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USMLE Step 1Biochem
DIT Biochem
137
Medical
Graduate
05/21/2010

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Cards

Term
What is the rate limiting step in purine synthesis?
Definition
glutamine-PRPP-amidotransferase
Term
What is the rate limiting step in pyrimidine synthesis?
Definition
CPS II (Carbamoyl-phosphate-synthetase)
Term
What pathway is CPS I involved in? CPS II?
Definition
CPS I: urea cycle
CPS II: pyrimidine synthesis
Term
What are the 3 carbon sources for purines?
Definition
CO2, THF, glycine
Term
What are the 2 carbon sources for pyrimidines?
Definition
CO2 and aspartate
Term
What 2 amino acids account for the positive charges of histones?
Definition
"LA is HIS TONE" lysine and arginine
Term
In which direction is DNA written, transcribed, etc?
Definition
5' --> 3'
Term
Whata are the pyrimidines? The purines?
Definition
Pyrimidines: C-U-T
Purines: GA
Term
Which medication? inhibits ribonucleotide reductase
Definition
hydroxyurea (antineoplastic)
Term
Which medication? inhibits IMP-dehydrogenase?
Definition
mycophenolate (immunosuppressant)
Term
Which medication? Inhibits PRPP synthetase
Definition
6-mercaptopurine
Term
What are 3 features of orotic aciduria? How is it inherited?
Definition
Autosomal Recessive. MEGALOBLASTIC ANEMIA, hight orotic acid in urine, failure to thrive
Term
Name 5 DNA Repair Defect diseases
Definition
1. Xeroderma pigmentosum
2. Ataxia-telangiectasia
3. Bloom's Syndrome
4. HNPCC
5. BRCA-1 and BRCA-2
Term
Which bonds are stronger C-G or A-T? Why?
Definition
C-G because they have a triple bond, whereas A-T has a single bond
Term
What DNA replication protein? creates nick in helix to receive supercoils during replication
Definition
topoisomerase/gyrase
Term
What DNA replication protein? unwinds DNA template at replication fork
Definition
helicase
Term
What are the 3 mRNA stop codons?
Definition
UAG, UGA, UAA
Term
Which RNA polymerase makes rRNA? mRNA? tRNA?
Definition
rmt...I, II, III
Term
Which medication inhibits prokaryotic RNA polymerase?
Definition
rifampin
Term
Which medication bind the 30s subunit which in turn prevents the attachment of aminoacyl-tRNA?
Definition
tetracyclines
"can't transfer w/out a tricycle"
Term
Which medication inhibits formation of the initiation complex and causes misreading of mRNA?
Definition
aminoglycosides
"don't start w/ a mean guy"
Term
Which medication inhibits 50S peptidyltransferase?
Definition
Chlorampenicol
"PEPper your RAM meat"
Term
Which 3 medications bind 50s and block translocation?
Definition
Macrolides, clindamycin, linezolid
"Can't TRANSLOCATE cLINDA w/ a MACk truck in your LINE"
Term
What are the 3 mechanisms cells employ to break down proteins?
Definition
1. ubiquitin
2. lysosomes
3. Ca2+ dependent
Term
What enzyme catalyzes peptide bond formation during protein synthesis?
Definition
Ribosomal rRNA (aka. "ribozyme")
Term
What are the 3 steps involved in processing DNA before it leaves the nucleus?
Definition
1. Capping on the 5' end (7-methylguanosine)
2. Polyadenylation on 3' end
3.splicing out introns
Term
What are the 2 characteristic sequences of the promotor region
Definition
TATA (-25)
CAAT (-75
Term
What amino acid frequently has more coding sequences in the mRNA than are represented in the peptide than that is created from that mRNA
Definition
methionine
Term
What Autosomal Dominant dz? assoc'd w/ floppy mitral valve, dissecting aortic aneurysm, berry aneurysm
Definition
Marfan's
Term
What Autosomal Dominant dz? assoc'd w/ mitral valve prolapse, liver dz, and berry aneurysms
Definition
ADPKD
Term
What Autosomal Dominant dz? neural tumors and pigmented iris hamartomas
Definition
neurofibromatosis type I
Term
What autosomal dominant dz? very strong association with colon cancer
Definition
APC
Term
What autosomal dominant dz? Assoc'd w/ MI before age 20
Definition
Familial hypercholesterolemia Type II
Term
What autosomal dominant dz? Hamangioblastomas of retina/cerebellum/medulla
Definition
Von hippel lindau
Term
What autosomal dominant dz? increased MCHC, hemolytic anemia
Definition
hereditary spherocytosis
Term
What autosomal dominant dz? bilateral acoustic neuroma
Definition
neurofibromatosis II
Term
What autosomal dominant dz? facial lesions, seizure d/o, cancer risk
Definition
Tuberus sclerosis
Term
What autosomal dominant dz? caudate atrophy, dementia
Definition
Huntington's dz
Term
What autosomal dominant dz? cystic medial necrosis of the aorta
Definition
Marfan's
Term
What autosomal dominant dz? defect of fibroblast growth factor (FGF) receptor 3
Definition
achondroplasia
Term
What is the pneumonic for X-linked diseases? What does it stand for?
