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WorksheetsLipid&Protein_metabolism
Total questions: 20
Worksheet time: 20mins
In humans, the absorption of fat hydrolysis products is impaired. This may be due to a deficiency in the small intestine:
Bile acids
Bile pigments
Sodium ions
Lipolytic enzymes
Fat soluble vitamins
A 46-year-old patient went to the doctor complaining of pain in the small joints of the legs and arms. The joints are enlarged and have the appearance of thickened nodes. Serum contains elevated urate content. This can be caused by:
Violation of purine metabolism
Carbohydrate metabolism disorders
Violation of lipid metabolism
Violation of pyrimidine metabolism
Disorder of amino acids metabolism
The patient's feces is normally stained but contains a large amount of free fatty acids. The reason for this is a violation of:
Hydrolysis of fats
Bile formation
Fat absorption
Bleeding
Lipase secretions
On examination of a man of 45 years, who was on a plant diet for a long time, a negative nitrogen balance was revealed. What feature of the diet has become the cause of the phenomenon?
Not enough protein
Excessive amount of water
Excessive amount of carbohydrates
Not enough fat
Insufficient amount of fats and proteins
In alkaptonuria there is an excessive excretion of homogentisic acid from the urine. Which amino acid disorder is associated with the onset of this disease?
Tyrosine
Phenylalanine
Alanine
Methionine
Asparagine
The cause of pellagra disease may be predominant corn nutrition and reduced diet in animal products. Absence in the diet of which amino acid leads to this pathology?
Tryptophan
Isoleucine
Methionine
Phenylalanine
Histidine
The patient with chronic hepatitis showed a significant decrease in the synthesis and secretion of bile acids. What process will be most affected in this patient's intestine?
Carbohydrate digestion
Protein digestion
Emulsification of fats
Glycerin absorption
Absorption of amino acids
In clinically healthy parents, a baby was born, suffering from phenylketonuria. What are the genotypes of parents?
Aa x Aa
XAXa x XAY
aa x aa
XaXa x XaY
AA x AA
A few weeks after the birth, a baby began to show signs of CNS damage, skin and hair became light. When adding to fresh urine 5% solution of trichloroacetic iron, an olive-green color appears. What is the most likely diagnosis?
Phenylketonuria
Alcaptonuria
Fructosuria
Tyrosinosis
Albinism
A 65-year-old man complained to the doctor about complaints of acute pain in the toes. He loves and often drinks beer. Gout was suspected. To confirm the diagnosis of which of the following substances should be determined in the blood?
uric acid
urea
lactate
bilirubin
ketone bodies
It is known that phenylketonuria arises from the mutation of the gene responsible for the conversion of the phenylalanine amino acid and its decomposition to the end products of metabolism - CO2 and H2O. Indicate which phenylalanine metabolism pathway will lead to the development of phenylketonuria.
phenylalanine - phenylpyruvate - keto acids
phenylalanine - tyrosine - thyroxine
phenylalanine - tyrosine - melanin
phenylalanine - tyrosine - norepinephrine
phenylalanine - tyrosine - alkapton
A 67-year-old man has cerebral atherosclerosis. The examination revealed hyperlipidemia. The content of which class of blood plasma lipoproteins is most likely to be significantly increased in biochemical studies?
Low density lipoproteins
Chylomicrons
Lipoproteins of very low density
High-density lipoproteins
Complexes of fatty acids with albumin
An electrophoretic study of the serum of a patient with pneumonia showed an increase in one of the protein fractions. Specify it:
γ-globulins
α1-globulins
α2-globulins
β-globulins
Albumins
A child suffering from phenylketonuria suffers from mental retardation. What mechanism will be central to the development of damage to the central nervous system?
Accumulation of phenylalanine and phenylketones in the blood
Increase of tyrosine synthesis
Reduction of melanin synthesis
Reduced synthesis of thyroid hormones
Increased urinary excretion of phenylketone bodies
A 35-year-old man has a pheochromocytoma. The level of adrenaline and norepinephrine is increased in the blood, the concentration of free fatty acids increased by 11 times. Activation of which enzyme under the influence of adrenaline promotes lipolysis?
TAG-lipase
Lipoproteidlipase
Phospholipase A2
Phospholipase C.
Cholesterolase
Depending on the etiology there are _________ and _________ obesity.
(a)
According to the pathogenesis the are 2 types of obesity : __________ and __________.
(a)
Which of the following substances stimulate the hunger center of the hypothalamus?
Leptin
Ghrelin
Noradrenaline
CCK
Glucocorticoids
Which of the following endocrine pathologies may cause obesity?
Pheochromocytoma
Hypothyroidism
Insulinoma
Addison's disease
Cushing syndrome
Which of the following hormones activate lipolysis
Insulin
Ghrelin
Adrenalin
GH
Aldosterone
