Biochemistry Questions: Amino Acids, Porphyries, and Urea Cycle

  1. Proteins that may be absorbed by the intestine are:

    b. Maternal antibodies in newborns

  2. Sources of amino acids in the body include:

    1. Degradation of body protein
    2. Synthesis of nonessential amino acids
    3. Dietary proteins
  3. Enzymes Secreted by Organs

    Match the organs (a-d) with the enzymes (A-E) they secrete:

    1. Organs:
      1. Stomach: D
      2. Small intestine: E
      3. Liver: (No enzyme listed)
    2. Enzymes:
      1. Trypsin – A
      2. Carboxypeptidase A – B
      3. Elastase (No letter)
      4. Pepsin (No letter)
      5. Alanine aminopeptidase (No letter)
  4. Mark the WRONG sentence about the source of ammonia:

    a. The formation of ammonia from urine is linked to the action of ukase (This statement is likely incorrect and requires verification)

  5. The correct level of serum ammonia is:

    a. 5-50 μmol/L

  6. Completely glucogenic amino acids are:

    e. Valine, Aspartate, Cysteine

  7. Phenylketonuria (PKU) is caused by a deficiency of:

    a. Phenylalanine hydroxylase

  8. Phenylketonuria (PKU) – True or False

    Mark True (T) or False (F) for the following statements about phenylketonuria:

    a. Symptoms of the disease are: mental retardation, deficiency of pigmentation, seizures, failure to walk and talk

    T/F

    b. Is characterized by the accumulation of tyrosine

    T/F

    c. Symptoms of the disease appear in old age

    T/F

  9. A newborn has milky skin, white hair, and red-appearing eye color. This disorder most often results from a defect in which of the following enzymes?

    d. Tyrosinase

  10. Mark the WRONG answer:

    e. Histidine is a precursor of alanine

  11. Mark the TRUE answer about porphyries:

    a. Porphyries are defects in heme synthesis

  12. This is an X-linked, recessive disorder associated with a deficiency of hypoxanthine-guanine phosphoribosyltransferase (HGPRT) and results in the excessive production of uric acid. The name of the disease is:

    b. Lesch-Nyhan syndrome

  13. The most common genetic error of amino acid transport is:

    c. Cystinuria

  14. Mark the correct answer about jaundice:

    d. Obstructive jaundice may be caused by a hepatic tumor

  15. Complete the sentence:

    a. Degradation of hemoproteins occurs in the liver and spleen.

  16. A 3-month-old boy of French-Canadian ancestry is seen by the pediatrician for failure to thrive and poor appetite. A physical exam denotes hepatomegaly and yellowing of the eyes. The boy had been vomiting and had diarrhea, and a distinct cabbage-like odor was apparent. This disorder is due to a defect in the metabolism of which of the following amino acids?

    c. Tyrosine

  17. A model presents the structure of: Adenine

  18. Homocystinuria – True or False

    Mark True (T) or False (F) for the following statements about homocystinuria:

    a. Is characterized by red patches on the skin, skeletal abnormalities (long, thin arms and legs), premature arterial disease, displaced lens, and reticular hypotonia

    T/F

    b. Is caused by a defect in tyrosine synthase

    T/F

    c. Methionine is elevated in the blood and urine

    T/F

    d. Can be treated by supplementation with vitamin B6

    T/F

  19. Maple Syrup Urine Disease – True or False

    Mark True (T) or False (F) for the following statements about maple syrup urine disease:

    a. Is an autosomal recessive disorder

    T/F

    b. A characteristic cabbage-like odor occurs

    T/F

    c. No clinical symptoms are present

    T/F

  20. Alkaptonuria – True or False

    Mark True (T) or False (F) for the following statements about alkaptonuria:

    a. Dark pigment in urine

    T/F

    b. Deficiency in homogentisic acid oxidase

    T/F

    c. Usually no clinical symptoms are present until later in life

    T/F

    d. Treatment diet low in phenylalanine and tyrosine

    T/F

  21. Mark the correct answer:

    a. AMP is a ribonucleotide phosphate

  22. Mark the correct answer about inhibitors of purine synthesis:

    1. Sulfonamides inhibit bacterial synthesis of folic acid
    2. Analogs of folic acid inhibit the formation of tetrahydrofolate
    3. Answers a and b are correct
  23. As a final result of the urea cycle are formed:

    d. Urea, 2 ADP, 3H2O

  24. On the scheme (next page), give the names for compounds:

    1. Urea
    2. Carbamoyl phosphate
    3. L-aspartate
    4. Fumarate
  25. On the scheme (next page), mark [use *] the stages where ATP is hydrolyzed

    1. Carbamoyl phosphate synthetase I: this enzyme uses 2 ATP for the reaction in the mitochondria
    2. Argininosuccinate synthetase: this enzyme uses 1 ATP and degrades it to AMP and pyrophosphate