WorksheetsPrep for Final Semi 2
Total questions: 54
Worksheet time: 18mins
In abetalipoproteinemia, which of the following lipoproteins is NOT absent in plasma?
HDL
LDL
Chylomicrons
VLDL
IDL
What structural characteristic distinguishes trans fats from cis fats?
Number of carbon atoms
Length of the hydrocarbon chain
Position of H atoms relative to double bonds
Saturation level
Which enzyme catalyzes the first step of beta-oxidation?
Acetyl-CoA synthetase
Acyl-CoA dehydrogenase
Enoyl-CoA hydratase
3-Ketoacyl-CoA thiolase
HMG-CoA synthase
Hypertriglyceridemia is most commonly associated with which of the following?
Deficient production of chylomicrons
Lipoprotein lipase deficiency
Elevated HDL levels
Increased beta-oxidation
High dietary cholesterol
Which of the following is the main substrate for ketogenesis?
Fatty acids
Glucose
Pyruvate
Amino acids
Lactate
Chylomicrons are primarily responsible for transporting:
Endogenous triglycerides
Dietary triglycerides
Cholesterol esters
Free fatty acids
Phospholipids
In ketoacidosis, elevated ketone bodies result in which of the following acid-base imbalances?
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Respiratory alkalosis
Mixed acidosis
The main apolipoprotein of HDL is:
ApoA-I
ApoB-100
ApoC-II
ApoE
ApoB-48
Fat malabsorption can result in deficiency of which of the following vitamins?
Vitamin C
Vitamin B6
Vitamin A
Vitamin B12
Folic acid
Which is the primary site of ketone body production?
Brain
Adipose tissue
Liver
Skeletal muscle
Pancreas
Familial hypercholesterolemia results from a mutation in which gene?
APOE
LDLR
CETP
HMG-CoA reductase
ABCA1
Which enzyme is inhibited by NSAIDs?
COX-1 and COX-2
Lipoxygenase
Phospholipase A2
HMG-CoA reductase
AMP-dependent kinase
Which lipoprotein is most directly responsible for reverse cholesterol transport?
Chylomicrons
LDL
HDL
VLDL
IDL
Lipoxins are anti-inflammatory mediators derived from:
Prostaglandins
Leukotrienes
Palmitic acid
Cholesterol
Thromboxanes
The primary function of COX-1 is:
Pro-inflammatory cytokine production
Maintenance of gastric mucosa
Leukotriene synthesis
Beta-oxidation of fatty acids
Regulation of lipid absorption
The overproduction of leukotrienes is most commonly associated with which condition?
Hypertension
Asthma
Osteoarthritis
Diabetes mellitus
Hyperlipidemia
What is the major energy source for muscle during fasting?
Ketone bodies
Fatty acids
Glycogen
Amino acids
Glucose
The Cori cycle connects which two tissues?
Liver and muscle
Adipose and brain
Liver and brain
Kidney and muscle
Adipose and liver
Which of the following metabolic pathways is suppressed during starvation?
Gluconeogenesis
Lipolysis
Cholesterol synthesis
Beta-oxidation
Ketogenesis
Which of the following minerals is a cofactor for insulin action?
Copper
Chromium
Zinc
Iron
Iodine
Which desaturase enzyme is absent in humans, making certain fatty acids essential?
Δ4 desaturase
Δ5 desaturase
Δ6 desaturase
Δ9 desaturase
Δ12 desaturase
Which structural feature of trans fats contributes to their harmful effects on cardiovascular health?
Increased chain length
Higher oxidative stability
Linear configuration of double bonds
Increased water solubility
Greater susceptibility to lipase hydrolysis
Hyperthyroidism is most commonly caused by:
Hashimoto's thyroiditis
Graves' disease
Iodine deficiency
Pituitary adenoma
Cushing's syndrome
In non-alcoholic fatty liver disease (NAFLD), which of the following contributes most significantly to hepatic fat accumulation?
Increased beta-oxidation
Enhanced de novo lipogenesis
Elevated VLDL secretion
Impaired ketogenesis
Decreased dietary fat intake
In Zellweger syndrome, very long-chain fatty acids (VLCFAs) accumulate due to:
Defective peroxisomal beta-oxidation
Increased mitochondrial beta-oxidation
Enhanced ketogenesis
Overexpression of HMG-CoA synthase
Decreased lipolysis
The activation of fatty acids for beta-oxidation requires:
Conversion to fatty acyl-CoA by carnitine acyltransferase
Hydrolysis of ATP to AMP
Transport into the mitochondria via CPT-II
Hydrolysis of ADP to ATP
Oxidation to acetyl-CoA in the cytosol
Thyroid hormones belong to which type of hormones?
Steroid
Protein
Amine
Glycoprotein
Glycolipid
A deficiency of LDL receptors causes which compensatory change in cholesterol metabolism?
