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WorksheetsBiochemistry LE2
Total questions: 120
Worksheet time: 3600secs
Which enzyme complex irreversibly converts pyruvate to acetyl-CoA?
Pyruvate dehydrogenase complex (PDH)
Pyruvate carboxylase
Lactate dehydrogenase
Citrate synthase
Which cofactor is not required by the PDH complex?
Thiamine pyrophosphate (TPP)
Biotin
Lipoamide
FAD
PDH is activated by which of the following conditions?
A. High NADH/NAD+ ratio
B. High ADP concentrations
C. High ATP concentrations
D. Phosphorylation by PDH kinase
The E1 subunit of PDH uses which cofactor?
FAD
TPP
CoA
NAD+
Which enzyme regenerates lipoamide in the PDH complex?
E1 (pyruvate dehydrogenase)
E2 (dihydrolipoyl transacetylase)
E3 (dihydrolipoyl dehydrogenase)
Pyruvate carboxylase
The first step of the TCA cycle is catalyzed by:
Aconitase
Citrate synthase
Isocitrate dehydrogenase
α-Ketoglutarate dehydrogenase
Which TCA enzyme produces NADH directly?
Succinate dehydrogenase
Aconitase
Isocitrate dehydrogenase
Fumarase
Which TCA intermediate is produced directly from α-ketoglutarate by oxidative decarboxylation?
Succinyl-CoA
Succinate
Which TCA enzyme is located in the inner mitochondrial membrane and also participates in the ETC?
Aconitase
Succinate dehydrogenase (Complex II)
Malate dehydrogenase
α-Ketoglutarate dehydrogenase
The net ATP (or ATP equivalents) yield per acetyl-CoA oxidized in TCA (through NADH/FADH₂ and GTP) is approximately:
1 ATP
3 ATP
10 ATP equivalents
30 ATP
Which enzyme in the TCA cycle is regulated by substrate availability and by Ca²⁺ in muscle?
Citrate synthase
Isocitrate dehydrogenase
Fumarase
Malate dehydrogenase
During anaplerosis, pyruvate carboxylase converts pyruvate to:
A. Acetyl-CoA
B. Oxaloacetate
C. Citrate
D. Malate
Aconitase catalyzes conversion of citrate to:
Isocitrate
α-Ketoglutarate
Succinate
Oxaloacetate
Which cofactor is required by α-ketoglutarate dehydrogenase (same as PDH E3 uses)?
Biotin
TPP
Lipoic acid
FAD
Which complex of the electron transport chain accepts electrons from NADH?
Complex II
Complex I (NADH dehydrogenase)
Complex III
Complex IV
The final electron acceptor of the ETC is:
NAD+
Oxygen
FAD
Cytochrome c
Which complex pumps protons and transfers electrons from ubiquinol to cytochrome c?
Complex I
Complex II
Complex III (cytochrome bc1)
Complex IV
ATP synthase couples proton flow back into the matrix to synthesize ATP. The F0 portion spans:
The inner mitochondrial membrane
The outer membrane
The matrix
The intermembrane space
Which inhibitor blocks Complex IV (cytochrome c oxidase)?
Rotenone
Antimycin A
Cyanide (CN−)
Oligomycin
Oligomycin inhibits which mitochondrial function?
Complex I
ATP synthase (F0)
Complex III
Uncoupling
Uncouplers (e.g., 2,4-dinitrophenol) cause:
Increased ATP synthesis
Increased proton gradient
Increased O2 consumption and decreased ATP production
Inhibition of ETC complexes directly
Which carrier transports electrons from Complex I/II to Complex III?
Cytochrome c
Ubiquinone (coenzyme Q)
Flavoprotein
ATP synthase
The P/O ratio historically estimates ATP yield per oxygen atom reduced. Which pair approximates ATP from one NADH?
~1.5 ATP
~2.5 ATP
Gluconeogenesis primarily occurs in which tissues?
Brain and heart
Liver and kidney cortex
Skeletal muscle only
Adipose tissue
The irreversible enzyme that converts pyruvate to oxaloacetate in gluconeogenesis is:
Pyruvate dehydrogenase
Pyruvate carboxylase
PEP carboxykinase
Fructose-1,6-bisphosphatase
PEP carboxykinase converts oxaloacetate to:
Pyruvate
Phosphoenolpyruvate (PEP)
Citrate
Fructose-6-phosphate
Which enzyme is the key regulated step of gluconeogenesis opposing phosphofructokinase-1?