Definition
"BOLD FH Girls Win Hearts"....Bruton's, Optic albinism, Lesch-Nyhan, Duchenne/becker MD, Fabry's, Hunter's, G6PD, Wiskott-Aldrich, Hemophilia A and B
Term
What are the Autosomal Recessive dz's?
Definition
"Thal has salty white sphingers and sick heme storage"...Thalassemias, CF, Albinism, sphigolipidoses, SS anemia, hemochromatosis, glycogen storage dz
Term
Which lysosomal storage dz is assoc'd w/ renal failure?
Definition
Fabry's dz
Term
What are the only 2 X-linked recessive lysosomal storage dz's?
Definition
Fabry's and Hunter's
Term
What is the most common lysosomal storage dz?
Definition
Gaucher's dz
Term
Which 3 lysosomal storage dz's are assoc'd w/ early death (usually by age 3)?
Definition
1. Tay-sach's
2. Niemann Pick
3. Krabbe's
Term
Which lysosomal storage dz is a demyelinating dz?
Definition
Metachromatic leukodystrophy
Term
Corneal clouding and/or mental retardation? Hunter's dz
Definition
"He needs to see clearly to hunt"
Yes MR, No corneal clouding
Term
Corneal clouding and/or mental retardation? Hurler's
Definition
"Everything bad is HURLED at him"
Yes MR, Yes corneal clousing
Term
Corneal clouding and/or mental retardation? Scheie's
Definition
"SHE can't see, but she's smart"
No MR, Yes corneal clouding
Term
Corneal clouding and/or mental retardation? I-cell dz
Definition
"the I's (eyes) are definitely affected"
Yes corneal clouding, maybe MR
Term
Deficient enzyme of what lysosomal storage dz? alpha-L-iduronidase
Definition
"SHE HURLEd theĀ ALabama ID" Scheie and Hurler
Term
Deficient enzyme of what lysosomal storage dz? Iduronate sulfatase
Definition
"HUNTING ID is bad around sulfur ponds"
Hunter's
Term
Deficient enzyme of what lysosomal storage dz? arylsulfatase A
Definition
"Ary has a colorful personality"
Metachromatic leukodystrophy
Term
Deficient enzyme of what lysosomal storage dz? Galactocerebrosidase (galactocerebroside accumulates)
Definition
"Intergalactic krabs"
Krabbe's dz
Term
Deficient enzyme of what lysosomal storage dz? beta-glucocerebrocidase (glucocerebroside accumulates)
Definition
Glucose--Gaucher's
Gaucher's dz
Term
Deficient enzyme of what lysosomal storage dz? hexosaminidase
Definition
HEX--SAX
Tay-Sachs
Term
Deficient enzyme of what lysosomal storage dz? Sphingomyelinase
Definition
"Neimann picks w/ his sphinger"
Neimann Pick's Dz
Term
Which lysosomal storage dz? characterized by an accumulation of GM2 ganglioside
Definition
Tay-Sachs
Term
Which lysosomal storage dz? characterized by an accumulation of dermatin sulfate
Definition
"SCHEIE HUNTS for and HURLS herself at DERMATologists"
Hurler's, Hunter's, Scheie
Term
Which 3 lysosomal storage dzs are particularly prevalent among Ashkenazi Jews?
Definition
1. Tay-Sachs
2. Niemann Pick
3. Gaucher's
Term
Which lysosomal storage dz has characteristic "crinkled paper cytoplasm"?`
Definition
Gaucher's dz
Term
What is the differential for cherry red spot on macula? (3)
Definition
Tay-sachs, Niemann Picks, Central retinal A occlusion
Term
What is I-cell disease a deficiency of? What is the normal fxn of this entity?
