1Which coenzyme is required for transamination reactions?
Transamination reactions
Easy
A.Pyridoxal phosphate (PLP)
B.Cobalamin
C.Biotin
D.Thiamine pyrophosphate (TPP)
Correct Answer: Pyridoxal phosphate (PLP)
Explanation:
Transaminases (aminotransferases) require pyridoxal phosphate, a derivative of vitamin B6, as a coenzyme to transfer amino groups.
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2In a transamination reaction, an amino group is transferred from an amino acid to which common acceptor molecule?
Transamination reactions
Easy
A.Acetyl-CoA
B.Oxaloacetate only
C.-Ketoglutarate
D.Pyruvate only
Correct Answer: -Ketoglutarate
Explanation:
The most common amino group acceptor in transamination is -ketoglutarate, which is converted to glutamate.
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3The enzyme alanine aminotransferase (ALT) catalyzes the transfer of an amino group between alanine and which keto acid?
Transamination reactions
Easy
A.Succinate
B.Pyruvate
C.Citrate
D.Fumarate
Correct Answer: Pyruvate
Explanation:
ALT interconverts alanine and -ketoglutarate with pyruvate and glutamate. Alanine's amino group is transferred to -ketoglutarate, forming pyruvate and glutamate.
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4Which enzyme is primarily responsible for oxidative deamination of glutamate in the liver?
Oxidative deamination reaction
Easy
A.Glutamate dehydrogenase
B.Aspartate aminotransferase
C.Glutamine synthetase
D.Carbamoyl phosphate synthetase
Correct Answer: Glutamate dehydrogenase
Explanation:
Glutamate dehydrogenase catalyzes the oxidative deamination of glutamate, releasing free ammonia and regenerating -ketoglutarate.
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5What is released as a product during the oxidative deamination of an amino acid?
Oxidative deamination reaction
Easy
A.Molecular oxygen
B.Carbon dioxide
C.Free ammonia ()
D.Lactic acid
Correct Answer: Free ammonia ()
Explanation:
Oxidative deamination removes the amino group as free ammonia, which is then detoxified via the urea cycle.
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6Glutamate dehydrogenase can use which coenzyme(s) as electron acceptors?
Oxidative deamination reaction
Easy
A.Only ATP
B.Only
C.Only
D.Both and
Correct Answer: Both and
Explanation:
Glutamate dehydrogenase is unusual in that it can utilize either or as its coenzyme during oxidative deamination.
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7Glucogenic amino acids are those that can be converted into which of the following?
Glucogenic amino acids
Easy
A.Ketone bodies only
B.Glucose
C.Fatty acids only
D.Cholesterol
Correct Answer: Glucose
Explanation:
Glucogenic amino acids are degraded to pyruvate or citric acid cycle intermediates that can enter gluconeogenesis to form glucose.
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8Which of the following is a purely glucogenic amino acid?
Glucogenic amino acids
Easy
A.Leucine
B.Isoleucine
C.Lysine
D.Alanine
Correct Answer: Alanine
Explanation:
Alanine is purely glucogenic as it is converted to pyruvate. Leucine and lysine are purely ketogenic, while isoleucine is both.
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9Glucogenic amino acids typically enter metabolism by forming pyruvate or intermediates of which pathway?
Glucogenic amino acids
Easy
A.The urea cycle
B.Fatty acid synthesis
C.The pentose phosphate pathway
D.The citric acid (TCA) cycle
Correct Answer: The citric acid (TCA) cycle
Explanation:
Glucogenic amino acids are broken down into pyruvate or TCA cycle intermediates such as oxaloacetate, which feed into gluconeogenesis.
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10Which two amino acids are exclusively ketogenic?
Ketogenic amino acids
Easy
A.Leucine and lysine
B.Serine and cysteine
C.Alanine and glycine
D.Aspartate and glutamate
Correct Answer: Leucine and lysine
Explanation:
Leucine and lysine are the only two amino acids that are purely ketogenic; they cannot be converted to glucose.
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11Ketogenic amino acids are degraded to acetyl-CoA or which other molecule?
Ketogenic amino acids
Easy
A.Succinyl-CoA
B.Oxaloacetate
C.Acetoacetyl-CoA
D.-Ketoglutarate
Correct Answer: Acetoacetyl-CoA
Explanation:
Ketogenic amino acids yield acetyl-CoA or acetoacetyl-CoA, precursors of ketone bodies, and cannot form glucose.
