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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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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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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 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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HMP Pathway- Multiple-Choice Questions

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1. A researcher is investigating the effect of an enzyme whose reaction product is crucial for de novo fatty acid synthesis. Which of the following enzymes is most likely the focus of this study? A. Acyl CoA Dehydrogenase B. Glucose-6-Phosphatase C. Glucose-6-Phosphate Dehydrogenase (G-6PD) D. Lactate Dehydrogenase E. Phosphofructokinase-1 (PFK-1)   Correct Answer – C.

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Gluconeogenesis- Case-based multiple-choice questions- Set 2

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11. During fasting and feeding states, several enzymes are regulated to maintain glucose and energy homeostasis. Specific biochemical processes occur in an individual at rest who has fasted for 12 hours to adapt to the energy demand. Which of the following occurs in such a state? A. Phosphodiesterase is activated by insulin B. Pyruvate carboxylase

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Gluconeogenesis- Case-based Multiple-Choice Questions- Set 1

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1. A 4-month-old boy is being evaluated for seizures, psychomotor retardation, and hypotonia. Work-up reveals elevated serum levels of lactate, alanine, pyruvate, and ketoacids. 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 synthesize

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Glycolysis Review- NBME style questions with complete explanations

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Q.1 Identify the Phosphoester that is predominantly encountered in erythrocytes and plays a vital role in modulating the oxygen-binding affinity of hemoglobin: A. 1,3-Bisphosphoglycerate B. 2,3-Bisphosphoglycerate C. Fructose 1,6-bisphosphate D. Fructose 6-phosphate E. Glucose 6-phosphate The correct answer is B. 2,3-Bisphosphoglycerate (2,3-BPG): 2,3-Bisphosphoglycerate is a negatively charged molecule found in high concentrations within erythrocytes. 2,3-BPG

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NBME-Style Case-Based Questions on the regulation of glycolysis with explanations

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Question 1: A 25-year-old man runs a marathon. After 20 miles, his muscle cells are relying heavily on glycolysis for energy production. Which of the following changes is most likely increasing the rate of glycolysis in his muscles? A. Accumulation of alanine B. Decreased availability of glucose C. Decreased oxygen levels D. Increased AMP concentration

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