Definition
It is a deficiency of mannose phosphorylation. Mannose-6-phosphate is necessary to target lysosomal proteins (ie. lysosomes don't work anymore)
Term
What is the probability that a female heterozygous for an x-linked dz will pass it on to her son?
Definition
50%
Term
What is the difference between a southern blot and a northern blot
Definition
Southern blot: DNA probe for DNA
Northern blot: DNA probe for RNA
Term
What is the first step in the signaling cascade that is initiated by tyrosine kinase receptors?
Definition
autophosphorylation
Term
What protein is involved in transporting an endocytosed vesivle from the plasma membrane to the endosome?
Definition
clathrin
Term
What molecule targets proteins in the endoplasmic reticulum for lysosomes? Which dz is caused by a deficiency of this?
Definition
Mannose-6-phosphate (I-Cell dz if deficient phosphorylation)
Term
Which arachidonic acid product? increased bronchial tone (2)
Definition
leukotrienes and thromboxane
Term
Which arachidonic acid product? decreased bronchial tone (2)
Definition
prostacyclin and prostaglandin
Term
Which arachidonic acid product? increased platelet aggregation
Definition
thromboxane
Term
Which arachidonic acid product? decreased platelet aggregation
Definition
prostacyclin
Term
Which arachidonic acid product? increased uterine tone
Definition
prostaglandins
Term
Which arachidonic acid product? decreased uterine tone
Definition
prostacyclin
Term
Which arachidonic acid product? increased vascular tone
Definition
thromboxane
Term
Which arachidonic acid product? decreased vascular tone (2)
Definition
prostaglandin and prostacyclin
Term
What are the 2 most abundant substances in the plasma membrane?
Definition
cholesterol and phospholipids
Term
What provides the structural framework for DNA and the nuclear envelope
Definition
"LAMINates the nucleus"
Nuclear lamins A, B, C
Term
What are the 4 steps of leukocyte extravasation?
Definition
1. Rolling (selectins)
2. Binding (ICAMS)
3. Diapedesis (PCAMS)
4. Migration
Term
Who are the "bouncers" of the nucleus?
Definition
Nuclear localization signals
Term
What are the 2 main anti-apoptotic signals of the intrinsic pathway?
Definition
Bcl-2 and Bcl-x
Term
What is the main mediator of the extrinsic apoptotic pathway?
Definition
FADD--"Fas-Associated Death Domain"
Term
Mutated nuclear lamins are associated with what 2 diseases?
Definition
Progeria and Muscular dystrophy
Term
What is the rate determining enzyme? glycolysis
Definition
PFK-1
Term
What is the rate determining enzyme? glucogeogenesis
Definition
fructose-1,6-bisphosphatase
Term
TCA cycle
Definition
isocitrate dehydrogenase
Term
What is the rate determining enzyme? glycogen synthesis
Definition
glycogen synthase
Term
What is the rate determining enzyme? glycogenolysis
Definition
glycogen phosphorylase
Term
What is the rate determining enzyme? HMP shunt
Definition
G6PD
Term
What is the rate determining enzyme? de novo pyrimidine synthesis
Definition
CPS II (Carbamoyl phosphate synthetase II)
Term
What is the rate determining enzyme? de novo purine synthesis
Definition
Glutamine-PRPP-amidotransferase
Term
What is the rate determining enzyme? urea cycle
Definition
CPS I (Carbamoyl phosphate synthetase I)
Term
What is the rate determining enzyme? Fatty acid synthesis
Definition
Acetyl-CoA Carboxylase (ACC)
Term
What is the rate determining enzyme? fatty acid oxidation/ beta-oxidation
Definition
Carnitine acyltransferase I
Term
What is the rate determining enzyme? Ketogenesis
Definition
HMG-CoA synthase
Term
What is the rate determining enzyme? Cholesterol synthesis
Definition
HMG-CoA reductase
Term
What is the rate determining enzyme? Bile acid synthesis
Definition
7-alpha-hydroxylase
Term
What is the rate determining enzyme? heme synthesis
Definition
delta-aminolevulinic acid synthase
Term
What are the 3 major regulatory enzymes of the citric acid cycle?
Definition
1. citrate synthase
2. isocitrate dehydrogenase
3. alpha-ketoglutarate
Term
What is the activated carrier for CO2?
Definition
biotin
Term
What is the activated carrier for glucose?
