Biochemistry
Metabolic pathways, enzymes, proteins
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Showing 21–30 of 133 questions
Q.21 Medium Lipids
Which of the following statements about LCAT (Lecithin-cholesterol acyltransferase) is INCORRECT?
A LCAT esterifies free cholesterol on HDL particles
B LCAT deficiency results in accumulation of free cholesterol in tissues
C LCAT activity is enhanced by apolipoprotein A-I
D LCAT is primarily synthesized in adipose tissue
Correct Answer:  D. LCAT is primarily synthesized in adipose tissue
EXPLANATION

LCAT is synthesized primarily in the liver and, to a lesser extent, in other tissues. It plays a crucial role in HDL remodeling by converting free cholesterol to cholesterol esters.

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Q.22 Medium Lipids
During fed state, the conversion of carbohydrates to fat is promoted by insulin through which mechanism?
A Activation of AMPK
B Inactivation of acetyl-CoA carboxylase
C Activation of mTORC1 pathway and increased acetyl-CoA carboxylase activity
D Inhibition of ATP citrate lyase
Correct Answer:  C. Activation of mTORC1 pathway and increased acetyl-CoA carboxylase activity
EXPLANATION

Insulin activates mTORC1, which promotes protein synthesis and lipogenesis. It also increases acetyl-CoA carboxylase activity, promoting fatty acid synthesis from carbohydrate sources.

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Q.23 Medium Lipids
Niemann-Pick disease Type C is characterized by defective intracellular lipid transport due to mutation in genes encoding:
A NPC1 and NPC2 proteins
B Sphingomyelinase
C LCAT
D Apolipoprotein E
Correct Answer:  A. NPC1 and NPC2 proteins
EXPLANATION

Niemann-Pick Type C results from mutations in NPC1 or NPC2 genes, which encode lysosomal cholesterol transporters, leading to lysosomal accumulation of cholesterol and sphingolipids.

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Q.24 Medium Lipids
What is the primary function of apolipoprotein B-100?
A Activation of lipoprotein lipase
B Structural protein; required for assembly and secretion of VLDL and LDL
C Activation of LCAT enzyme
D Facilitation of HDL uptake by liver
Correct Answer:  B. Structural protein; required for assembly and secretion of VLDL and LDL
EXPLANATION

ApoB-100 is essential for the structural integrity and secretion of VLDL and LDL particles. It remains with these particles throughout their metabolism.

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Q.25 Medium Lipids
The ketone bodies produced during beta-oxidation are synthesized in which tissue?
A Adipose tissue
B Liver
C Muscle
D Brain
Correct Answer:  B. Liver
EXPLANATION

Ketone bodies (acetoacetate, beta-hydroxybutyrate, and acetone) are synthesized primarily in the liver mitochondria during periods of high fatty acid oxidation.

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Q.26 Medium Lipids
Which lipoprotein has the highest ratio of protein to lipid?
A Chylomicrons
B VLDL
C LDL
D HDL
Correct Answer:  D. HDL
EXPLANATION

HDL has approximately 50% protein content, the highest among all lipoproteins. Chylomicrons and VLDL are triglyceride-rich lipoproteins with lower protein ratios.

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Q.27 Medium Lipids
A 35-year-old male presents with recurrent yellow nodules on his elbows and knees with serum cholesterol of 450 mg/dL. What is the most likely diagnosis?
A Familial hypercholesterolemia
B Type II hyperlipoproteinemia
C Familial combined hyperlipidemia
D Both A and B
Correct Answer:  D. Both A and B
EXPLANATION

Familial hypercholesterolemia presents with xanthomas due to defective LDL receptors. Type II hyperlipoproteinemia (IIa) is essentially familial hypercholesterolemia with elevated LDL. Both terms describe the same condition in this clinical context.

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Q.28 Medium Lipids
The conversion of acetyl-CoA to malonyl-CoA is inhibited by:
A Citrate
B AMP-activated protein kinase (AMPK)
C Insulin
D Fatty acid synthase
Correct Answer:  B. AMP-activated protein kinase (AMPK)
EXPLANATION

AMPK phosphorylates and inactivates acetyl-CoA carboxylase during energy stress (high AMP/ATP ratio), thereby reducing fatty acid synthesis. Citrate and insulin activate the enzyme.

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Q.29 Medium Lipids
The process of lipogenesis primarily occurs in which tissue during fed state?
A Skeletal muscle
B Brain
C Liver
D Erythrocytes
Correct Answer:  C. Liver
EXPLANATION

The liver is the primary site of lipogenesis, where excess carbohydrates and amino acids are converted to fatty acids and triglycerides for storage and export via VLDL.

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Q.30 Medium Lipids
Which steroid hormone is synthesized from cholesterol in the adrenal cortex?
A Insulin
B Cortisol
C Thyroxine
D Growth hormone
Correct Answer:  B. Cortisol
EXPLANATION

Cortisol and other corticosteroids are synthesized from cholesterol in the adrenal cortex through a series of enzymatic reactions involving cytochrome P450 enzymes.

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