MDS PREP
Hyperuricemia in Lesch-Nyhan syndrome is due to a defect in which of the following pathways?
1) Purine biosynthesis
2) Pyrimidine biosynthesis
3) Purine salvage
4) Pyrimidine salvage
Biochemistry Answer: 3
Uric acid is a purine derivative, increased by purine salvage reactions that convert purines, purine ribonucleosides, and purine deoxyribonucleoside to mononucleotides (incorrect answer 4).
Such salvage reactions require much less energy than de novo synthesis (incorrect answers 1, 2). The liver is the major site of purine nucleotide biosynthesis and provides excess purines for other tissues that cannot synthesize purines.
A defect in hypoxanthine-guanine phosphoribosyl transferase, one of the enzymes of purine salvage, is responsible for purine overproduction and subsequent hyperuricemia observed in Lesch-Nyhan syndrome.
Symptoms from a riboflavin deficiency can be:
1. Cracks in the corner of the mouth (angular stomatitis)
2. Inflammation of the tongue (glossitis)
3. Eye and skin changes
4. All of the above
Biochemistry
Answer: 4
The eye change include an increase in blood vessels and inflammation of the conjunctivae, cornea is invaded by capillaries, producing opaque areas and even ulceration. Dermatitis characterized by a greasy and scaly reddened lesion develops on the skin around the nasolabial folds and may extend to a butterfly shape on the cheeks. There many also be lesions at the corners (canthi) of the eyes and lobes of the mouth.
Aromatic amino acid is:
1. Tyrosine 2. Histidine
3. Arginine 4. Lysine
Biochemistry
Answer: 1
Tyrosine is Aromatic amino acid
A vitamin B12 deficiency may affect heme synthesis by reducing the concentration of which of the following? Choose the one best answer.
1) Acetyl-CoA
2) Succinyl-CoA
3) Glycine
4) Alanine
Biochemistry Answer: 2
Vitamin B12 participates in two reactions in the body-conversion of homocysteine to methionine and conversion ofmethylmalonyl-CoA to succinyl-CoA.
Methylmalonyl-CoA is produced via various amino acid degradation pathways, and from oddcarbon chain fatty acid oxidation. In the absence of B12, succinyl-CoA would only be produced as an intermediate of the TCA cycle, and if it were removed from the cycle for heme synthesis, energy production may suffer.
Glycine is usually obtained from the diet, although in a B12 deficiency a functional folate deficiency may also develop, leading to an inhibition of serine hydroxymethyltransferase, the enzyme that converts serine to glycine, and requires free tetrahydrofolate.
Succinyl-CoA and glycine are the precursors for heme synthesis. A B12 deficiency would not inhibit the production of acetyl-CoA, succinate, or alanine.
The lipids associated with very low density lipoprotein
1. are usually linked covalently to apoproteins.
2. belong primarily to the phosphatidylcholine class.
3. incorporate fatty acids that are synthesized in the liver.
4. reflect, in general, the types of lipids found in the diet.
Biochemistry
Answer: 3
VLDL is a lipoprotein particle synthesized in the liver and secreted into the bloodstream to transport endogenously synthesized triglycerides and cholesterol to peripheral tissues. The triglycerides in VLDL are derived from fatty acids synthesized in the liver, and the cholesterol is derived from both dietary sources and de novo synthesis in the liver. They are not usually linked covalently to apoproteins (Answer 1), nor do they primarily consist of phosphatidylcholine (Answer 2). While the types of lipids found in the diet (Answer 4) can influence the liver's synthesis of VLDL, the statement does not accurately describe the direct composition of VLDL.
In addition to the influence of the oxygen concentration, the formation of oxyhemoglobin is influenced by
1. pH
2. CO2 concentration
3. Temperature
4. All of the above
Biochemistry
Answer: 4
The formation of oxyhemoglobin is influenced by
1. pH
2. CO2 concentration
3. Temperature
Glutamate-pyruvate trans-aminase is predominantly present In:
1. Skeletal muscle
2. Cardiac muscle
3. Brain
4. Liver
Biochemistry
Answer: 4
Glutamate-pyruvate trans-aminase is predominantly present In Liver
If a biochemical test gives the same reading for a sample on repeated testing, it is inferred that the measurement is:
1. Precise.
2. Accurate.
3. Specific.
4. Sensitive.
repeatablity of test is precision and getting results within reference range is accuracy