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Biochemistry
Carbohydrates

Metabolic pathways, enzymes, proteins

50 Q 3 Topics Take Mock Test
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Difficulty: All Easy Medium Hard 41–50 of 50
Topics in Biochemistry
All Proteins & Enzymes 100 Carbohydrates 100 Lipids 78
Q.41 Medium Carbohydrates
Which of the following statements is TRUE about the Cori cycle?
A It involves the conversion of pyruvate to glucose in muscles
B Lactate produced in muscles is converted to glucose in the liver during rest
C It requires only glycolytic enzymes without gluconeogenic involvement
D It is inactive during intense physical exercise
Correct Answer:  B. Lactate produced in muscles is converted to glucose in the liver during rest
EXPLANATION

The Cori cycle describes lactate produced in muscles during anaerobic glycolysis being transported to the liver where it is converted back to glucose via gluconeogenesis, which is then returned to muscles.

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Q.42 Medium Carbohydrates
In diabetes mellitus type 2, impaired fasting glucose (100-125 mg/dL) is associated with:
A Increased insulin sensitivity
B Insulin resistance and β-cell dysfunction
C Autoimmune destruction of β-cells
D Complete absence of insulin secretion
Correct Answer:  B. Insulin resistance and β-cell dysfunction
EXPLANATION

Type 2 diabetes is characterized by insulin resistance (defective glucose uptake and utilization) and progressive β-cell dysfunction. Impaired fasting glucose (100-125 mg/dL) is a prediabetic state. Fasting glucose ≥126 mg/dL on 2 occasions is diagnostic for diabetes.

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Q.43 Medium Carbohydrates
In the pentose phosphate pathway, the oxidative phase primarily generates:
A ATP and GTP
B NADPH for reductive biosynthesis
C Pyruvate for TCA cycle
D Lactate for gluconeogenesis
Correct Answer:  B. NADPH for reductive biosynthesis
EXPLANATION

The oxidative phase of PPP generates 2 NADPH per glucose-6-phosphate, essential for fatty acid synthesis, cholesterol synthesis, and antioxidant defense (glutathione reduction). This is particularly important in adipose tissue, liver, and RBCs.

Test
Q.44 Medium Carbohydrates
Cellulose differs from starch in that it contains:
A α(1→4) glycosidic bonds instead of β(1→4)
B β(1→4) glycosidic bonds instead of α(1→4)
C More branching through α(1→6) bonds
D Fructose instead of glucose units
Correct Answer:  B. β(1→4) glycosidic bonds instead of α(1→4)
EXPLANATION

Cellulose contains β(1→4) glycosidic bonds linking glucose units, making it indigestible to humans (no cellulase enzyme). Starch contains α(1→4) bonds, which are digestible.

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Q.45 Medium Carbohydrates
HbA1c levels are used to monitor long-term glycemic control because glucose binds to hemoglobin through:
A Enzymatic glycosylation
B Non-enzymatic glycation (Maillard reaction)
C Disulfide bonding
D Hydrogen bonding
Correct Answer:  B. Non-enzymatic glycation (Maillard reaction)
EXPLANATION

HbA1c is formed through non-enzymatic glycation of hemoglobin by glucose, reflecting average blood glucose over 2-3 months (RBC lifespan). Normal HbA1c <5.7%, diagnostic for diabetes ≥6.5%.

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Q.46 Medium Carbohydrates
The anomeric carbon in glucose is:
A C1
B C2
C C3
D C6
Correct Answer:  A. C1
EXPLANATION

The anomeric carbon (C1 in glucose) is the carbon that becomes chiral when the open-chain form cyclizes to form the hemiacetal. This is the site of α/β isomerism.

Test
Q.47 Medium Carbohydrates
Cori cycle involves recycling of lactate from muscles to liver. Which enzyme is key in converting lactate back to glucose in the liver?
A Lactate dehydrogenase
B Pyruvate carboxylase
C Phosphofructokinase
D Aldolase
Correct Answer:  B. Pyruvate carboxylase
EXPLANATION

Pyruvate carboxylase catalyzes the first committed step of gluconeogenesis, converting pyruvate to oxaloacetate. Lactate is converted to pyruvate by LDH, then to glucose via gluconeogenesis.

Test
Q.48 Medium Carbohydrates
Which of the following is a branching enzyme in glycogen synthesis?
A Glycogen phosphorylase
B Glycogen branching enzyme (α-1,6-transglucosidase)
C Glycogen synthase
D UDP-glucose pyrophosphorylase
Correct Answer:  B. Glycogen branching enzyme (α-1,6-transglucosidase)
EXPLANATION

Glycogen branching enzyme transfers segments of 6-7 glucose residues from the outer chains to create α(1→6) branch points, increasing solubility and accessibility for glycogen phosphorylase.

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Q.49 Medium Carbohydrates
In hyperglycemia, excess glucose undergoes polyol pathway conversion. Which enzyme catalyzes the first step?
A Aldose reductase
B Sorbitol dehydrogenase
C Glucokinase
D Glucose-6-phosphatase
Correct Answer:  A. Aldose reductase
EXPLANATION

Aldose reductase catalyzes the reduction of glucose to sorbitol using NADPH. Sorbitol dehydrogenase catalyzes the oxidation of sorbitol to fructose in the second step of the polyol pathway.

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Q.50 Medium Carbohydrates
The Maillard reaction occurs between reducing sugars and amino acids, leading to the formation of:
A Glycoproteins
B Advanced Glycation End products (AGEs)
C Peptidoglycans
D Proteoglycans
Correct Answer:  B. Advanced Glycation End products (AGEs)
EXPLANATION

The Maillard reaction is a non-enzymatic browning reaction between carbonyl groups of reducing sugars and amino groups of proteins/amino acids, producing AGEs. This is significant in glycemic control and diabetes complications.

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