Glucose-6-phosphatase
Fructose-1,6-bisphosphatase
Hexokinase
Aldolase
Substrates for gluconeogenesis include all EXCEPT:
Lactate
Glycerol
Acetyl-CoA
Alanine
The main cellular location of glucose-6-phosphatase is:
Cytosol
Mitochondrial matrix
Endoplasmic reticulum (ER) membrane
Nucleus
Which hormone stimulates gluconeogenesis?
Insulin
Glucagon
Adiponectin
AMP
The uronic acid pathway (glucuronate pathway) produces which important metabolite?
(a)
Glucuronidation is important for:
ATP synthesis
Detoxification and conjugation of xenobiotics
DNA replication
Fatty acid β-oxidation
Which sugar is the product that conjugates with bilirubin in the liver?
Glucose
UDP-glucuronic acid
Galactose
Mannose
The HMP shunt / pentose phosphate pathway (PPP) provides cells with:
ATP and GTP
NADPH and ribose-5-phosphate
FADH₂ and CoA
Pyruvate and lactate
The oxidative phase of PPP produces:
Ribose-5-phosphate only
NADPH and CO₂
ATP
Acetyl-CoA
Which enzyme is the rate-limiting enzyme of the oxidative PPP?
Transketolase
Glucose-6-phosphate dehydrogenase (G6PD)
6-phosphogluconate dehydrogenase
Fructose-1,6-bisphosphatase
A deficiency of G6PD leads to which clinical phenotype under oxidative stress?
Megaloblastic anemia
Hemolytic anemia
Scurvy
Osteoporosis
The non-oxidative phase of PPP interconverts sugars using which cofactors/enzymes?
Transketolase (requires TPP) and transaldolase
Pyruvate kinase and hexokinase
Glucokinase only
Aldolase and enolase
Cells that require high NADPH (for reductive biosynthesis) often use:
Glycolysis exclusively
PPP (oxidative branch)
Lipids are broadly defined by which characteristic?
Solubility in water
Solubility in organic solvents and hydrophobicity
High nitrogen content
Being polymers of amino acids
Which class of lipids contains a glycerol backbone esterified to fatty acids?
Sphingolipids
Glycerolipids (e.g., triacylglycerols)
Sterols
Glycosphingolipids
Essential fatty acids in the human diet include:
Palmitic acid only
Oleic acid only
Linoleic acid (omega-6) and α-linolenic acid (omega-3)
Arachidonic acid only
Which lipid is amphipathic and a major component of biological membranes?
Triacylglycerol
Cholesterol
Phospholipids (e.g., phosphatidylcholine)
Wax
Cholesterol synthesis begins with which 2-carbon building block?
Acetyl-CoA
Pyruvate
Malonyl-CoA
Mevalonate
Which of the following is NOT a prostanoid?
Prostaglandin
Prostacyclin (PGI₂)
Leukotriene
Thromboxane
The enzyme cyclooxygenase (COX) converts arachidonic acid into:
Leukotrienes
Prostaglandin H₂ (PGH₂)
Lipoxins
LTB₄
COX-1 vs COX-2: COX-2 is primarily:
Constitutive in gastric mucosa
Inducible during inflammation
A mitochondrial enzyme
Responsible for thromboxane production in platelets only
Aspirin exerts its antiplatelet effect by acetylating and irreversibly inhibiting:
5-lipoxygenase
COX-1 in platelets
COX-2 in endothelium
Phospholipase A2
Thromboxane A2 (TXA2) primarily causes:
Vasodilation and inhibition of platelet aggregation
Vasoconstriction and platelet aggregation
Bronchodilation
Increased cAMP in platelets
Prostacyclin (PGI2) produced by endothelium causes:
Platelet aggregation
Vasoconstriction
Vasodilation and inhibition of platelet aggregation
Bronchoconstriction
Leukotrienes are derived from arachidonic acid via which enzyme?
Cyclooxygenase
5-lipoxygenase (5-LOX)
Thromboxane synthase
Acetyl-CoA carboxylase
Lipoxins generally have which effect in inflammation?
Pro-inflammatory
Anti-inflammatory and pro-resolution
Cause fever only
Stimulate leukotriene synthesis
Fatty acids are classified by all EXCEPT:
A. Chain length
B. Degree of unsaturation
C. Position of double bonds
D. Presence of peptide bonds
Which fatty acid is saturated?
