Carbohydrate Metabolism Practice Questions

Q: Which of the following GAG is not sulfated?

Hyaluronic acid. ***Hyaluronic acid*** - **Hyaluronic acid** is unique among glycosaminoglycans (GAGs) because it is the only one that is **not sulfated**. - It also distinguishes itself by being the only GAG that does **not form proteoglycans** and is not synthesized in the Golgi apparatus. *Chondroitin sulfate* - **Chondroitin sulfate** is a sulfated glycosaminoglycan that is a major component of the **extracellular matrix**, particularly in cartilage. - Its sulfate groups contribute to its **negative charge**, allowing it to attract water and provide resistance to compression. *Dermatan sulfate* - **Dermatan sulfate** is another sulfated GAG, found predominantly in the skin, blood vessels, and heart valves. - It contains **sulfate groups**, which are crucial for its interactions with various proteins and its role in tissue structure. *Keratan sulfate* - **Keratan sulfate** is a sulfated GAG found in the cornea, cartilage, and bone. - It is distinct from other GAGs due to its **lack of uronic acid** and the presence of sulfate groups.

Q: Which enzyme is primarily associated with the reduction of NADP+ to NADPH in the pentose phosphate pathway?

G6PD. ***G6PD*** - **Glucose-6-phosphate dehydrogenase (G6PD)** catalyzes the first committed step in the pentose phosphate pathway, converting **glucose-6-phosphate** to **6-phosphogluconolactone**. - This reaction involves the reduction of **NADP+ to NADPH**, making G6PD the primary enzyme for NADPH production in this pathway. *APDH* - **APDH (adenosine phosphosulfate reductase)** is involved in sulfur metabolism and has no direct role in the pentose phosphate pathway or NADPH production. - This enzyme primarily functions in prokaryotes for the **reduction of APS (adenosine 5'-phosphosulfate)**. *α-keto glutarate dehydrogenases* - **Alpha-ketoglutarate dehydrogenase** is a mitochondrial enzyme part of the **Krebs cycle**, converting **alpha-ketoglutarate to succinyl-CoA**. - This enzyme is crucial for ATP production and generates **NADH**, not NADPH, in its reaction. *None of the options* - This option is incorrect because **G6PD** is indeed the primary enzyme responsible for NADPH generation in the pentose phosphate pathway.

Q: Increased uric acid levels are seen in which glycogen storage disease ?

Type I (Von Gierke's disease). ***Type I (Von Gierke's disease)*** - In **Von Gierke's disease**, the deficiency of **glucose-6-phosphatase** leads to accumulation of glucose-6-phosphate in hepatocytes. - **Hyperuricemia** occurs due to: 1. **Increased purine degradation** - Metabolic stress leads to accelerated ATP breakdown and increased uric acid production 2. **Decreased renal excretion** - Lactic acidosis (from G6P → pyruvate → lactate) competitively inhibits uric acid secretion in renal tubules 3. **Enhanced purine synthesis** - Increased availability of ribose-5-phosphate from pentose phosphate pathway - Classic triad: **Hepatomegaly, hypoglycemia, and lactic acidosis with hyperuricemia** *Type II (Pompe disease)* - Caused by a deficiency of **acid alpha-glucosidase** (acid maltase), leading to glycogen accumulation in **lysosomes**. - Primarily affects the **heart**, **muscles**, and **liver**, but does not cause hyperuricemia. *Type IV (Andersen disease)* - Results from a deficiency of **glycogen branching enzyme**, leading to the formation of abnormal glycogen with long, unbranched chains. - Primarily affects the **liver** and **spleen**, causing cirrhosis and hepatic failure, but not hyperuricemia. *Type III (Cori disease)* - Caused by a deficiency of **glycogen debranching enzyme** (amylo-1,6-glucosidase), leading to abnormal accumulation of glycogen with short outer branches. - Presents with hepatomegaly, hypoglycemia, and muscle weakness, but **hyperuricemia is not a characteristic feature**.

Q: At which step in glycolysis is NADH produced during the oxidation of glyceraldehyde-3-phosphate?

Glyceraldehyde-3-phosphate dehydrogenase. ***Glyceraldehyde-3-phosphate dehydrogenase*** - This enzyme catalyzes the oxidation and **phosphorylation** of glyceraldehyde-3-phosphate, producing **1,3-bisphosphoglycerate**. - During this reaction, **NAD+ is reduced to NADH**, which is a crucial step for energy production. *Pyruvate kinase* - This enzyme catalyzes the final step of glycolysis, transferring a phosphate group from **phosphoenolpyruvate** to ADP, forming ATP and pyruvate. - This step involves **substrate-level phosphorylation** for ATP production, not NADH. *Enolase* - This enzyme catalyzes the dehydration of **2-phosphoglycerate** to form **phosphoenolpyruvate (PEP)**. - This reaction involves the removal of a water molecule and does not produce NADH. *PFK-1* - **Phosphofructokinase-1 (PFK-1)** catalyzes the phosphorylation of fructose-6-phosphate to **fructose-1,6-bisphosphate**. - This is an ATP-consuming and a crucial regulatory step in glycolysis, but it does not involve NADH production.