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12The products of ketogenic amino acid degradation can be used to synthesize which of the following?
Ketogenic amino acids
Easy
A.Nucleotides only
B.Ketone bodies and fatty acids
C.Urea only
D.Glucose only
Correct Answer: Ketone bodies and fatty acids
Explanation:
Because ketogenic amino acids form acetyl-CoA or acetoacetyl-CoA, their carbons can be used to make ketone bodies and fatty acids, but not glucose.
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13In which organ does the urea cycle primarily occur?
Urea cycle and its significance
Easy
A.Muscle
B.Kidney
C.Liver
D.Brain
Correct Answer: Liver
Explanation:
The urea cycle takes place mainly in the liver, which converts toxic ammonia into urea for excretion.
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14What is the main physiological significance of the urea cycle?
Urea cycle and its significance
Easy
A.Detoxification of ammonia by converting it to urea
B.Synthesis of glucose from lactate
C.Storage of nitrogen as glycogen
D.Production of ATP for muscle contraction
Correct Answer: Detoxification of ammonia by converting it to urea
Explanation:
The urea cycle removes toxic ammonia from the body by converting it into the less toxic, water-soluble compound urea for excretion in urine.
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15The urea cycle occurs partly in the mitochondria and partly in which cellular compartment?
Urea cycle and its significance
Easy
A.Golgi apparatus
B.Nucleus
C.Cytosol
D.Lysosome
Correct Answer: Cytosol
Explanation:
The first two steps of the urea cycle occur in the mitochondria, and the remaining steps take place in the cytosol.
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16How many nitrogen atoms does one molecule of urea contain?
Urea cycle and its significance
Easy
A.1
B.4
C.3
D.2
Correct Answer: 2
Explanation:
Each urea molecule contains two nitrogen atoms: one derived from ammonia and one from aspartate.
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17In the de novo synthesis of purine nucleotides, the purine ring is built upon which starting molecule?
Biosynthesis of nucleotides
Easy
A.Glucose-6-phosphate
B.Uracil
C.Ribose-5-phosphate (as PRPP)
D.Free adenine base
Correct Answer: Ribose-5-phosphate (as PRPP)
Explanation:
The correct option follows directly from the given concept and definitions.
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18Which pathway reuses free purine and pyrimidine bases to form nucleotides?
Biosynthesis of nucleotides
Easy
A.Beta-oxidation
B.Glycolysis
C.De novo pathway
D.Salvage pathway
Correct Answer: Salvage pathway
Explanation:
The salvage pathway recycles free bases released during nucleic acid degradation, reattaching them to ribose to form nucleotides, saving energy.
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19In pyrimidine biosynthesis, the pyrimidine ring is first synthesized and then attached to ribose-5-phosphate. This differs from purine synthesis in which key way?
Biosynthesis of nucleotides
Easy
A.The ring is never attached to a sugar
B.The ring is made before being joined to the sugar in pyrimidine synthesis
C.It occurs only in mitochondria without cytosolic steps
D.It requires no PRPP at any stage
Correct Answer: The ring is made before being joined to the sugar in pyrimidine synthesis
Explanation:
In pyrimidine synthesis, the ring is built first and then attached to ribose-5-phosphate, whereas in purine synthesis the ring is built directly on the sugar.
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20What is the final end product of purine degradation in humans?
Degradation of nucleotides
Easy
A.Urea
B.Allantoin
C.Uric acid
D.Ammonia
Correct Answer: Uric acid
Explanation:
In humans, purines are degraded to uric acid, which is excreted in the urine. Many other mammals convert it further to allantoin.
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21During transamination, the amino group of an amino acid is transferred to -ketoglutarate, converting it into which product?
Transamination reactions
Medium
A.Alanine
B.Glutamate
C.Pyruvate
D.Aspartate
Correct Answer: Glutamate
Explanation:
In transamination, -ketoglutarate accepts the amino group and is converted to glutamate, while the amino acid becomes its corresponding -keto acid.
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22Which coenzyme is essential for the catalytic activity of aminotransferases (transaminases)?
Transamination reactions
Medium
A.Pyridoxal phosphate (PLP)
B.Biotin
C.Thiamine pyrophosphate (TPP)
D.Flavin adenine dinucleotide (FAD)
Correct Answer: Pyridoxal phosphate (PLP)
Explanation:
Aminotransferases require pyridoxal phosphate, a derivative of vitamin , which forms a Schiff base intermediate during amino group transfer.