Oleic acid
Palmitic acid
Linoleic acid
Arachidonic acid
Which fatty acid is monounsaturated?
Stearic acid
Oleic acid (18:1 cis-9)
Linoleic acid
Palmitic acid
Essential omega-3 fatty acid that can be converted (inefficiently) to EPA and DHA is:
Alpha-linolenic acid (ALA)
Linoleic acid
Arachidonic acid
Docosahexaenoic acid (DHA)
Which of the following is an omega-3 fatty acid?
Linoleic acid
α-Linolenic acid (ALA)
Arachidonic acid
Palmitoleic acid
Which lipid class serves mainly as long-term energy storage in adipose tissue?
Phospholipids
Triacylglycerols (TAGs)
Glycolipids
Sterols
Glycerophospholipids have which head group attached to phosphatidic acid to make phosphatidylcholine?
Serine
Choline
Sphingosine
Glucose
Sphingomyelin contains which backbone instead of glycerol?
Glycerol-3-phosphate
Sphingosine
Cholesterol
Ceramide only
Glycolipids are primarily located on which side of the plasma membrane?
Cytosolic leaflet
Extracellular (outer) leaflet
Inner mitochondrial membrane
Nuclear envelope
Which lipoprotein is the major carrier of dietary (exogenous) triacylglycerol?
VLDL
Chylomicrons
LDL
HDL
Lipid digestion in the intestine requires which enzyme secreted by the pancreas?
Lipoprotein lipase
Pancreatic lipase
Hormone sensitive lipase
Glucoamylase
Bile salts aid lipid absorption by:
Hydrolyzing TAGs
Emulsifying fats to form micelles
Directly transporting lipids into enterocytes
Inhibiting lipase
Fatty acids are transported in blood primarily bound to:
(a)
Which of the following is the major carrier of free fatty acids in plasma?
Serum albumin
Chylomicrons only
LDL particles only
Fatty acid synthase (FAS) catalyzes de novo synthesis of palmitate using which 2-carbon donor?
Malonyl-CoA (the 2-carbon plus CO₂ donor)
Acetyl-CoA only
Citrate
Succinyl-CoA
The rate-limiting enzyme for fatty acid synthesis is:
Fatty acid synthase
Acetyl-CoA carboxylase (ACC)
Hormone sensitive lipase
Carnitine palmitoyltransferase I
Which cofactor is required for fatty acid synthase activity (reducing equivalents)?
NADH
NADPH
FADH₂
ATP only
De novo palmitate synthesis occurs mainly in:
Liver and adipose tissue
Brain only
Muscle only
Kidney medulla only
Regulation: Acetyl-CoA carboxylase (ACC) is activated by:
AMPK phosphorylation
Citrate and dephosphorylation
Low insulin
High glucagon
Carnitine is required for which process?
Fatty acid synthesis in cytosol
Transport of long-chain fatty acyl-CoAs into mitochondria for β-oxidation
Cholesterol esterification
Bile acid synthesis
In β-oxidation, each cycle shortens the fatty acyl-CoA by:
1 carbon
2 carbons (as acetyl-CoA)
3 carbons
4 carbons
The mitochondrial enzyme that oxidizes succinate to fumarate and reduces FAD to FADH₂ is:
Succinate dehydrogenase
Fumarase
Malate dehydrogenase
Aconitase
Succinate dehydrogenase
Succinate dehydrogenase
Succinate synthase
Fumarase
Malate dehydrogenase
Odd-chain fatty acids produce which gluconeogenic precursor when fully oxidized?
Acetyl-CoA only
Propionyl-CoA → Succinyl-CoA (gluconeogenic)
Butyryl-CoA only
Acetoacetate
Key enzyme for oxidation of very long chain fatty acids in peroxisomes is:
Acyl-CoA oxidase
Carnitine palmitoyltransferase I
Hormone sensitive lipase
Lipoprotein lipase
Ketone bodies include all EXCEPT:
A. Acetoacetate
B. β-Hydroxybutyrate
C. Acetone
D. Oxaloacetate
Ketogenesis occurs mainly in:
Liver mitochondrial matrix
Adipose tissue
Brain
Skeletal muscle
Which enzyme catalyzes formation of HMG-CoA in cholesterol synthesis?