Q: Which carbohydrate is primarily metabolized by Aldolase-B?

Fructose. ***Fructose*** - **Aldolase B** is a key enzyme in the liver responsible for the metabolism of **fructose**, specifically cleaving **fructose-1-phosphate** into **dihydroxyacetone phosphate** and **glyceraldehyde**. - A deficiency in **Aldolase B** leads to **hereditary fructose intolerance**, causing an accumulation of **fructose-1-phosphate** after fructose ingestion. *Galactose* - **Galactose** is primarily metabolized by enzymes in the **Leloir pathway**, including **galactokinase** and **galactose-1-phosphate uridylyltransferase**. - **Aldolase B** plays no significant role in the metabolism of galactose. *Sucrose* - **Sucrose** is a disaccharide composed of **glucose** and **fructose**. - It is first broken down by **sucrase** in the small intestine into its constituent monosaccharides before they are metabolized further. *None of the options* - This option is incorrect because **fructose** is indeed a carbohydrate primarily metabolized by Aldolase-B. - The enzyme's specific role in fructose metabolism is well-established.

Q: Glucose is converted to glucuronate by which process?

Oxidation of the terminal alcohol group. ***Oxidation of the terminal alcohol group*** - **Glucuronate** is formed by the **oxidation of the C-6 carbon** (the terminal primary alcohol group) of glucose. - This process is crucial for the detoxification of various substances in the body, as glucuronate is a key component in **glucuronidation reactions**. *Oxidation of aldehyde group* - Oxidation of the **aldehyde group (C-1)** of glucose typically forms **gluconic acid**, not glucuronate. - Gluconate is derived from the oxidation of the first carbon, while glucuronate is derived from the oxidation of the last carbon. *Oxidation of both* - If both the aldehyde group (C-1) and the terminal alcohol group (C-6) of glucose were oxidized, it would result in the formation of **glucaric acid** (saccharic acid), not glucuronate. - Glucaric acid has two carboxyl groups, one at each end of the molecule. *None of the options* - This option is incorrect because the specific biochemical pathway for glucuronate formation involves the oxidation of the terminal alcohol group. - The conversion of glucose to glucuronate is a well-established metabolic process.

Q: Which of the following metabolites is involved in glycogenolysis, glycolysis and gluconeogenesis ?

Glucose-6-phosphate. ***Glucose-6-phosphate*** - In **glycogenolysis**, **glycogen phosphorylase** breaks down glycogen into **glucose-1-phosphate**, which is then converted into **glucose-6-phosphate** by **phosphoglucomutase**. - In **glycolysis**, **glucose-6-phosphate** is isomerized to **fructose-6-phosphate** by **phosphoglucose isomerase**, committing it to the glycolytic pathway. - In **gluconeogenesis**, **glucose-6-phosphate** is the final product formed from other precursors; it can then be dephosphorylated to free glucose by **glucose-6-phosphatase**. *Galactose-1-phosphate* - This is an intermediate specifically in **galactose metabolism**, not directly involved in the central common pathways of glycogenolysis, glycolysis, or gluconeogenesis. - It is converted to **glucose-1-phosphate** via the **Leloir pathway** (involving **galactose-1-phosphate uridylyltransferase**), which can then enter glycogen metabolism. *Uridine diphosphoglucose* - **UDP-glucose** is crucial for **glycogen synthesis** (**glycogenesis**), serving as the activated glucose donor. - It is not directly a metabolite in the catabolic process of glycogenolysis, nor is it a direct intermediate in glycolysis or gluconeogenesis. *Fructose-6-phosphate* - **Fructose-6-phosphate** is a key intermediate in **glycolysis** and **gluconeogenesis**, specifically downstream from **glucose-6-phosphate**. - However, it is not directly produced from glycogenolysis; **glucose-6-phosphate** is the direct link between glycogenolysis and glycolysis.

Q: What cofactor is required for the proper functioning of glucose-6-phosphate dehydrogenase?

