Metabolism of Carbohydrates

Impaired TCA cycle enzyme activity in angular stomatitis

A postoperative patient on intravenous fluids develops lesions in the mouth (angular stomatitis). Urinalysis indicates an excretion of 15 μg riboflavin/mg creatinine, which is abnormally low. Which of the following TCA cycle enzymes is most likely to be affected? Citrate synthase Isocitrate dehydrogenase Fumarase Malate dehydrogenase Succinate dehydrogenase Details- E) – Succinate dehydrogenase is the […]

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Summary- Regulation of Major Pathways Of Carbohydrate metabolism

Enzyme Pathway Effect of Substrate Concentration Allosteric Modification/ Feedback Inhibition Induction/Repression Clinical Significance Hexokinase Glycolysis Feedback inhibition by Glucose-6-P – Deficiency causes Hemolytic anemia. Glucokinase Glycolysis Stimulated by a high carbohydrate diet   Activity decreases during fasting – Induced by Insulin Repressed by Glucagon Activity low in Diabetes Mellitus Phosphofructokinase-1 Glycolysis Stimulated by a high

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Hypoglycemia Due To Biotin deficiency

A 32-year-old bodybuilder has decided to go on a diet consisting of egg whites to ensure only proteins for muscle growth. After a few weeks, he experiences decreased energy and is found to be hypoglycemic. A nutritionist tells the patient that he most likely has a deficiency of vitamin Biotin. Which of the following enzymes

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Clinical significance of SGLT-2

A 22-year-old man collapsed from dehydration during maneuvers in the desert and was sent to an emergency. A high level of glucose was observed in his urine. He was suspected of being a diabetic. Further tests, however, determined that his serum insulin level was normal. A glucose tolerance test exhibited a normal pattern; further testing

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Answer to the Question of the week -1

A 23-year-old bodybuilder visits his physician with complaints of fatigue, depression, insomnia, hair loss, and dry skin. He tells the physician he has been “bulking up” for an upcoming competition, and his meals consist mostly of eight raw eggs along with low-fat milk. The physician suspects biotin deficiency, given the patient’s diet and symptoms. Which

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Carbohydrate metabolism- Problem based MCQs

1) A 30-year-old man has been fasting for religious reasons for several days.  His brain has reduced its need for glucose by using which of the following substances as an alternative source of energy? A.Fatty acids B.Beta-hydroxybutyrate C.Glycerol D.Beta carotene E. Alanine 2) A 7-year-old girl is brought to the emergency department by her parents

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Metabolism of Glycogen, Glycogen storage diseases and Diabetes mellitus- Solved MCQs

Q.1- Which of the following is an important glycogen storage site? A) Adipose tissue B) Cardiac muscle C) Spleen D) Kidney E) Liver. Q.2- Which of the following is an active form of glucose to initiate the process of glycogenesis? A) Adenosyl Glucose B) UDP glucose C) AMP Glucose D) Glucose-6-Phosphate E) Glucose-1-P Q.3- Choose

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TCA Cycle- Multiple-choice questions

1) A 24-year-old woman presents with diarrhea, dysphagia, jaundice, and white transverse lines on the fingernails (Mee’s lines). The patient is diagnosed with Arsenic poisoning, which inhibits which of the following enzymes? a) Citrate synthase b) Isocitrate dehydrogenase c) α-Keto glutarate dehydrogenase complex d) Succinate dehydrogenase e) Malate dehydrogenase 2) A biochemistry graduate student isolated

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Multiple-choice questions- Pentose phosphate pathway

1) Glucose breakdown in certain mammalian and bacterial cells can occur by mechanisms other than classic glycolysis. In most of these, glucose 6-phosphate is oxidized to 6- 6-phosphogluconate, which is then further metabolized by: a) an aldolase-type split to form glyceric acid and glyceraldehyde 3-phosphate. b) an aldolase-type split to form glycolic acid and erythrose

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Gluconeogenesis- Multiple-choice questions

1)  A 4-month-old boy is being evaluated for seizures, psychomotor retardation, and hypotonia. Workup reveals elevated serum levels of lactate, alanine, pyruvate, and keto acids. Based on the clinical presentation, pyruvate carboxylase activity is measured using fibroblasts from a skin biopsy and is found to be markedly decreased. This enzyme is normally used to directly

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