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Exam 2 - Corso - Urea Cycle, AA Metabolism, & Enzymes

Total questions: 51

Worksheet time: 4hrs 15mins

Name
Class
Date
1.

A 2 year old male has elevated ammonia. A physician consults with you about treatment of the patient in the case. Which of the following drugs or drug classes would be the most appropriate for treatment?

a)

Lipase inhibitors

b)

Lipostatin

c)

Phenylbutyrate

d)

Sulfonylureas

2.

Which two AA carry most of the waste nitrogen from non-heptic tissue into the liver?

a)

G

b)

A

c)

D

d)

Q

3.

If a young child has a genetic deficiency that prevents the synthesis of arginine, what symptom is most likely

a)

acidosis

b)

ammonia toxicity

c)

kidney stones

4.

A 2 year old male has been suffering form vomiting, lethargy, spasticity and seizures. Blood tests indicate elevated ammonia. Which of the following genetic defects would most likely cause these types of symptoms

a)

Carboxxypeptidase

b)

Ornithine transcarbamylase

c)

Phenylalanine hydroylase

d)

Succinate dehydrogenase

5.

Which of the following amino acids are non-essential and can be made from other amino acids or common metabolites?

a)

A

b)

E

c)

D

d)

G

e)

S

6.

Which of the following amino acids are the only two that are exclusively ketogenic?

a)

K

b)

T

c)

L

d)

E

7.

You are doing a rotation in the neonatal ward and an unusual case is presented. The child has diapers that smell like maple syrup. The most likely cause of this is:

a)

The inability to absorb B12 in the intestine

b)

The inability to decarboxylase branched chain alpha keto acids

c)

The inability to do transamination reactions of amino acids

d)

The synthesis of urea in the kidneys

8.

A patient has PKU, which of the following symptoms would you expect? (select all that apply)

a)

elevated blood phenylalanine

b)

elevated phenylketones in urine

c)

urine that smells musty

d)

impaired mental status

9.

Enzymes have what effect on biochemical reactions?

a)

decrease the overall delta G of a reaction

b)

increase the delta S

c)

increase the rate of equilibrium that is achieved

d)

increase the rate of product formation

10.

The transition state is

a)

the shape of the product

b)

the shape the substrate molecule midway in its transformation to product

c)

the shape of the substrate before reaction begins

d)

the shape of the enzyme

11.

Where on the enzyme does the catalyzed reaction take place

a)

Active Site

b)

Allosteric Site

c)

BPG Binding Domain

12.

What are common features found at the active site? (select all that apply)

a)

metal ions

b)

nucleic acids

c)

titratable amino acids

d)

vitamins

13.

One of the enzymes involved in glycolysis, aldolase, requires Zn2+ for catalysis. Under conditions of zinc deficiency, when the enzyme may lack zinc, it would be referred to as the

a)

apoenzyme

b)

coenzyme

c)

haloenzyme

d)

substrate

14.

What type of enzyme cuts a molecule apart

a)

lyase

b)

hydrolase

c)

ligase

d)

oxidoreductase

15.

What type of enzyme works with NAD+ or FAD?

a)

lyase

b)

hydrolase

c)

ligase

d)

oxidoreductase

16.

What type of enzyme causes water to cleave off a group

a)

isomerase

b)

hydrolase

c)

ligase

d)

transferase

17.

What type of enzyme joins groups together

a)

isomerase

b)

hydrolase

c)

ligase

d)

transferase

18.

What type of enzyme uses SAM

a)

isomerase

b)

hydrolase

c)

ligase

d)

transferase

19.

What type of enzyme rearranges the atoms of a molecule

a)

isomerase

b)

hydrolase

c)

ligase

d)

transferase

20.

Enzyme catalysis increases reaction rates by

a)

preventing product from going back to substrate

b)

holding reactants near each other

21.

Which one of the following is not among the six internationally accepted classes of enzymes?

a)

hydrolase

b)

ligase

c)

oxidoreducatse

d)

polymerase

22.

Enzymes are potent catalysts because they

a)

are consumed in the reactions they catalyze

b)

increase equilibrium constants for the reactions they catalyze

c)

drive reactions to completion while other catalysts drive reactions to equilibrium

d)

lower the activation energy for the reactions they catalyze

23.

What is the definition of Vmax

a)

turnover number - a constant for any enzyme

b)

concentration of substrate that brings about 1/2Vmax

c)

maximal rate of an enzyme catalyzed reaction

d)

initial rate of reaction

24.

What is the definition of Km

a)

turnover number - a constant for any enzyme

b)

concentration of substrate that brings about 1/2Vmax

c)

maximal rate of an enzyme catalyzed reaction

d)

initial rate of reaction

25.

What is the definition of Vo

a)

turnover number - a constant for any enzyme

b)

concentration of substrate that brings about 1/2Vmax

c)

maximal rate of an enzyme catalyzed reaction

d)

initial rate of reaction

26.

What is the definition of kcat

a)

turnover number - a constant for any enzyme

b)

concentration of substrate that brings about 1/2Vmax

c)

maximal rate of an enzyme catalyzed reaction

d)

initial rate of reaction

27.
a)

1.5 min

b)

6 min

c)

13.5 min

d)

27 min

28.

What is the Vmax?

a)

325 micromol/min

b)

500 micromol/min

c)

650 micromol/min

d)

1000 micromol/min

29.

