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Lipid&Protein_metabolism

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

In humans, the absorption of fat hydrolysis products is impaired. This may be due to a deficiency in the small intestine:

a)

Bile acids

b)

Bile pigments

c)

Sodium ions

d)

Lipolytic enzymes

e)

Fat soluble vitamins

2.

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:

a)

Violation of purine metabolism

b)

Carbohydrate metabolism disorders

c)

Violation of lipid metabolism

d)

Violation of pyrimidine metabolism

e)

Disorder of amino acids metabolism

3.

The patient's feces is normally stained but contains a large amount of free fatty acids. The reason for this is a violation of:

a)

Hydrolysis of fats

b)

Bile formation

c)

Fat absorption

d)

Bleeding

e)

Lipase secretions

4.

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?

a)

Not enough protein

b)

Excessive amount of water

c)

Excessive amount of carbohydrates

d)

Not enough fat

e)

Insufficient amount of fats and proteins

5.

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?

a)

Tyrosine

b)

Phenylalanine

c)

Alanine

d)

Methionine

e)

Asparagine

6.

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?

a)

Tryptophan

b)

Isoleucine

c)

Methionine

d)

Phenylalanine

e)

Histidine

7.

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?

a)

Carbohydrate digestion

b)

Protein digestion

c)

Emulsification of fats

d)

Glycerin absorption

e)

Absorption of amino acids

8.

In clinically healthy parents, a baby was born, suffering from phenylketonuria. What are the genotypes of parents?

a)

Aa x Aa

b)

XAXa x XAY

c)

aa x aa

d)

XaXa x XaY

e)

AA x AA

9.

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?

a)

Phenylketonuria

b)

Alcaptonuria

c)

Fructosuria

d)

Tyrosinosis

e)

Albinism

10.

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?

a)

uric acid

b)

urea

c)

lactate

d)

bilirubin

e)

ketone bodies

11.

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.

a)

phenylalanine - phenylpyruvate - keto acids

b)

phenylalanine - tyrosine - thyroxine

c)

phenylalanine - tyrosine - melanin

d)

phenylalanine - tyrosine - norepinephrine

e)

phenylalanine - tyrosine - alkapton

12.

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?

a)

Low density lipoproteins

b)

Chylomicrons

c)

Lipoproteins of very low density

d)

High-density lipoproteins

e)

Complexes of fatty acids with albumin

13.

An electrophoretic study of the serum of a patient with pneumonia showed an increase in one of the protein fractions. Specify it:

a)

γ-globulins

b)

α1-globulins

c)

α2-globulins

d)

β-globulins

e)

Albumins

14.

A child suffering from phenylketonuria suffers from mental retardation. What mechanism will be central to the development of damage to the central nervous system?

a)

Accumulation of phenylalanine and phenylketones in the blood

b)

Increase of tyrosine synthesis

c)

Reduction of melanin synthesis

d)

Reduced synthesis of thyroid hormones

e)

Increased urinary excretion of phenylketone bodies

15.

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?

a)

TAG-lipase

b)

Lipoproteidlipase

c)

Phospholipase A2

d)

Phospholipase C.

e)

Cholesterolase

16.

Depending on the etiology there are _________ and _________ obesity.

(a)  

17.

According to the pathogenesis the are 2 types of obesity : __________ and __________.

(a)  

18.

Which of the following substances stimulate the hunger center of the hypothalamus?

a)

Leptin

b)

Ghrelin

c)

Noradrenaline

d)

CCK

e)

Glucocorticoids

19.

Which of the following endocrine pathologies may cause obesity?

a)

Pheochromocytoma

b)

Hypothyroidism

c)

Insulinoma

d)

Addison's disease

e)

Cushing syndrome

20.

Which of the following hormones activate lipolysis

a)

Insulin

b)

Ghrelin

c)

Adrenalin

d)

GH

e)

Aldosterone