Definition
Fructose-1,6-bisphosphatase
Term
What is the activated carrier for one-carbon units?
Definition
tetrahydrofolate
Term
What is the activated carrier for acyl? (2)
Definition
CoA and lipoamide
Term
How many ATP are generated during aerobic metabolism via the malate-aspartate shuttle (heart and liver)? Via the glycerol-3-phosphate shuttle (muscle)?
Definition
Malate: 32
Glyc: 30
Term
How many ATP are generated during anaerobic metabolism?
Definition
2 ATP and lactate
Term
Name the 4 potential products of pyruvate
Definition
"LOAA"...Lactate, OAA, Acetyl CoA, Alanine
Term
Name the 4 irreversible enzymes of gluconeogenesis
Definition
1. Pyruvate carboxylase
2. PEP carboxykinas
3. glucose-6-phosphatase
4. Fru-1,6-bisphosphatase
Term
What is the primary energy source in a patient who has not eaten in 2 days?
Definition
fatty acids
Term
A woman commonly develops intense muscle cramps and darkening of her urine after exercise. What is the dx?
Definition
McArdle's dz
Term
In addition to substrates, what vitamin is required by all aminotransferases?
Definition
pyridoxal phosphate (f/ B6)
Term
What amino acids are the 2 main carriers of nitrogen from tissues?
Definition
alanine and glutamine
Term
Which glycogen storage dz? glycogen phosphorylase deficiency
Definition
Mcardle's
Term
What are the 4 main glycogen storage diseases?
Definition
"Very Poor Carbohydrate Metabolism"... Von Gierke, Pompe's, Cori, McArdle
Term
Which glycogen storage dz? glucose-6-phosphatase deficiency
Definition
Von Gierke
Term
Which glycogen storage dz? lactic acidosis, hyperlipidemia, hyperuricemia (gout)
Definition
von gierke
Term
Which glycogen storage dz? alpha-1,6-glucosidase deficiency
Definition
Cori's
Term
Which glycogen storage dz? alpha-1,4-glucosidase activity
Definition
Pompe
Term
Which glycogen storage dz? cardiomegaly
Definition
Pompe's
Term
Which glycogen storage dz? severe hepatomegaly, enlarged kidneys
Definition
von gierkes
Term
NAD+ vs NADPH: Which is used in catabolic processes and which in anabolic processes?
Definition
Catabolic: NAD
Anabolic: NADP
Term
Hexokinase vs glucokinase: Which one is found in the liver? Which one has high capacity and low affinity?
Definition
glucokinase
Term
What 4 processes is NADPH utilized in?
Definition
1. Anabolic (steroids, FA synthesis)
2. Respiratory burst (phagolysosomes)
3. P-450
4. Glutathione reductase
Term
What enzyme results in feedback inhibition of hexokinase?
Definition
glucose-6-phosphate
Term
Which glycolytic enzyme deficiency is the most common cause of hemolytic anemia?
Definition
pyruvate kinase
Term
What are the 5 required cofactors of the pyruvate dehydrogenase complex (and alpha-ketoglutarate)?
Definition
"TLC For None"...TPP, Lipoic acid, CoA, FAD, NAD
Term
Which component of the pyruvate dehydrogenase complex is inhibited by arsenic?
Definition
lipoic acid
Term
What are the only 2 purely ketogenic amino acids?
Definition
Lysine and Leucine
Term
What are the 4 irreversible enzymes of glucogeogenesis?
Definition
"Pathway Produces Fresh Glucose"...Pyruvate carboxylase, PEP carboxykinase, Fructose-1,6-bisphosphatase, Glucose-6-phosphatase
Term
What is the rate limiting enzyme of the HMP shunt?
Definition
Glucose-6-P Dehydrogenase (G6PD)
Term
What is the inheritance pattern of G6PD?
Definition
X-linked recessive
Term
What are the 2 histological cell form clues that are associated w/ G6PD deficiency?
Definition
Heinz bodies and bite cells
Term
Fructose intolerance is a result of a deficiency of what enzyme?
Definition
Aldolase B
Term
What is the deficient enzyme in fructosuria?
Definition
fructokinase
Term
What is the deficient enzyme in classic galactosemia?
Definition
galactose-1-phosphate UDP
Term
How are the disorders of fructose and galactose metabolism inherited?
Definition
Autosomal recessive
Term
What are the 4 essential glucogenic amino acids?
Definition
MET, VAL, HIS, ARG
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