Metabolism of Carbohydrates

Clinical Biochemistry Case Studies: Master Carbohydrate, Amino Acid Metabolism & Enzyme Dynamics

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Through 25 hypothetical clinical cases and scenarios, this activity challenges learners to integrate concepts of carbohydrate metabolism, amino acid metabolism, oxidative phosphorylation, and enzyme dynamics. Participants will encounter questions highlighting real-world clinical relevance, such as the role of glycolytic intermediates, gluconeogenesis regulation, enzyme inhibition, and metabolic dysfunction in diseases like vitamin deficiencies and hyperammonemia. This engaging exploration enhances critical thinking and bridges biochemical theory with clinical practice.

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Vitamin Deficiencies and Impairments in Carbohydrate Metabolism

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“Vitamins play essential roles in carbohydrate metabolism by acting as coenzymes or precursors for enzymes. Deficiencies in vitamins like Thiamine, Riboflavin, and Niacin can impair critical biochemical reactions, such as the conversion of pyruvate to acetyl-CoA or oxidation in the TCA cycle, leading to conditions like lactic acidosis and energy deficits. Discover the intricate biochemical pathways affected and their physiological impacts in our detailed analysis.”

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Fructose and Galactose metabolism- Multiple-choice questions with explanations

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1. An exclusively breast-fed infant presents with vomiting, weight loss, jaundice, hepatomegaly, and bilateral cataracts. Which condition is most likely responsible for these symptoms? A. Breast milk jaundice B. Classical Galactosemia C. Hereditary fructose intolerance D. Type 1 Diabetes mellitus E. Von Gierke’s disease Correct Answer: B. Classical Galactosemia Explanation: Classical galactosemia is a rare

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Fructose and Galactose metabolism- Short-answer questions

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Question 1: What are the two ways fructose exists in food? Answer: Fructose exists in food as a monosaccharide (free fructose) or as a unit of a disaccharide (sucrose). Question 2: What is the name of the transporter protein responsible for fructose absorption in the intestine? Answer: Fructose absorption in the intestine occurs via facilitated

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Gluconeogenesis- Short-answer questions

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Question 1: Explain why gluconeogenesis is not simply the reverse of glycolysis. Answer: Gluconeogenesis is not simply the reverse of glycolysis because there are three irreversible reactions in glycolysis that must be bypassed in gluconeogenesis. These irreversible reactions are catalyzed by hexokinase, phosphofructokinase, and pyruvate kinase. Gluconeogenesis uses different enzymes to bypass these steps, making

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Amino acids associated with the TCA cycle and their entry points (with easy mnemonics)

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Here’s a table showing the amino acids associated with each intermediate and helpful mnemonics to aid memorization: Intermediate Amino Acids Associated Mnemonic for Amino Acid Entry Points Pyruvate Glycine, Alanine, Serine, Cysteine, Threonine, Tryptophan, Hydroxyproline G – Glycine A – Alanine S – Serine C – Cysteine T – Threonine T – Tryptophan H – Hydroxyproline

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Glycogen Storage Diseases- Multiple-Choice Questions

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1. A 3-month-old male infant presents with poor feeding, hypotonia, and cardiomegaly on physical exam. Blood tests reveal elevated lactate, uric acid, and creatine kinase levels. Echocardiogram demonstrates hypertrophic cardiomyopathy. A muscle biopsy shows excessive glycogen storage in lysosomes. Which enzyme deficiency is most likely responsible for this infant’s condition? A. Glucose-6-phosphatase B. Debranching enzyme

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Glycogen storage diseases with mnemonics to aid memorization

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A table summarizing the main glycogen storage diseases (GSDs) with enzyme defects, key clinical features, and mnemonics to aid memorization: Glycogen Storage Disease Enzyme Defect Key Clinical Features Mnemonic Type I: von Gierke Disease (GSD I) Glucose-6-phosphatase Severe fasting hypoglycemia, hepatomegaly, lactic acidosis, hyperlipidemia, hyperuricemia “von Gierke: ‘G6P’s Gone, Liver Left Low” Type II: Pompe

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Glycogen Metabolism- Multiple-Choice Questions with Complete explanations-Part-1

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1. Imagine you’re preparing for a long-distance marathon and need sustained energy throughout the race. Which of the following organs stores the maximum amount of glycogen that your body can use during prolonged exercise? A. Adipose tissue B. Cardiac muscle C. Kidney D. Liver E. Skeletal muscle   The correct answer is E. Skeletal muscle:

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