USMLE Style questions

Starvation induced metabolic alterations

 A 23 –year- old female was brought for consultation by her mother, who was troubled by her daughter’s continuous fatigue, dizziness, and loss of weight. The patient was 6 feet 2 inches tall and weighed 100 pounds. Further questioning revealed that the young woman had been virtually fasting for four months, hoping to obtain a […]

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Question of the week

Case details A 54- year-old man with Type 1 diabetes is referred to an ophthalmologist for evaluation of developing cataracts. Blood chemistry results are shown below: Fasting blood glucose   198 mg/dl Hemoglobin A                  15 gm/dl Hemoglobin A1c             10% of total Hb Urine ketones                   Positive Urine glucose                    Positive Which of the following enzymes is most strongly

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ATP- The energy currency within the cell

Q.- Adenosine triphosphate (ATP) is the energy currency within the cell. Which of the following best describes the type of compound ATP is? A. Phospholipid B. Amino acid C. Nucleotide D. Triacylglycerol E. Oligosaccharide. Details The correct answer is -C- Nucleotide. The nucleotide coenzyme adenosine triphosphate (ATP) is the most important form of chemical energy

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Elevated Acyl carnitine compounds and associated hypoglycemia- What is the defect?

Case details  A 5- year-old boy suffered gastroenteritis for two days and was brought to the emergency in a semiconscious state. Blood glucose at the time of admission was 45 mg/dl and his urine was negative for glucose and ketone bodies. Glucose was administered intravenously, and his condition improved within 10 minutes. Subsequent laboratory investigations

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Question the week-2 (Answer)

A 65-year-old man with a history of type 2 diabetes mellitus is complaining of blurred vision and numbness in his toes. Laboratory results are significant for an increased BUN and creatinine, indicative of renal failure, and high HbA1c, indicative of chronic persistent hyperglycemia. Of the several proposed mechanisms, one mechanism responsible for hyperglycemia-induced complications in

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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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Translation- Multiple-choice questions

1. The following are all characteristics of the genetic code except: Universal Degenerate Non-overlapping Ambiguous 2. Which of the following statements is not true concerning the role of Aminoacyl t-RNA synthetases: Charging an aminoacyl t-RNA synthetase (loading) with an amino acid is an energetically favorable reaction. For every amino acid, there are several Aminoacyl t-RNA

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Characteristics of phospholipids

Q.1- Which one of the following characteristics of phospholipids is correct? A. They always contain choline and glycerol B. They are an important source of energy during fasting C. They are major components of membranes D. They are uncharged at physiological pH E. They are water-insoluble. Details The correct answer is -C. The phospholipids are

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Diet and Nutrition-Multiple-choice questions-set-2

1) Which of the following foodstuffs has a shortage of Lysine? a) Cereals b) Pulses c) Milk d) Fish 2) What is the normal RDA for protein in a normal adult? a) 1G/Kg body weight b) 10 G/Kg body weight c) 100G/Kg body weight d) 50 G/Kg body weight 3) Which of the following nutrients

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Diet and Nutrition -Multiple-choice questions-set-1

1.- Respiratory quotient (R.Q.)  falls in all the following conditions except- a) Acidosis b) Febrile conditions c)Diabetes mellitus                                                       d) Starvation. 2- Choose the incorrect statement about BMR out of the following a) BMR is directly related to the surface area b) BMR is inversely proportional to the age c) BMR is increased in

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