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23Elevated serum levels of ALT (alanine aminotransferase) most specifically indicate damage to which organ?
Transamination reactions
Medium
A.Kidney
B.Skeletal muscle
C.Liver
D.Heart
Correct Answer: Liver
Explanation:
ALT is found in high concentration in hepatocytes, so its elevation in serum is a sensitive and relatively specific marker of liver damage.
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24Which enzyme catalyzes the oxidative deamination of glutamate, and what is a key product besides -ketoglutarate?
Glutamate dehydrogenase oxidatively deaminates glutamate to yield -ketoglutarate and free , using or as cofactor.
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25Glutamate dehydrogenase is an allosteric enzyme. Which molecule acts as an allosteric activator?
Oxidative deamination reaction
Medium
A.NADH
B.ATP
C.ADP
D.GTP
Correct Answer: ADP
Explanation:
ADP (and GDP) allosterically activate glutamate dehydrogenase, signaling low energy, whereas GTP and ATP inhibit it, signaling high energy status.
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26Why is the oxidative deamination of glutamate metabolically important for nitrogen disposal?
Oxidative deamination reaction
Medium
A.It transfers nitrogen to fatty acids for excretion
B.It funnels amino groups collected by transamination into free ammonia for the urea cycle
C.It converts ammonia into glutamine for storage
D.It directly synthesizes urea from amino acids
Correct Answer: It funnels amino groups collected by transamination into free ammonia for the urea cycle
Explanation:
Transamination channels amino groups into glutamate; oxidative deamination then liberates them as free ammonia, which enters the urea cycle for disposal.
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27A glucogenic amino acid is one whose carbon skeleton can be converted into which intermediate for gluconeogenesis?
Glucogenic amino acids
Medium
A.Pyruvate or a citric acid cycle intermediate
B.Free fatty acids
C.Acetoacetyl-CoA only
D.Acetyl-CoA only
Correct Answer: Pyruvate or a citric acid cycle intermediate
Explanation:
Glucogenic amino acids yield pyruvate or TCA cycle intermediates (e.g., -ketoglutarate, oxaloacetate), which can be used for net glucose synthesis.
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28Which of the following amino acids is purely glucogenic?
Glucogenic amino acids
Medium
A.Isoleucine
B.Alanine
C.Leucine
D.Lysine
Correct Answer: Alanine
Explanation:
Alanine is transaminated to pyruvate, making it purely glucogenic. Leucine and lysine are purely ketogenic, and isoleucine is both.
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29During prolonged fasting, which glucogenic amino acid released from muscle is the major carrier of nitrogen to the liver for gluconeogenesis?
Glucogenic amino acids
Medium
A.Valine
B.Glutamine
C.Leucine
D.Alanine
Correct Answer: Alanine
Explanation:
The glucose-alanine cycle uses alanine to transport both carbon (as pyruvate) and nitrogen from muscle to liver, where it supports gluconeogenesis.
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30Which pair of amino acids is exclusively ketogenic?
Ketogenic amino acids
Medium
A.Serine and threonine
B.Leucine and lysine
C.Aspartate and asparagine
D.Alanine and glycine
Correct Answer: Leucine and lysine
Explanation:
Leucine and lysine are the only two purely ketogenic amino acids; their carbon skeletons yield only acetyl-CoA or acetoacetyl-CoA.
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31Why can the carbon skeletons of purely ketogenic amino acids NOT be used for net glucose synthesis?
Ketogenic amino acids
Medium
A.They enter the urea cycle instead of gluconeogenesis
B.They are converted only into nucleotides
C.They yield acetyl-CoA, which cannot be converted to pyruvate in humans
D.They are directly excreted in urine
Correct Answer: They yield acetyl-CoA, which cannot be converted to pyruvate in humans
Explanation:
Acetyl-CoA cannot undergo net conversion to pyruvate/oxaloacetate in humans, so ketogenic amino acids form ketone bodies or lipids, not glucose.
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32Which amino acids are considered both glucogenic and ketogenic?
Phenylalanine, tyrosine, tryptophan, and isoleucine yield both glucogenic (e.g., fumarate, succinyl-CoA) and ketogenic (acetyl-CoA/acetoacetate) products.
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33In which two subcellular compartments do the reactions of the urea cycle occur?
