Navigating the Fed and Fasting States: Key Pathways, Enzymes, and Memorable Mnemonics

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This table includes a note about the enzyme activity in each state: State Hormone Pathway Enzymes Active Mnemonic Fed State Insulin Glycolysis Hexokinase, PFK-1, Pyruvate Kinase “Hungry Pandas Party” (HPP) Glycogenesis Glycogen Synthase “Glyco Savings” Fatty Acid Synthesis Acetyl-CoA Carboxylase, Fatty Acid Synthase “ACCelerate the Fats” Protein Synthesis Ribosomal enzymes “Ribs Build” Lipogenesis Lipoprotein Lipase […]

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Fatty acid metabolism – Case-based multiple-choice questions-set 2

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1. A 45-year-old patient presents to the clinic with significant weight loss and fatigue. Blood tests reveal elevated levels of epinephrine and glucagon. Given this clinical context, when these hormones bind to receptors on the adipose cell membrane, which of the following is NOT expected to occur? A. Fatty acids are activated, enter the mitochondria,

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“Differentiating Carnitine Deficiency and Enzyme Deficiencies in the Carnitine Shuttle: Clinical and Laboratory Insights”

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Clinical Case: A 6-year-old boy presents to the emergency department with episodes of severe muscle weakness, fatigue, and dark-colored urine after prolonged physical activity. His parents report that he often becomes weak during periods of fasting or intense exercise. Blood tests reveal elevated levels of fatty acylcarnitine and normal levels of free carnitine. Plasma analysis

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Fatty acid and Triglyceride synthesis- Case-based multiple-choice questions

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1. Which of the following TCA cycle intermediates plays a crucial role in de novo fatty acid synthesis by providing substrate and positively regulating the rate-limiting enzyme involved in fatty acid synthesis? A. Citrate B. Isocitrate C. Malate D. Oxaloacetate E. Succinate   Correct Answer: A. Citrate. Citrate plays a crucial role in de novo

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Glycogen Storage Diseases- Multiple Choice Questions

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1. A 3-month-old male infant presents with poor feeding, hypotonia, and cardiomegaly on physical exam. Blood tests reveal elevated lactate, uric acid, and creatine kinase levels. Echocardiogram demonstrates hypertrophic cardiomyopathy. A muscle biopsy shows excessive glycogen storage in lysosomes. Which enzyme deficiency is most likely responsible for this infant’s condition? A. Glucose-6-phosphatase B. Debranching enzyme

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Glycogen storage diseases with mnemonics to aid memorization

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A table summarizing the main glycogen storage diseases (GSDs) with enzyme defects, key clinical features, and mnemonics to aid memorization: Glycogen Storage Disease Enzyme Defect Key Clinical Features Mnemonic Type I: von Gierke Disease (GSD I) Glucose-6-phosphatase Severe fasting hypoglycemia, hepatomegaly, lactic acidosis, hyperlipidemia, hyperuricemia “von Gierke: ‘G6P’s Gone, Liver Left Low” Type II: Pompe

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Glycogen Metabolism- Multiple-Choice Questions with Complete explanations-Part-1

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1. Imagine you’re preparing for a long-distance marathon and need sustained energy throughout the race. Which of the following organs stores the maximum amount of glycogen that your body can use during prolonged exercise? A. Adipose tissue B. Cardiac muscle C. Kidney D. Liver E. Skeletal muscle   The correct answer is E. Skeletal muscle:

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Multiple-Choice Questions- HMP/Pentose phosphate pathway

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1. A researcher is investigating the effect of an enzyme whose reaction product is crucial for de novo fatty acid synthesis. Which of the following enzymes is most likely the focus of this study? A. Acyl CoA Dehydrogenase B. Glucose-6-Phosphatase C. Glucose-6-Phosphate Dehydrogenase (G-6PD) D. Lactate Dehydrogenase E. Phosphofructokinase-1 (PFK-1)   Correct Answer – C.

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