USMLE Content

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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Molecular Biology- Viva Questions- Set -1

1-State Chargaff’s rule In DNA molecules, the concentration of deoxyadenosine (A) nucleotides equals that of thymidine (T) nucleotides (A = T), while the concentration of deoxyguanosine (G) nucleotides equals that of deoxycytidine (C) nucleotides (G = C). 2- What is meant by hyperchromicity of denaturation?  The conjugated double bonds of purine and pyrimidine derivatives absorb

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Utilization of ketone bodies and ketosis- lecture 3

Utilization of ketone bodies The ketone bodies are water-soluble and are transported across the inner mitochondrial membrane as well as across the blood-brain barrier and cell membranes. Thus, they can be used as a fuel source by a variety of tissues, including the CNS. They are preferred substrates for aerobic muscle and heart, thus sparing

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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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Alcohol Induced Metabolic Changes- A Case Study

Case details A 65-year-old man was admitted to the emergency department in an unconscious state. Apparently, he had become increasingly depressed after the death of his younger son two months ago. Previously, before his death, he had been a moderate drinker, but consumption of alcohol had increased markedly over the last few weeks. He had

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Minor pathways of oxidation of fatty acids- Lecture-2 (omega and peroxisomal oxidation)

Omega oxidation of fatty acids Another minor pathway for fatty acid oxidation also involves hydroxylation and occurs in the endoplasmic reticulum of many tissues. In this case, hydroxylation takes place on the methyl carbon at the other end of the molecule from the carboxyl group or on the carbon next to the methyl end. It

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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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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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