HMG-CoA reductase
HMG-CoA synthase (synthase forms HMG-CoA from acetoacetyl-CoA + acetyl-CoA; reductase reduces HMG-CoA to mevalonate)
Squalene synthase
Mevalonate kinase
The committed, rate-limiting step in cholesterol biosynthesis is catalyzed by:
HMG-CoA synthase
HMG-CoA reductase
Squalene synthase
Mevalonate kinase
Statins lower LDL cholesterol primarily by:
Inhibiting intestinal cholesterol absorption
Inhibiting HMG-CoA reductase and upregulating LDL receptors
Increasing VLDL secretion
Stimulating ACAT
Cholesterol is a precursor for all EXCEPT:
Bile acids
Corticosteroid hormones
Which lipoprotein is considered the major carrier of endogenous (hepatic) triglyceride to peripheral tissues?
Chylomicron
VLDL
LDL
HDL
Lipoprotein lipase (LPL) is activated by which apoprotein on chylomicrons/VLDL?
A. ApoB100
B. ApoC-II
C. ApoA-I
D. ApoE
The major apolipoprotein of LDL is:
ApoA-I
ApoB100
ApoC-II
ApoE
Fatty acid β-oxidation yields reducing equivalents in the form of:
NADH and FADH₂
NADPH and FADH₂
ATP directly
NADP⁺ only
In alcohol metabolism, ethanol is first oxidized to acetaldehyde by:
Acetaldehyde dehydrogenase
Alcohol dehydrogenase (ADH)
Aldose reductase
Cytochrome P450 2E1 only
Acetaldehyde is further oxidized to acetate by:
A. Aldehyde dehydrogenase (ALDH)
B. Alcohol dehydrogenase
C. Catalase
D. Monoamine oxidase
Chronic alcohol use induces which microsomal enzyme that contributes to ethanol oxidation?
Glucose-6-phosphatase
CYP2E1 (a cytochrome P450)
Aldolase
Succinate dehydrogenase
A high NADH/NAD⁺ ratio from alcohol metabolism causes which metabolic effect?
Inhibition of fatty acid synthesis
Lactic acidosis and fatty liver (steatosis)
Which enzyme catalyzes the committing condensation reaction in de novo fatty acid synthesis (formation of malonyl-CoA)?
Acetyl-CoA carboxylase (ACC)
Fatty acid synthase
HMG-CoA reductase
Carnitine palmitoyltransferase I
Malonyl-CoA inhibits which enzyme to prevent simultaneous synthesis and oxidation of fatty acids?
Acetyl-CoA carboxylase
Carnitine palmitoyltransferase I (CPT1)
Hormone sensitive lipase
Fatty acid synthase
During fasting, hormone sensitive lipase in adipose tissue is activated by:
Insulin
Glucagon and epinephrine via PKA phosphorylation
High glucose concentration
Malonyl-CoA
Hormone sensitive lipase (HSL) hydrolyzes TAG to release:
Cholesterol
Fatty acids and glycerol
Phospholipids
Glucose
Which enzyme in the liver converts glycerol to glycerol-3-phosphate for gluconeogenesis?
Glycerol kinase
Hormone sensitive lipase
ALDH
Lipoprotein lipase
The primary transporter for long-chain acyl-CoA into mitochondria is:
Acyl-CoA synthetase
Carnitine palmitoyltransferase I (CPT1) on the outer mitochondrial membrane
CPT2 on inner membrane only
Fatty acid translocase
Which metabolite from β-oxidation enters the TCA cycle directly?
Propionyl-CoA
Acetyl-CoA
Succinyl-CoA only
Malonyl-CoA
Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency leads to accumulation of:
Long-chain fatty acids
Medium-chain fatty acyl-carnitines and hypoketotic hypoglycemia
Ketone bodies in excess only
Uric acid
Which ketone body can be measured in breath?
Acetoacetate
β-Hydroxybutyrate
Acetone
Succinyl-CoA
Which of the following lipoproteins is primarily responsible for transporting cholesterol from the liver to peripheral tissues?
VLDL (Very-Low-Density Lipoprotein)
LDL (Low-Density Lipoprotein)
HDL (High-Density Lipoprotein)
Chylomicrons
What is the primary function of the enzyme lipoprotein lipase?
To synthesize triglycerides
To convert cholesterol to bile acids
To hydrolyze triglycerides in lipoproteins
To transport fatty acids into cells
Which metabolic pathway is primarily responsible for the synthesis of fatty acids?
Citric acid cycle (TCA cycle)
Fatty acid synthesis (lipogenesis)
β-Oxidation
Glycolysis
Which molecule is produced during the conversion of succinyl-CoA to succinate in the TCA cycle?
