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Biochemistry
Carbohydrates

Metabolic pathways, enzymes, proteins

100 Q 3 Topics Take Test
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Difficulty: All Easy Medium Hard 61–70 of 100
Topics in Biochemistry
All Proteins & Enzymes 100 Carbohydrates 100 Lipids 78
Q.61 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.62 Hard Carbohydrates
A 3-year-old child presents with hepatomegaly, growth retardation, and elevated liver transaminases. Enzyme assay shows deficiency of lysosomal acid glucosidase (Pompe disease/GSD Type II). Which carbohydrate accumulates PRIMARILY in lysosomes?
A Glycogen with abnormal branching pattern
B Glucose and glucose-1-phosphate
C Normally structured glycogen
D Disaccharides and oligosaccharides
Correct Answer:  C. Normally structured glycogen
EXPLANATION

In Pompe disease, acid α-glucosidase deficiency prevents lysosomal glycogen hydrolysis. Normally structured glycogen accumulates in lysosomes (unlike the abnormal structures seen in Type IV GSD), causing lysosomal dysfunction and cellular damage.

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Q.63 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.64 Easy Carbohydrates
Which monosaccharide is the C2 epimer of glucose?
A Galactose
B Mannose
C Fructose
D Allose
Correct Answer:  B. Mannose
EXPLANATION

Mannose differs from glucose only at the C2 position (the configuration of the -OH group and -H). Therefore, mannose is the C2 epimer of glucose.

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Q.65 Hard Carbohydrates
A patient with hemoglobin C disease (defect in β-globin) shows increased levels of fetal hemoglobin (HbF). Why might elevated HbF reduce hemolysis compared to HbS?
A HbF has better oxygen-binding affinity than both HbC and HbS
B HbF does not interact with other hemoglobin molecules and is less prone to polymerization
C HbF is not affected by carbohydrate metabolism abnormalities
D HbF has lower glucose consumption in RBCs
Correct Answer:  B. HbF does not interact with other hemoglobin molecules and is less prone to polymerization
EXPLANATION

While this is primarily a hemoglobin question, HbF (with γ-chains instead of β-chains) does not polymerize like HbS or aggregate like HbC, reducing hemolysis and RBC sickling/crystallization.

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Q.66 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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Q.67 Medium Carbohydrates
In the glucose transporter classification, which GLUT protein is responsible for INSULIN-DEPENDENT glucose uptake in muscle and adipose tissue?
A GLUT1
B GLUT2
C GLUT3
D GLUT4
Correct Answer:  D. GLUT4
EXPLANATION

GLUT4 is the insulin-responsive glucose transporter present in skeletal muscle and adipose tissue. Insulin signaling causes GLUT4 translocation to the cell membrane, increasing glucose uptake.

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Q.68 Medium Carbohydrates
Which carbohydrate metabolism enzyme is allosterically inhibited by citrate and ATP but activated by AMP and ADP?
A Pyruvate kinase
B Phosphofructokinase-1
C Hexokinase
D Glyceraldehyde-3-phosphate dehydrogenase
Correct Answer:  B. Phosphofructokinase-1
EXPLANATION

Phosphofructokinase-1 (PFK-1) is the rate-limiting enzyme of glycolysis. It is inhibited by ATP and citrate (signals of sufficient energy) and activated by AMP and ADP (signals of energy depletion).

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Q.69 Hard Carbohydrates
A competitive athlete is found to have a deficiency in muscle phosphorylase (McArdle disease). During intense exercise, which metabolic consequence is PRIMARY?
A Inability to mobilize muscle glycogen causing severe fatigue and cramps
B Excessive glucose accumulation in muscles
C Uncontrolled glycogenolysis leading to hypoglycemia
D Increased ATP production from fatty acid oxidation alone
Correct Answer:  A. Inability to mobilize muscle glycogen causing severe fatigue and cramps
EXPLANATION

Muscle phosphorylase deficiency prevents glycogen breakdown, depriving muscles of glucose-1-phosphate during exercise, causing severe energy crisis, fatigue, cramps, and myoglobinuria.

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Q.70 Easy Carbohydrates
In glycogen synthesis, which enzyme transfers glucose from UDP-glucose to the growing glycogen chain?
A Glycogen phosphorylase
B Glycogen synthase
C Branching enzyme
D Glucose-6-phosphatase
Correct Answer:  B. Glycogen synthase
EXPLANATION

Glycogen synthase catalyzes the transfer of glucose from UDP-glucose to the C4-OH group of the terminal glucose in glycogen, forming α-1,4-glycosidic bonds.

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