Coenzyme C. Cofactor D. Prostetic group E. Izoenzyme ANSWER: E 87. A. B1 B. B2 C. B5 D. B12 E. С ANSWER: E Which vitamin does not serve as a coenzyme? 88. A. Na B. Zn C. Mo D. Mn E. Fe ANSWER: E An ions of what metal do porphyrine coenzymes contain? 89. Temperature optimum of enzymes - is: A. Temperature which causes denaturation of enzymes B. A velosity of reaction at the temperature 48-560С C. The best conditions for bringing together of enzyme and substrate D. Temperature at which metabolic processes are inhibited E. Temperature at which speed of enzymatic reaction is maximal ANSWER: E 90. The term ligase refers to a class of enzymes that catalyzes_________. A. Oxidation reduction reactions B. Reactions involving the transfer of a functional group from one molecule to another C. Hydrolytic cleavages D. All of the above E. Reactions where two molecules are joined together ANSWER: E 91. During electrophoresis of LDH in blood serum was found out predominance of LDH1 and LDH2 content. Pathology of what organ does it testify? A. Lungs B. Liver C. Muscles D. Spleen E. Heart ANSWER: E 92. What from the below mentioned enzymes is a polyenzyme complex? A. Transketolase B. Succinate dehydrogenase C. Aldolase D. Glucose-6-phosphatase E. Pyruvate dehydrogenase ANSWER: E 93. Enzymes: A. Are composed of polypeptides B. Can bind prosthetic groups such as metal ions that participate in enzyme reactions C. Have defined structures D. Bind their substrates at active sites E. All statements are true ANSWER: E 94. During a gastric secretion proteolytic enzymes are secreted as proenzymes. What enzyme is activated by hydrochloric acid: A. Trypsinogen B. Amylase C. Lipase D. Chymotrypsinogen E. Pepsinogen ANSWER: E 95. The protective function of saliva is predefined a few mechanisms, including presence of enzyme, which has a bactericidal action, causes the lysis of polysaccharide complex of membranes of staphylococcuss, streptococci. Name this enzyme. A. Beta-glyucuronidase B. Alfa-amylase C. Oligo-1,6-glucosidase D. Collagenase E. Lysozyme ANSWER: E 96. In blood of patient were found out the increase of LDH 4,5, AlAT, carbamoyl ornithine transferase activity. In which organ is it possible development of pathological process? A. In a cardiac muscle (the heart attack of myocardium is possible) B. In skeletal muscles C. In kidneys D. In connective tissue E. In a liver (hepatitis is possible) ANSWER: E 97. The list of cofactors which are able to carry electrons and protons in the process of fermentative reactions is below named, except of one cofactor which carries chemical groups only. Choose it: A. NAD B. FAD C. Ubiqinon (coenzyme Q) D. Hem coenzymes E. Pyridoxal phosphate ANSWER: E 98. The laboratory test allows to diagnose myocardium infarction. The increase of what enzyme in blood proves it? A. LDH4,5 B. Arginase C. Pyruvate dehydrogenase D. ALAT E. AsAT ANSWER: E 99. In an organism was found the lack of iron. It of such enzyme activity: A. Glutathione peroxidase B. Carbonic anhydrase C. Carboxy peptidase D. Ceruloplasmin E. Catalase ANSWER: E causes the decrease 100. The analysis demonstrated a 10 times increase of diastase activity. The danger of autolysis of a patient’s pancreas is caused by an activation of enzyme: A. Amylase B. Pepsin C. Lipase D. Nuclease E. Trypsin ANSWER: E