NADP. ***NADP*** - **NADP+** (nicotinamide adenine dinucleotide phosphate) acts as the **electron acceptor** in the **glucose-6-phosphate dehydrogenase (G6PD)** reaction, becoming **NADPH**. - **NADPH** is crucial for maintaining the **redox balance** in cells, particularly in red blood cells, by reducing **oxidative stress**. *NAD* - **NAD+** (nicotinamide adenine dinucleotide) is a primary cofactor for many **dehydrogenase reactions** in catabolic pathways like **glycolysis** and the **Krebs cycle**. - It primarily functions as an electron acceptor in pathways that generate **ATP**, distinct from the role of **NADPH** in reductive biosynthesis and antioxidant defense. *FAD* - **FAD** (flavin adenine dinucleotide) is a coenzyme derived from **riboflavin (vitamin B2)** that is involved in various redox reactions, often in the form of **flavoproteins**. - Enzymes like **succinate dehydrogenase** in the electron transport chain utilize **FAD** as an electron acceptor, which is not the case for G6PD. *FMN* - **FMN** (flavin mononucleotide) is another coenzyme derived from **riboflavin**, structurally similar to FAD but lacking the additional adenosine monophosphate. - It participates in electron transfer reactions, particularly within **complex I** of the **electron transport chain**, but is not a cofactor for G6PD.

Q: Which tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?

Muscle. ***Muscle*** - Muscle tissue lacks the enzyme **glucose-6-phosphatase**, which is essential for hydrolyzing glucose 6-phosphate back to **free glucose**. - Therefore, glucose 6-phosphate in muscle is primarily used for **glycolysis** (energy production) or stored as glycogen for local use. *Liver* - The liver contains **glucose-6-phosphatase**, allowing it to convert **glucose 6-phosphate** to **free glucose**. - This capability is crucial for maintaining **blood glucose homeostasis** and releasing glucose into circulation. *Adipose tissue* - Adipose tissue, like muscle, **lacks glucose-6-phosphatase** and cannot convert glucose 6-phosphate back to free glucose. - Glucose 6-phosphate in adipose tissue is primarily channeled into **fatty acid synthesis** and storage. *Kidney* - The kidney, particularly the renal cortex, possesses **glucose-6-phosphatase** and can convert glucose 6-phosphate to **free glucose**. - This contributes to **gluconeogenesis** and release of glucose into the blood, especially during fasting.

Question 1

Which of the following GAG is not sulfated?

Accepted Answer

Hyaluronic acid

Answer

Keratan sulfate

Answer

Dermatan sulfate

Answer

Chondroitin sulfate

Question 2

Which enzyme is primarily associated with the reduction of NADP+ to NADPH in the pentose phosphate pathway?

Accepted Answer

G6PD

Answer

APDH

Answer

α-keto glutarate dehydrogenases

Answer

None of the options

Question 3

Increased uric acid levels are seen in which glycogen storage disease ?

Accepted Answer

Type I (Von Gierke's disease)

Answer

Type II (Pompe disease)

Answer

Type IV (Andersen disease)

Answer

Type III (Cori disease)

Question 4

At which step in glycolysis is NADH produced during the oxidation of glyceraldehyde-3-phosphate?

Accepted Answer

Glyceraldehyde-3-phosphate dehydrogenase

Answer

Pyruvate kinase

Answer

Enolase

Answer

PFK-1

Question 5

Which carbohydrate is primarily metabolized by Aldolase-B?

Accepted Answer

Fructose

Answer

Galactose

Answer

Sucrose

Answer

None of the options

Question 6

Glucose is converted to glucuronate by which process?

Accepted Answer

Oxidation of the terminal alcohol group

Answer

Oxidation of aldehyde group

Answer

Oxidation of both

Answer

None of the options

Question 7

Which of the following statements BEST describes the net ATP production in glycolysis?

Accepted Answer

Glycolysis produces a net gain of 2 ATP per glucose molecule

Answer

Glycolysis produces 2 molecules of pyruvate

Answer

Hexokinase consumes ATP during glycolysis

Answer

Aldolase catalyzes the conversion of fructose-1,6-bisphosphate into two three-carbon molecules

Question 8

Which of the following metabolites is involved in glycogenolysis, glycolysis and gluconeogenesis ?

Accepted Answer

Glucose-6-phosphate

Answer

Uridine diphosphoglucose

Answer

Fructose-6-phosphate

Answer

Galactose-1-phosphate

Question 9

What cofactor is required for the proper functioning of glucose-6-phosphate dehydrogenase?

Accepted Answer

NADP

Answer

NAD

Answer

FAD

Answer

FMN

Question 10

Which tissue cannot convert glucose 6-phosphate to free glucose due to lack of glucose-6-phosphatase?

Accepted Answer

Muscle

Answer

Liver

Answer

Kidney

Answer

Adipose tissue

Carbohydrate Metabolism — MCQs

Carbohydrate Metabolism — MCQs

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