Home Subjects Biochemistry

Biochemistry

Metabolic pathways, enzymes, proteins

133 Q 3 Topics Take Test
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Difficulty: All Easy Medium Hard 31–40 of 133
Topics in Biochemistry
All Proteins & Enzymes 100 Carbohydrates 100 Lipids 78
Q.31 Medium Lipids
A person consumes excessive saturated fats. Which lipoprotein level is most likely to increase?
A HDL (High-Density Lipoprotein)
B VLDL (Very Low-Density Lipoprotein)
C LDL derived from VLDL remains unchanged
D Chylomicrons remain stable
Correct Answer:  B. VLDL (Very Low-Density Lipoprotein)
EXPLANATION

Excessive dietary saturated fat increases liver production of VLDL, which carries triglycerides and cholesterol. VLDL is converted to LDL in circulation, raising LDL levels.

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Q.32 Medium Lipids
Phospholipids differ from triglycerides in that they contain:
A Four fatty acid chains instead of three
B A phosphate group and typically only two fatty acids
C No glycerol backbone
D Cholesterol instead of glycerol
Correct Answer:  B. A phosphate group and typically only two fatty acids
EXPLANATION

Phospholipids have a glycerol backbone with two fatty acids and a phosphate group, making them amphipathic. This structure is crucial for membrane formation.

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Q.33 Medium Lipids
Which enzyme catalyzes the rate-limiting step of cholesterol synthesis?
A Acetyl-CoA carboxylase
B HMG-CoA reductase
C Fatty acid synthase
D Lipoprotein lipase
Correct Answer:  B. HMG-CoA reductase
EXPLANATION

HMG-CoA reductase catalyzes the conversion of HMG-CoA to mevalonate, the rate-limiting and key regulatory step in cholesterol biosynthesis. It is targeted by statin drugs.

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Q.34 Medium Lipids
A patient with familial hypercholesterolemia shows extremely high cholesterol levels. What is the most likely defect?
A Deficiency in HMG-CoA reductase
B Absence or malfunction of LDL receptors
C Excessive HDL production
D Decreased acetyl-CoA levels
Correct Answer:  B. Absence or malfunction of LDL receptors
EXPLANATION

Familial hypercholesterolemia is caused by mutations in the LDL receptor gene, preventing cells from taking up LDL particles, resulting in elevated blood cholesterol levels.

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Q.35 Medium Lipids
Which of the following is a consequence of excessive cholesterol accumulation in arteries?
A Increased blood viscosity leading to faster flow
B Formation of atherosclerotic plaques causing narrowing of arteries
C Enhanced oxygen delivery to tissues
D Improved arterial elasticity
Correct Answer:  B. Formation of atherosclerotic plaques causing narrowing of arteries
EXPLANATION

High cholesterol, particularly LDL cholesterol, can accumulate in artery walls forming atherosclerotic plaques, leading to arterial narrowing (atherosclerosis) and increased risk of heart disease.

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Q.36 Medium Lipids
In the context of lipid metabolism, what does beta-oxidation primarily accomplish?
A Synthesis of new fatty acids
B Breaking down fatty acids into acetyl-CoA for energy production
C Formation of cholesterol from acetyl-CoA
D Conversion of glucose into triglycerides
Correct Answer:  B. Breaking down fatty acids into acetyl-CoA for energy production
EXPLANATION

Beta-oxidation is the catabolic pathway that breaks down fatty acids in the mitochondria, producing acetyl-CoA which enters the Krebs cycle for ATP production.

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Q.37 Medium Carbohydrates
A 45-year-old patient with Type 2 diabetes mellitus shows elevated fasting blood glucose (180 mg/dL) but normal HbA1c levels initially. Which carbohydrate metabolism pathway is primarily impaired in this patient's liver?
A Glycogenesis and increased gluconeogenesis
B Glycogenolysis and normal glycolysis
C Pentose phosphate pathway upregulation
D Lactate to pyruvate conversion
Correct Answer:  A. Glycogenesis and increased gluconeogenesis
EXPLANATION

Type 2 diabetes shows hepatic insulin resistance leading to impaired glycogenesis (reduced glycogen synthesis) and uncontrolled gluconeogenesis (excessive glucose production). This causes elevated fasting glucose despite normal HbA1c if glycemic control improves later. The liver fails to suppress glucose production in response to insulin.

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Q.38 Medium Carbohydrates
Which adaptation occurs in liver during prolonged fasting to maintain blood glucose?
A Increased glycogenolysis only
B Increased gluconeogenesis from lactate and amino acids
C Increased lipogenesis
D Increased glycogen synthesis
Correct Answer:  B. Increased gluconeogenesis from lactate and amino acids
EXPLANATION

After 8-12 hours of fasting, hepatic glycogen depletes. The liver then relies on gluconeogenesis from Cori cycle lactate and amino acids to maintain blood glucose.

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Q.39 Medium Carbohydrates
During fasting, which hormonal change directly increases hepatic glycogenolysis?
A Increased insulin and decreased glucagon
B Increased glucagon and epinephrine
C Increased cortisol and growth hormone only
D Increased somatostatin levels
Correct Answer:  B. Increased glucagon and epinephrine
EXPLANATION

Glucagon and epinephrine activate phosphorylation cascades that activate glycogen phosphorylase and inactivate glycogen synthase, promoting glycogenolysis.

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Q.40 Medium Carbohydrates
The Haworth projection of glucose differs from its Fischer projection. Which structural feature is best represented in Haworth projection?
A Linear conformation of glucose
B Cyclic hemiacetal structure with anomeric carbon
C Three-dimensional configuration of all carbons
D Stereoisomeric relationships between sugars
Correct Answer:  B. Cyclic hemiacetal structure with anomeric carbon
EXPLANATION

Haworth projection depicts the cyclic hemiacetal structure of glucose in its pyranose form, clearly showing the anomeric carbon and ring geometry.

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