Increased HDL synthesis
Enhanced HMG-CoA reductase activity
Elevated CETP activity
Decreased hepatic VLDL secretion
Upregulation of chylomicron production
Which of the following is the most specific marker of chylomicron metabolism?
ApoE
ApoC-II
ApoB-48
ApoA-I
ApoB-100
In lipoprotein lipase deficiency, which of the following lipid abnormalities is observed?
Isolated hypercholesterolemia
Elevated chylomicrons and VLDL
Increased HDL
Reduced LDL
Normal triglycerides
In primary hypothyroidism, which hormonal pattern is most commonly observed?
Elevated TSH and low T3/T4
Elevated TSH and elevated T3/T4
Low TSH and elevated T3/T4
Low TSH and low T3/T4
Normal TSH with low T3/T4
Congenital adrenal hyperplasia due to 21-hydroxylase deficiency is associated with:
Hyperkalemia
Hypertension
Hypernatremia
Increased cortisol production
Decreased androgens
Which enzyme requires thiamine pyrophosphate (TPP) as a cofactor?
Pyruvate kinase
Pyruvate dehydrogenase
Lactate dehydrogenase
Hexokinase
Isocitrate dehydrogenase
Which of the following biochemical processes is directly affected in scurvy?
Glycogenolysis
Proline hydroxylation
Gluconeogenesis
Fatty acid oxidation
Cholesterol biosynthesis
Pellagra, characterized by dermatitis, diarrhea, and dementia, results from a deficiency in:
Riboflavin
Niacin
Pyridoxine
Biotin
Thiamine
Hereditary orotic aciduria is caused by a deficiency in:
PRPP synthetase
UMP synthase
Carbamoyl phosphate synthetase I
Ornithine transcarbamylase
Xanthine oxidase
Which enzyme primarily converts ethanol to acetaldehyde in the liver?
Acetaldehyde dehydrogenase
Alcohol dehydrogenase
Cytochrome P450 2E1
Aldehyde oxidase
Catalase
The accumulation of NADH during ethanol metabolism inhibits which metabolic pathway?
Glycolysis
Gluconeogenesis
Fatty acid synthesis
Glycogenolysis
Cholesterol synthesis
Which hormone directly increases the activity of lipoprotein lipase in adipose tissue?
Cortisol
Glucagon
Insulin
Epinephrine
Growth hormone
Carnitine palmitoyltransferase I (CPT-I) is inhibited by which molecule?
Acetyl-CoA
Malonyl-CoA
Citrate
NADH
FADH2
The conversion of HMG-CoA to acetoacetate occurs in which cellular compartment?
Cytosol
Mitochondria
Endoplasmic reticulum
Peroxisomes
Lysosomes
Deficiency of peroxisomal beta-oxidation primarily leads to accumulation of:
Short-chain fatty acids
Medium-chain fatty acids
Very long-chain fatty acids
Ketone bodies
Branched-chain amino acids
Which step in the reverse cholesterol transport pathway involves the enzyme lecithin-cholesterol acyltransferase (LCAT)?
Esterification of cholesterol on HDL
Cholesterol efflux from macrophages
Uptake of HDL by the liver
Cholesterol transfer to VLDL
Synthesis of ApoA-I
Which eicosanoid acts as a potent platelet aggregator and vasoconstrictor?
Prostaglandin E2
Thromboxane A2
Leukotriene B4
Lipoxin A4
Prostaglandin I2
Which vitamin deficiency leads to impaired gamma-carboxylation of clotting factors?
Cholecalciferol
Phylloquinone
Retinol
Ascorbate
Pyridoxine
Excessive consumption of raw egg whites leads to which vitamin deficiency?
Thiamine
Riboflavin
Biotin
Niacin
Pyridoxine
Which hormone's receptor is intracellular and directly binds to DNA?
Insulin
Glucagon
Cortisol
Growth hormone
Epinephrine
Thyroid hormones are synthesized and stored in which form within the thyroid gland?
Free hormones
Bound to globulin in the bloodstream
As thyroglobulin
As iodide ions
As triiodothyronine (T3)
In starvation, muscle protein breakdown is stimulated primarily by:
Glucagon
Cortisol
Insulin
Growth hormone
What is the major fuel for the brain during the first few days of fasting?
Fatty acids
Glucose
Ketone bodies
Amino acids
Glycerol
Which mineral deficiency leads to goiter?
Iron
Zinc
Iodine
Selenium
Copper
Gallstone formation is associated with:
Increased bile acid synthesis
Reduced cholesterol solubility in bile
Elevated lecithin concentration
Increased bile flow
Decreased biliary bilirubin
Which drug inhibits xanthine oxidase to treat gout?
Probenecid
Allopurinol
Colchicine
Methotrexate
Indomethacin
The synthesis of purines begins with which molecule?
Aspartate
Glycine
Ribose-5-phosphate
Glutamine
Carbamoyl phosphate
