Home Subjects Biochemistry Lipids

Biochemistry
Lipids

Metabolic pathways, enzymes, proteins

78 Q 3 Topics Take Test
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Difficulty: All Easy Medium Hard 51–60 of 78
Topics in Biochemistry
All Proteins & Enzymes 100 Carbohydrates 100 Lipids 78
Q.51 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.52 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.53 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.54 Easy Lipids
Linoleic acid (18:2) and alpha-linolenic acid (18:3) are classified as:
A Essential fatty acids
B Non-essential fatty acids
C Saturated fatty acids
D Monounsaturated fatty acids
Correct Answer:  A. Essential fatty acids
EXPLANATION

Linoleic acid and alpha-linolenic acid are essential fatty acids that cannot be synthesized by humans and must be obtained from dietary sources.

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Q.55 Easy Lipids
Which of the following statements about HDL (High-Density Lipoprotein) is CORRECT?
A HDL has the highest cholesterol content among all lipoproteins
B HDL facilitates reverse cholesterol transport from tissues to liver
C HDL levels are positively correlated with cardiovascular disease risk
D HDL is synthesized exclusively by the liver
Correct Answer:  B. HDL facilitates reverse cholesterol transport from tissues to liver
EXPLANATION

HDL mediates reverse cholesterol transport, removing excess cholesterol from peripheral tissues and transporting it to the liver for excretion. High HDL levels are protective against cardiovascular disease.

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Q.56 Easy Lipids
Beta-oxidation of fatty acids occurs primarily in which cellular compartment?
A Smooth endoplasmic reticulum
B Rough endoplasmic reticulum
C Mitochondrial matrix
D Peroxisomes (for very long chain fatty acids)
Correct Answer:  C. Mitochondrial matrix
EXPLANATION

Most fatty acids undergo beta-oxidation in the mitochondrial matrix. However, very long chain fatty acids (>20 carbons) are initially oxidized in peroxisomes.

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Q.57 Easy Lipids
The rate-limiting enzyme in de novo fatty acid synthesis is:
A Acetyl-CoA carboxylase
B Fatty acid synthase
C Carnitine palmitoyltransferase I
D Malonyl-CoA decarboxylase
Correct Answer:  A. Acetyl-CoA carboxylase
EXPLANATION

Acetyl-CoA carboxylase catalyzes the formation of malonyl-CoA from acetyl-CoA, which is the first committed and rate-limiting step in fatty acid synthesis.

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Q.58 Easy Lipids
Which of the following lipids is NOT a structural component of cell membranes?
A Phosphatidylcholine
B Cholesterol
C Sphingomyelin
D Triacylglycerol
Correct Answer:  D. Triacylglycerol
EXPLANATION

Triacylglycerols are storage lipids found primarily in adipose tissue. Phosphatidylcholine, cholesterol, and sphingomyelin are major components of cell membranes.

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Q.59 Hard Lipids
A 45-year-old patient presents with xanthomas and corneal arcus. Which lipid abnormality is most consistent with these clinical signs?
A Isolated hypertriglyceridemia
B Severe hypercholesterolemia with elevated LDL
C Low HDL cholesterol
D Elevated VLDL only
Correct Answer:  B. Severe hypercholesterolemia with elevated LDL
EXPLANATION

Xanthomas (lipid deposits in skin and tendons) and corneal arcus (lipid deposition in cornea) are hallmark signs of severe hypercholesterolemia, typically with very high LDL cholesterol levels.

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Q.60 Hard Lipids
In the synthesis of eicosanoids, what is the first critical step?
A Activation of COX enzymes
B Release of arachidonic acid from membrane phospholipids by phospholipase A2
C Conversion to prostacyclin
D Inhibition by NSAIDs
Correct Answer:  B. Release of arachidonic acid from membrane phospholipids by phospholipase A2
EXPLANATION

Eicosanoid synthesis begins with phospholipase A2-mediated release of arachidonic acid (C20 polyunsaturated fatty acid) from membrane phospholipids, which then serves as substrate for COX and LOX pathways.

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