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Biochemistry sample quiz for ple

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Subject: BIOCHEMISTRY
1. As the level of visceral fat increases there is a
concomitant loss of peripheral tissue responses
to insulin. Adipose tissue responses to these
metabolic changes include a reduced secretion of
which of the following adipokines?
a. Adipsin
b. Il-6
c. Adiponectin
d. Leptin
Ans: C
Rationale: Adipose tissue secretes hormones
such as leptin and adiponectin, known as
adipokines, its role as an endocrine organ has
been recognized. Leptin, regulates energy
homeostasis by stimulating energy use and
limiting food intake. If it is lacking, food intake
may be uncontrolled, causing obesity.
Adiponectin modulates glucose and lipid
metabolism in muscle and liver, and enhances
the sensitivity of tissues to insulin. Reduced
secretion of adiponectin by adipose tissue
concomitantly reduces sensitivity of tissue to
insulin leading to obesity and type 2 diabetes
mellitus.
Source: Harper’s Illustrated Biochemistry 30th ed.,
p. 261
2. A 6 years old girl with moderate mental
retardation and with difficulty of her vision. PE
shows a fair complexion and malar erythema and
bilateral dislocated lenses. She has long slender
hands and fingers. Blood test reveal that her
cystathionine concentration is below normal.
Which amino acid is MOST likely to have an
increased urine concentration?
a. Methionine
b. Leucine
c. Alanine
d. Arginine
Ans: A
Rationale: Homocystinuria is most often due to a
defect in cystathionine b-synthase, leading to
increased homocysteine and methionine in blood
and urine. Patients present with dislocation of
the lens, mental retardation, and skeletal and
neurologic abnormalities.
Source: BRS Biochemistry, Molecular Biology&
Genetics 5th ed., p. 184
3. A 5 year old boy born of a first degree relatives
was noted to have darkening of the urine when
left standing. He has a normal sibling, and there
are no other medical problems. Growth and
development to date are normal. Which of the
following is MOST likely elevated in this patient?
a. Homocysteine
b. Homogentisate
c. Methylmalonate
d. Phenylypyruvate
Ans: B
Rationale: Alkaptonuria, also called black urine
disease and black bone disease, is one of 4
disorders originally defined as an inborn error of
metabolism by Archibald Garrod. The metabolic
defect in alkaptonuriais a defective
homogentisateoxidase(EC 1.13.11.5). The
hallmark of the disease is passage of urine that
becomes black when left standing due to
oxidation of excreted homogentisate. Late in
thedisease, there is arthritis and connective
tissue pigmentation(ochronosis) due to oxidation
of homogentisate to benzoquinoneacetate,
which polymerizes and binds to connective
tissue.
Source: Harper’s Illustrated Biochemistry 30th ed.,
p. 304
4. Which of the following hypothesizes that
the physical and Functional status of certain
region of genomic chromatin is dependent
on the patterns of specific histone post-
translational modifications and/or DNA
methylation status?
a. Genetic code
b. Morse code
c. Epigenetic code
d. PTM hypothesis
Ans: C
Rationale: Some genes are expressed in a parent-
specific manner defying normal rules of
mendelian inheritance. At least one mechanism
involves methylation of DNA on chromosomes.
This is epigenetic code, referring to factors
affecting phenotype without a change in
genotype. X inactivation is also epigenetic.
Source: BRS Biochemistry, Molecular Biology&
Genetics 5th ed., p. 292

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5. Which of the following is BEST described as
being trans-acting?
a. Promoter
b. Operator
c. CAP site
d. Repressor
Ans: D
Rationale: Third class of sequence elements also
increase or decrease the rate of transcription of
eukaryotic genes. These elements are called
either enhancers or repressors (or silencers),
depending on how they effect transcription. They
have been found in a variety of locations, both
upstream and downstream of the transcription
start site, and even within the transcribed protein
coding portions of some genes. In the field of
molecular biology, trans-acting, in general,
means "acting from a different molecule". It may
be considered the opposite of cis-acting, which, in
general, means "acting from the same molecule".
Enhancers and silencers can exert their effects
when located thousands or even many tens of
thousands of bases away from transcription units
located on the same chromosome. Surprisingly,
enhancers and silencers can function in an
orientation-independent fashion. Together, these
many transfactors binding to promoter distal and
proximal cis-elements regulate transcription in
response to a vast array of biological signals.
Such transcriptional regulatory events contribute
importantly to control of gene expression.Another
example of a cis-acting regulatory sequence is the
operator in the lac operon. This DNA sequence is
bound by the lac repressor, which, in turn,
prevents transcription of the adjacent genes on
the same DNA molecule. The lac operator is, thus,
considered to "act in cis" on the regulation of the
nearby genes.
Source: Harper’s Illustrated Biochemistry 30th
ed., p. 401
6. Which of the following statements most
closely reflects the actions of the translation
Eif-4E?
a. Facilitation of the ternary complex binding
to 40s ribosomal subunit.
b. Scaffold for the binding of eif-4A.
c. Exchange of GTP to GDP bound to eif-2.
d. Interaction with the eif-4G in order to bind to
the CAP structure of the mRNA
Ans: D
Rationale: The 5′ termini of mRNA molecules in
eukaryotic cells are “capped.” The 7meG-cap
facilitates the binding of mRNA to the 43S
preinitiation complex. A cap-binding protein
complex, eIF-4F (4F), which consists of eIF-4E (4E)
and the eIF-4G (4G)-eIF-4A (4A) complex, binds to
the cap through the 4E protein.
Source: Harper’s Illustrated Biochemistry 30th
ed., p. 419

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Subject: BIOCHEMISTRY 1. As the level of visceral fat increases there is a concomitant loss of peripheral tissue responses to insulin. Adipose tissue responses to these metabolic changes include a reduced secretion of which of the following adipokines? a. Adipsin b. Il-6 c. Adiponectin d. Leptin 2. A 6 years old girl with moderate mental retardation and with difficulty of her vision. PE shows a fair complexion and malar erythema and bilateral dislocated lenses. She has long slender hands and fingers. Blood test reveal that her cystathionine concentration is below normal. Which amino acid is MOST likely to have an increased urine concentration? a. Methionine b. Leucine c. Alanine d. Arginine 3. A 5 year old boy born of a first degree relatives was noted to have darkening of the urine when left standing. He has a normal sibling, and there are no other medical problems. Growth and development to date are normal. Which of the following is MOST likely elevated in this patient? a. Homocysteine b. Homogentisate c. Methylmalonate d. Phenylypyruvate 4. Which of the following hypothesizes that the physical and Functional status of certain region of genomic chromatin is dependent on the pa ...
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