Urea cycle and its significance
Medium
A.Mitochondria and cytosol
B.Cytosol and nucleus
C.Lysosome and cytosol
D.Mitochondria and endoplasmic reticulum
Correct Answer: Mitochondria and cytosol
Explanation:
The first two steps (carbamoyl phosphate and citrulline formation) occur in mitochondria; the remaining steps occur in the cytosol.
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34Which enzyme catalyzes the committed, rate-limiting step of the urea cycle and requires N-acetylglutamate as an activator?
Urea cycle and its significance
Medium
A.Arginase
B.Argininosuccinate synthetase
C.Ornithine transcarbamoylase
D.Carbamoyl phosphate synthetase I
Correct Answer: Carbamoyl phosphate synthetase I
Explanation:
Carbamoyl phosphate synthetase I catalyzes the first committed step and is allosterically activated by N-acetylglutamate.
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35In the overall urea cycle, the two nitrogen atoms of urea are derived from which sources?
Urea cycle and its significance
Medium
A.Glutamine and alanine
B.Free ammonia and aspartate
C.Free ammonia and glutamate
D.Two molecules of aspartate
Correct Answer: Free ammonia and aspartate
Explanation:
One nitrogen of urea comes from free (via carbamoyl phosphate) and the second is contributed by aspartate.
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36How many high-energy phosphate bonds (ATP equivalents) are consumed to synthesize one molecule of urea?
Urea cycle and its significance
Medium
A.6
B.2
C.3
D.4
Correct Answer: 4
Explanation:
Two ATP are used by CPS-I and one ATP is cleaved to AMP + PPi by argininosuccinate synthetase, totaling four high-energy phosphate bonds.
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37In de novo purine synthesis, the purine ring is assembled on which activated starting molecule?
In purine synthesis the ring is built directly onto PRPP, so the sugar-phosphate is present from the start, ending with IMP.
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38Which key difference distinguishes de novo pyrimidine synthesis from purine synthesis?
Biosynthesis of nucleotides
Medium
A.PRPP is not required at any step
B.The ring is built directly on the ribose sugar
C.It begins with inosine monophosphate
D.The pyrimidine ring is synthesized first, then attached to PRPP
Correct Answer: The pyrimidine ring is synthesized first, then attached to PRPP
Explanation:
In pyrimidine synthesis, the ring (orotate) is formed first and then joined to PRPP, unlike purines where the ring is built on PRPP.
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39The salvage pathway enzyme HGPRT, deficient in Lesch-Nyhan syndrome, is involved in the reuse of which molecules?
Biosynthesis of nucleotides
Medium
A.Ribose-5-phosphate
B.The amino acid glutamine
C.Purine bases hypoxanthine and guanine
D.Pyrimidine bases cytosine and uracil
Correct Answer: Purine bases hypoxanthine and guanine
Explanation:
HGPRT (hypoxanthine-guanine phosphoribosyltransferase) salvages hypoxanthine and guanine; its deficiency causes Lesch-Nyhan syndrome.
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40What is the final excretory product of purine degradation in humans?
Degradation of nucleotides
Medium
A.Urea
B.Uric acid
C.Ammonia
D.Allantoin
Correct Answer: Uric acid
Explanation:
Humans lack uricase, so purine catabolism ends at uric acid, unlike many other mammals that further degrade it to allantoin.
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41During transamination, the pyridoxal phosphate (PLP) cofactor forms a covalent intermediate with the amino acid substrate. Which intermediate is the immediate species formed before the ketimine, and what is its significance?
Transamination reactions
Hard
A.An internal aldimine with the active-site lysine
B.A quinonoid stabilized by carboxyl resonance only
C.An external aldimine (Schiff base) that labilizes the -carbon bond
D.A pyridoxamine phosphate–pyruvate adduct
Correct Answer: An external aldimine (Schiff base) that labilizes the -carbon bond
Explanation:
PLP first forms an internal aldimine with an active-site lysine, then transaldimination gives the external aldimine with the amino acid. Electron withdrawal by the protonated pyridine ring weakens the -C–H bond, enabling formation of the quinonoid and subsequently the ketimine.
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42A clinician measures elevated serum ALT (alanine aminotransferase). Which reaction does ALT catalyze, and why is it a useful marker?
ALT transfers the amino group from alanine to -ketoglutarate, producing pyruvate and glutamate. Because ALT is enriched in hepatocytes, its leakage into serum indicates hepatocellular damage.