GTP
FADH₂
ATP
NADH
What is the primary function of the enzyme phosphofructokinase-1 (PFK-1) in glycolysis?
Converts phosphoenolpyruvate to pyruvate
Converts dihydroxyacetone phosphate to glyceraldehyde-3-phosphate
Converts glucose to glucose-6-phosphate
Converts fructose-6-phosphate to fructose-1,6-bisphosphate
Which vitamin is a precursor for the coenzyme NAD+?
Vitamin B6
Vitamin B3
Vitamin B2
Vitamin B1
Which enzyme is responsible for converting isocitrate to α-ketoglutarate in the TCA cycle?
A. Isocitrate dehydrogenase
B. Aconitase
C. Succinate dehydrogenase
D. Malate dehydrogenase
What is the primary function of the enzyme lipoprotein lipase?
D. Regulate glucose metabolism
C. Convert fatty acids to acyl-CoA
B. Synthesize cholesterol
A. Hydrolyze triglycerides in lipoproteins
Which vitamin is a cofactor for the enzyme pyruvate carboxylase?
D. Vitamin B6 (Pyridoxine)
A. Vitamin B1 (Thiamine)
B. Vitamin B7 (Biotin)
C. Vitamin B2 (Riboflavin)
What is the primary function of the pentose phosphate pathway?
ATP production
NADPH production
Fatty acid synthesis
Protein synthesis
Which molecule is produced during the conversion of isocitrate to α-ketoglutarate in the TCA cycle?
CO₂
NADH
FADH₂
ATP
Which of the following statements about fatty acid configuration is most accurate?
Naturally occurring unsaturated fatty acids are predominantly in the trans configuration.
Cis double bonds in fatty acids increase melting point and allow tight packing.
Cis double bonds introduce kinks that decrease van der Waals interactions, lowering melting point.
Trans fatty acids are produced by enzymatic desaturation in humans.
Which of the following lipids serves as both a structural membrane component and a precursor for intracellular signaling molecules?
Triacylglycerol
Phosphatidylinositol 4,5-bisphosphate
Cholesteryl ester
Ceramide
Which of the following best differentiates sphingolipids from glycerophospholipids?
Sphingolipids contain phosphoric acid residues.
Sphingolipids have glycerol as their backbone.
Sphingolipids contain an amide-linked fatty acid to a sphingoid base.
Sphingolipids are always neutral and nonpolar.
Which of the following correctly identifies a lipid derived from arachidonic acid metabolism?
Sphingomyelin
Prostaglandin E₂
Cholesteryl oleate
Phosphatidylcholine
Which of the following statements about lipoprotein lipid composition is correct?
HDL contains the highest proportion of triacylglycerols.
LDL has a higher protein-to-lipid ratio than HDL.
VLDL transports cholesterol from tissues to the liver.
HDL contains the highest proportion of protein relative to lipids.
Which property of cholesterol is essential for maintaining membrane fluidity at physiological temperatures?
Its polar head interacts with fatty acid chains.
Its rigid ring structure disrupts packing of phospholipid tails.
Its esterified hydroxyl group enhances flexibility.
Its hydrocarbon tail increases membrane permeability.
Which of the following best describes the coordinated regulation between fatty acid oxidation and synthesis?
Increased NADH levels activate β-oxidation and inhibit lipogenesis by stimulating ACC.
Malonyl-CoA inhibits carnitine palmitoyltransferase I, preventing simultaneous oxidation and synthesis.
Fatty acid synthesis is favored when the AMP/ATP ratio is high due to AMPK activation.
β-oxidation and lipogenesis occur simultaneously under high insulin conditions.
During prolonged fasting, hepatic β-oxidation supports gluconeogenesis primarily by which of the following mechanisms?
Supplying acetyl-CoA as a direct carbon source for glucose synthesis.
Providing NADH and ATP required for gluconeogenic reactions.
Increasing cytosolic citrate, which activates phosphofructokinase-1.
Decreasing mitochondrial acetyl-CoA concentration, thereby activating pyruvate dehydrogenase.
Which of the following accurately describes the metabolic fate of odd-chain fatty acids during β-oxidation?
They yield only acetyl-CoA units throughout oxidation.
Propionyl-CoA is converted to succinyl-CoA via a biotin- and vitamin B₁₂–dependent pathway.
Propionyl-CoA directly enters glycolysis as pyruvate.
They cannot be oxidized in humans.
