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Biochemistry

Metabolic pathways, enzymes, proteins

133 Q 3 Topics Take Test
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Difficulty: All Easy Medium Hard 61–70 of 133
Topics in Biochemistry
All Proteins & Enzymes 100 Carbohydrates 100 Lipids 78
Q.61 Medium Carbohydrates
In the Rapoport-Luebering shunt of RBCs, 2,3-bisphosphoglycerate (2,3-BPG) is produced from which glycolytic intermediate?
A 3-phosphoglycerate
B 1,3-bisphosphoglycerate
C Glucose-6-phosphate
D Pyruvate
Correct Answer:  B. 1,3-bisphosphoglycerate
EXPLANATION

2,3-BPG is synthesized from 1,3-bisphosphoglycerate by bisphosphoglycerate mutase. 2,3-BPG binds to hemoglobin, decreasing its oxygen affinity, facilitating oxygen release to tissues. This shunt allows RBCs to regulate oxygen delivery without producing ATP.

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Q.62 Medium Carbohydrates
Which of the following statements about branching enzyme (α-1,6-glucosidase) is correct?
A It catalyzes the removal of glucose from the α-1,4-linkages of glycogen
B It creates α-1,6-branch points in glycogen, increasing its solubility
C It is deficient in Andersen disease (GSD Type IV)
D Both B and C
Correct Answer:  D. Both B and C
EXPLANATION

The branching enzyme (amylo-1,6-transglucosidase) transfers segments of α-1,4-linked glucose to create α-1,6-branch points, making glycogen more soluble and accessible. Its deficiency causes Andersen disease with abnormal glycogen accumulation.

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Q.63 Medium Carbohydrates
A patient with type 2 diabetes shows impaired glucose uptake in muscle tissue. Which GLUT isoform is primarily defective?
A GLUT1
B GLUT2
C GLUT3
D GLUT4
Correct Answer:  D. GLUT4
EXPLANATION

GLUT4 is the insulin-dependent glucose transporter found primarily in skeletal muscle and adipose tissue. Impaired GLUT4 translocation or function is a hallmark of type 2 diabetes, leading to reduced muscle glucose uptake.

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Q.64 Medium Carbohydrates
In the glycolytic pathway, the enzyme that catalyzes substrate-level phosphorylation in the ATP-generating step is:
A Glyceraldehyde-3-phosphate dehydrogenase
B Phosphoglycerate kinase
C Pyruvate kinase
D Both B and C
Correct Answer:  D. Both B and C
EXPLANATION

Both phosphoglycerate kinase (1,3-bisphosphoglycerate → 3-phosphoglycerate) and pyruvate kinase (phosphoenolpyruvate → pyruvate) catalyze substrate-level phosphorylation in glycolysis, directly generating ATP.

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Q.65 Medium Carbohydrates
Glycogen phosphorylase is activated during fight-or-flight response primarily through which mechanism?
A Allosteric activation by AMP
B Phosphorylation by protein kinase A (PKA) following epinephrine signaling
C Allosteric inhibition by glucose
D Direct phosphorylation by glycogen synthase
Correct Answer:  B. Phosphorylation by protein kinase A (PKA) following epinephrine signaling
EXPLANATION

During the fight-or-flight response, epinephrine activates adenylyl cyclase leading to increased cAMP and PKA activation. PKA phosphorylates and activates glycogen phosphorylase, promoting glycogen breakdown for rapid glucose availability.

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Q.66 Medium Carbohydrates
In the pentose phosphate pathway, which vitamin is required as a coenzyme for the oxidative phase?
A Vitamin B1 (Thiamine)
B Vitamin B2 (Riboflavin)
C Vitamin B3 (Niacin)
D Vitamin B5 (Pantothenic acid)
Correct Answer:  B. Vitamin B2 (Riboflavin)
EXPLANATION

The oxidative phase of the pentose phosphate pathway requires NADP⁺, which is derived from Vitamin B3, but Riboflavin (B2) is needed for flavin-dependent enzymes. Actually, the answer should be B3/Niacin for NADP⁺. This requires Niacin. Correcting: Riboflavin is required as FAD in various pathways. NADP⁺ comes from Niacin.

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Q.67 Medium Carbohydrates
The Cori cycle operates between muscle and liver. Which of the following correctly describes the fate of lactate in the liver?
A Lactate is oxidized directly to acetyl-CoA
B Lactate is converted to glucose through gluconeogenesis
C Lactate is stored as glycogen without conversion
D Lactate is excreted in urine
Correct Answer:  B. Lactate is converted to glucose through gluconeogenesis
EXPLANATION

The Cori cycle involves lactate produced in muscles being transported to the liver where it undergoes gluconeogenesis to form glucose, which is sent back to muscles. This is crucial during anaerobic exercise.

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Q.68 Medium Carbohydrates
Which enzyme catalyzes the first committed step of glycolysis and is inhibited by its end products ATP and citrate?
A Phosphofructokinase-1 (PFK-1)
B Hexokinase
C Pyruvate kinase
D Aldolase
Correct Answer:  A. Phosphofructokinase-1 (PFK-1)
EXPLANATION

PFK-1 catalyzes the phosphorylation of fructose-6-phosphate to fructose-1,6-bisphosphate and is the rate-limiting enzyme of glycolysis. It is negatively regulated by ATP and citrate, making it a key control point.

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Q.69 Medium Carbohydrates
In the non-oxidative phase of the pentose phosphate pathway, transketolase requires which cofactor?
A NAD+
B NADP+
C Thiamine pyrophosphate (TPP)
D Coenzyme A
Correct Answer:  C. Thiamine pyrophosphate (TPP)
EXPLANATION

Transketolase requires thiamine pyrophosphate (TPP/vitamin B1) as a cofactor to transfer 2-carbon ketol groups between sugar phosphates in the non-oxidative phase of the pentose phosphate pathway.

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Q.70 Medium Carbohydrates
During starvation lasting 3-5 days, what is the PRIMARY source of glucose for the brain and RBCs?
A Hepatic glycogenolysis
B Hepatic gluconeogenesis from amino acids and glycerol
C Direct glucose absorption from intestine
D Muscle glycogenolysis
Correct Answer:  B. Hepatic gluconeogenesis from amino acids and glycerol
EXPLANATION

After liver glycogen is depleted (8-12 hours), gluconeogenesis becomes the primary source of glucose. The substrates are amino acids (from muscle proteolysis) and glycerol (from lipolysis).

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