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43Glutamate dehydrogenase (GDH) occupies a central role because it channels nitrogen from transamination into free ammonia. Which statement about its regulation is correct?
Oxidative deamination reaction
Hard
A.It is irreversibly committed to the reductive amination direction
B.GTP and ATP inhibit it, while ADP and GDP activate it
C.It is activated by NADH and inhibited by NAD
D.ADP inhibits it, while GTP allosterically activates it
Correct Answer: GTP and ATP inhibit it, while ADP and GDP activate it
Explanation:
High energy charge (GTP, ATP) signals sufficient energy and inhibits GDH, slowing amino acid catabolism. High ADP/GDP (low energy) activates it, favoring oxidative deamination to feed carbon skeletons into the TCA cycle.
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44Why is glutamate uniquely positioned to undergo oxidative deamination while most other amino acids are not directly deaminated this way?
Oxidative deamination reaction
Hard
A.Glutamate dehydrogenase can use either NAD or NADP and acts on the collector of amino groups
B.Glutamate is the sole amino acid whose -keto acid is a TCA intermediate
C.Glutamate is transaminated by no other enzyme, forcing deamination
D.Only glutamate possesses a side-chain carboxyl that stabilizes the imine intermediate
Correct Answer: Glutamate dehydrogenase can use either NAD or NADP and acts on the collector of amino groups
Explanation:
Transaminases funnel most amino groups onto -ketoglutarate, forming glutamate. GDH then oxidatively deaminates glutamate, using NAD or NADP, releasing free and regenerating -ketoglutarate — making glutamate the central hub of nitrogen metabolism.
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45An amino acid is catabolized to succinyl-CoA. Explain why this makes it glucogenic despite succinyl-CoA being a TCA intermediate.
Glucogenic amino acids
Hard
A.Succinyl-CoA is directly decarboxylated to pyruvate
B.Succinyl-CoA yields acetyl-CoA which supports net glucose synthesis
C.Succinyl-CoA is converted to oxaloacetate, which feeds phosphoenolpyruvate for gluconeogenesis
D.Succinyl-CoA condenses with glucose to form glycogen
Correct Answer: Succinyl-CoA is converted to oxaloacetate, which feeds phosphoenolpyruvate for gluconeogenesis
Explanation:
TCA-cycle intermediates like succinyl-CoA are anaplerotically converted to oxaloacetate, which PEPCK converts to phosphoenolpyruvate. Because there is net carbon input above the acetyl-CoA level, these carbons can yield glucose — hence glucogenic.
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46Which set contains amino acids that are exclusively glucogenic (neither ketogenic nor both)?
Alanine (pyruvate), aspartate (oxaloacetate), methionine (succinyl-CoA), and valine (succinyl-CoA) are purely glucogenic. Leucine and lysine are purely ketogenic, whereas isoleucine, phenylalanine, tyrosine, threonine, and tryptophan are both.
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47Leucine and lysine are the only two purely ketogenic amino acids. What is the metabolic consequence of this classification during prolonged starvation?
Ketogenic amino acids
Hard
A.Their carbon skeletons cannot generate net glucose and instead yield ketone bodies or acetyl-CoA
B.Their carbons are converted to oxaloacetate to sustain gluconeogenesis
C.Their skeletons enter the cycle as -ketoglutarate for glucose output
D.They are spared from catabolism because they cannot be deaminated
Correct Answer: Their carbon skeletons cannot generate net glucose and instead yield ketone bodies or acetyl-CoA
Explanation:
Leucine and lysine degrade solely to acetyl-CoA/acetoacetyl-CoA. Because acetyl-CoA cannot be converted to net glucose in animals (the two carbons are lost as in the TCA cycle), their carbons support ketogenesis, not gluconeogenesis.
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48Isoleucine is classified as both glucogenic and ketogenic. Which pair of end products justifies this dual classification?
Ketogenic amino acids
Hard
A.-ketoglutarate and acetyl-CoA
B.Succinyl-CoA and acetyl-CoA
C.Oxaloacetate and fumarate
D.Pyruvate and acetoacetate
Correct Answer: Succinyl-CoA and acetyl-CoA
Explanation:
Isoleucine catabolism yields succinyl-CoA (glucogenic) and acetyl-CoA (ketogenic). The succinyl-CoA arm allows net glucose synthesis while the acetyl-CoA arm feeds ketone body formation.