What is the 1/2 Vmax?

a)

325 micromol/min

b)

500 micromol/min

c)

650 micromol/min

d)

1000 micromol/min

30.

What is the Km for this data?

a)

1 mM

b)

2 mM

c)

4 mM

d)

6 mM

31.

What is the Vmax?

a)

0.4 mM/min

b)

0.45 mM/min

c)

0.5 mM/min

d)

0.55 mM/min

32.

What is the y-intercept

a)

-0.013

b)

0.005

c)

0.364

d)

2

33.

Aspirin acetylating an enzyme is an example of

a)

suicide inhibition

b)

enzyme regulation (either activation or suppression)

34.

ATP phosphorylating an enzyme is an example of

a)

suicide inhibition

b)

enzyme regulation (either activation or suppression)

35.

What is an example of feedback inhibition

a)

multimeric enzyme that binds more than one substrate at a time that has lower than expected activity at low substrate concentration

b)

ATP phosphorylating glycogen synthase

c)

affect of ATP on the citric acid cycle

d)

Aspirin acetylating the cyclooxygenase enzyme

e)

hexokinase has a higher affinity for glucose than fructose

36.

What is an example of cooperativity

a)

multimeric enzyme that binds more than one substrate at a time that has lower than expected activity at low substrate concentration

b)

ATP phosphorylating glycogen synthase

c)

affect of ATP on the citric acid cycle

d)

Aspirin acetylating the cyclooxygenase enzyme

e)

hexokinase has a higher affinity for glucose than fructose

37.

What is an example of enzyme regulation

a)

multimeric enzyme that binds more than one substrate at a time that has lower than expected activity at low substrate concentration

b)

ATP phosphorylating glycogen synthase

c)

affect of ATP on the citric acid cycle

d)

Aspirin acetylating the cyclooxygenase enzyme

e)

hexokinase has a higher affinity for glucose than fructose

38.

What is an example of suicide inhibition

a)

multimeric enzyme that binds more than one substrate at a time that has lower than expected activity at low substrate concentration

b)

ATP phosphorylating glycogen synthase

c)

affect of ATP on the citric acid cycle

d)

Aspirin acetylating the cyclooxygenase enzyme

e)

hexokinase has a higher affinity for glucose than fructose

39.

What is an example of structure activity relationship

a)

multimeric enzyme that binds more than one substrate at a time that has lower than expected activity at low substrate concentration

b)

ATP phosphorylating glycogen synthase

c)

affect of ATP on the citric acid cycle

d)

Aspirin acetylating the cyclooxygenase enzyme

e)

hexokinase has a higher affinity for glucose than fructose

40.

For competitive inhibition, the inhibitor binds to the

a)

active site

b)

allosteric site at any time

c)

allosteric site, but only after the substrate has bound the active site

41.

For competitive inhibition, which of the following take place? (select all that apply)

a)

Vmax stays the same

b)

Vmax decreases

c)

Km increases

d)

Km stays the same

e)

the double reciprocal plot crosses the y-intercept at the same place as the uninhibited

42.

For uncompetitive inhibition, the inhibitor binds to the

a)

active site

b)

allosteric site at any time

c)

allosteric site, but only after the substrate has bound the active site

43.

For uncompetitive inhibition, which of the following take place? (select all that apply)

a)

Vmax stays the same

b)

Vmax decreases

c)

Km decreases

d)

Km stays the same

e)

the double reciprocal plot is parallel to the uninhibited plot

44.

For mixed inhibition, which of the following take place? (select all that apply)

a)

Vmax stays the same

b)

Vmax decreases

c)

Km could decrease

d)

Km could increase

e)

the double reciprocal plot is parallel to the uninhibited plot

45.

For non-competitive inhibition, the inhibitor binds to the

a)

active site

b)

allosteric site at any time

c)

allosteric site, but only after the substrate has bound the active site

46.

For non-competitive inhibition, which of the following take place? (select all that apply)

a)

Vmax stays the same

b)

Vmax decreases

c)

Km stays the same

d)

Km could increase

e)

the double reciprocal plot crosses the x-intercept at the same place as the uninhibited

47.

Which of the following describes mixed inhibition

a)

Vmax goes down, Km could go down or could go up

b)

Vmax goes down, Km goes down

c)

Vmax stays the same, Km goes down

d)

Vmax goes down, Km stays the same

48.

Which of the following describes non-competitive inhibition

a)

Vmax goes down, Km could go down or could go up

b)

Vmax goes down, Km goes down

c)

Vmax stays the same, Km goes down

d)

Vmax goes down, Km stays the same

49.

Which of the following describes un-competitive inhibition

a)

Vmax goes down, Km could go down or could go up

b)

Vmax goes down, Km goes down

c)

Vmax stays the same, Km goes down

d)

Vmax goes down, Km stays the same

50.

Which of the following describes competitive inhibition

a)

Vmax goes down, Km could go down or could go up

b)

Vmax goes down, Km goes down

c)

Vmax stays the same, Km goes down

d)

Vmax goes down, Km stays the same

51.

In competitive inhibition, an inhibitor

a)

binds at several different sites on an enzyme

b)

binds covalently to the enzyme

c)

binds only to the ES complex

d)

binds reversibly at the active site

e)

lowers the characteristic Vmax of the enzyme