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49In the urea cycle, the two nitrogen atoms of urea originate from distinct sources. Identify them correctly.
Urea cycle and its significance
Hard
A.Both from free ammonia via two molecules of carbamoyl phosphate
B.One from glutamate and one from glutamine directly
C.One from free ammonia (via carbamoyl phosphate) and one from aspartate
D.Both from aspartate donated in two condensation steps
Correct Answer: One from free ammonia (via carbamoyl phosphate) and one from aspartate
Explanation:
The first urea nitrogen enters as incorporated into carbamoyl phosphate; the second is donated by aspartate during argininosuccinate formation. The carbon comes from (bicarbonate).
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50Carbamoyl phosphate synthetase I (CPS-I) requires an allosteric activator. What is it, and what does its requirement signify metabolically?
Urea cycle and its significance
Hard
A.Biotin, signaling adequate fixation capacity
B.N-acetylglutamate, signaling high amino acid/nitrogen load
D.Fructose-2,6-bisphosphate, signaling high carbohydrate flux
Correct Answer: N-acetylglutamate, signaling high amino acid/nitrogen load
Explanation:
CPS-I is absolutely dependent on N-acetylglutamate (NAG). NAG accumulates when arginine and glutamate are abundant, i.e., during high protein/amino acid turnover, thereby switching on ureagenesis when nitrogen disposal is needed.
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51A newborn presents with hyperammonemia, elevated orotic acid in urine, and low citrulline. Which enzyme deficiency best explains this pattern?
Urea cycle and its significance
Hard
A.Carbamoyl phosphate synthetase I (CPS-I)
B.Argininosuccinate synthetase (ASS)
C.Arginase
D.Ornithine transcarbamoylase (OTC)
Correct Answer: Ornithine transcarbamoylase (OTC)
Explanation:
OTC deficiency blocks citrulline formation, so carbamoyl phosphate accumulates and spills into the pyrimidine pathway, elevating orotic acid. CPS-I deficiency also causes hyperammonemia but without orotic aciduria, since carbamoyl phosphate isn't made.
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52How many high-energy phosphate bonds (ATP equivalents) are consumed to synthesize one molecule of urea, and why?
Urea cycle and its significance
Hard
A.4, because 2 ATP 2 ADP in CPS-I and 1 ATP AMP + PPi in ASS
B.2, one at CPS-I and one at arginase
C.3, one ATP consumed at each of three cycle steps
D.5, including two ATP regenerated in the aspartate shuttle
Correct Answer: 4, because 2 ATP 2 ADP in CPS-I and 1 ATP AMP + PPi in ASS
Explanation:
CPS-I hydrolyzes 2 ATP to 2 ADP (2 high-energy bonds). Argininosuccinate synthetase cleaves 1 ATP to AMP + PPi (2 high-energy bonds, since PPi is hydrolyzed). Total = 4 high-energy phosphate bonds per urea.
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53In de novo purine synthesis, the purine ring is built directly on ribose-5-phosphate. Which is the true committed and rate-limiting step of the pathway?
Formation of 5-phosphoribosylamine by glutamine-PRPP amidotransferase is the committed, rate-limiting step, feedback-inhibited by AMP, GMP, and IMP. PRPP synthesis precedes and is not committed to purines alone.
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54The conversion of IMP to AMP and GMP is reciprocally regulated by energy status. Which statement is correct?
Biosynthesis of nucleotides
Hard
A.ATP drives AMP synthesis and GTP drives GMP synthesis
B.AMP and GMP each require their own product as a cofactor
C.NADPH drives both directions equally
D.GTP drives AMP synthesis and ATP drives GMP synthesis
Correct Answer: GTP drives AMP synthesis and ATP drives GMP synthesis
Explanation:
Adenylosuccinate synthetase (IMP AMP branch) uses GTP, while IMP dehydrogenase/GMP synthetase (IMP GMP branch) uses ATP. This cross-energetic coupling balances the two nucleotide pools.
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55Ribonucleotide reductase converts ribonucleotides to deoxyribonucleotides. Which reductant ultimately supplies the electrons, and what regenerates it?
Biosynthesis of nucleotides
Hard
A.NADH, regenerated by glycolysis
B.Ascorbate, regenerated by glutathione directly
C.Thioredoxin (or glutaredoxin), regenerated by NADPH
D.FADH, regenerated by the TCA cycle
Correct Answer: Thioredoxin (or glutaredoxin), regenerated by NADPH
Explanation:
Ribonucleotide reductase uses dithiol groups of thioredoxin (or glutaredoxin) to reduce the 2'-OH. Oxidized thioredoxin is re-reduced by thioredoxin reductase using NADPH, ultimately from the pentose phosphate pathway.
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56In de novo pyrimidine synthesis, the ring is assembled first and then attached to ribose. Which reaction supplies the sugar-phosphate, and at what stage?
Biosynthesis of nucleotides
Hard
A.Aspartate + PRPP forms the first ring atom before carbamoylation
B.PRPP condenses with carbamoyl phosphate at the outset
C.Uracil + ribose-1-phosphate salvages to UMP as the de novo step
D.Orotate + PRPP orotidine-5'-monophosphate (OMP), after ring completion
Correct Answer: Orotate + PRPP orotidine-5'-monophosphate (OMP), after ring completion
Explanation:
Unlike purines, the pyrimidine ring (orotate) is built first, then PRPP attaches the ribose-phosphate to form OMP (orotate phosphoribosyltransferase). OMP is decarboxylated to UMP.
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57A patient with gout has hyperuricemia. Which enzyme's activity most directly produces uric acid, and what reaction does it catalyze?
Degradation of nucleotides
Hard
A.Xanthine oxidase, oxidizing hypoxanthine to xanthine and xanthine to uric acid
B.Adenosine deaminase, converting adenosine to inosine
C.Purine nucleoside phosphorylase, cleaving the glycosidic bond
D.Guanase, converting guanine to xanthine only
Correct Answer: Xanthine oxidase, oxidizing hypoxanthine to xanthine and xanthine to uric acid
Explanation:
Xanthine oxidase catalyzes both hypoxanthine xanthine and xanthine uric acid, the final steps of purine catabolism. This is why allopurinol (a xanthine oxidase inhibitor) lowers uric acid in gout.
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58Lesch-Nyhan syndrome results from HGPRT deficiency. Why does loss of a salvage enzyme paradoxically cause overproduction of uric acid?
Degradation of nucleotides
Hard
A.HGPRT normally degrades uric acid directly, so its loss raises urate
B.HGPRT deficiency blocks the urea cycle, backing up purines
C.PRPP accumulates and hypoxanthine/guanine are diverted to degradation, boosting de novo synthesis and purine turnover
D.Loss of salvage forces xanthine oxidase to work in reverse
Correct Answer: PRPP accumulates and hypoxanthine/guanine are diverted to degradation, boosting de novo synthesis and purine turnover
Explanation:
Without HGPRT, hypoxanthine and guanine cannot be salvaged, so they are catabolized to urate. Unused PRPP accumulates, driving de novo purine synthesis. The combined effect greatly increases uric acid production.
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59Adenosine deaminase (ADA) deficiency causes severe combined immunodeficiency (SCID). What is the biochemical mechanism linking ADA loss to lymphocyte toxicity?
Degradation of nucleotides
Hard
A.Inosine depletion starves cells of purine salvage substrate
B.dATP accumulates and inhibits ribonucleotide reductase, blocking DNA synthesis in lymphocytes
C.Ammonia builds up from failed deamination, poisoning lymphocytes
D.Uric acid accumulates and directly lyses T cells
Correct Answer: dATP accumulates and inhibits ribonucleotide reductase, blocking DNA synthesis in lymphocytes
Explanation:
ADA deficiency causes deoxyadenosine buildup, which is phosphorylated to dATP. High dATP allosterically inhibits ribonucleotide reductase, depleting other dNTPs and halting DNA replication — lymphocytes, being rapidly dividing, are especially vulnerable.
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60Compared to purines, the degradation of pyrimidines yields highly soluble products. Which set represents typical pyrimidine catabolic end products?
Degradation of nucleotides
Hard
A.-aminoisobutyrate only, with no nitrogen release
B.Xanthine, hypoxanthine, and urea
C.-alanine, , and (from uracil/cytosine)
D.Uric acid, allantoin, and
Correct Answer: -alanine, , and (from uracil/cytosine)
Explanation:
Uracil/cytosine degrade to -alanine, plus and ; thymine yields -aminoisobutyrate. These soluble products explain why pyrimidine breakdown does not cause the insolubility problems (e.g., gout) seen with purine-derived uric acid.
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