A researcher is studying the properties of an enzyme that adds phosphate groups to glucose. She discovers that the enzyme is present in most body tissues and is located in the cytoplasm of the cells expressing the enzyme. She decides to mix this enzyme under subphysiologic conditions with varying levels of glucose in order to determine the kinetic properties of the enzyme. Specifically, she adds increasing levels of glucose at a saturating concentration of phosphate and sees that the rate at which glucose becomes phosphorylated gets faster at higher levels of glucose. She observes that this rate approaches a maximum speed and calls this speed Y. She then determines the concentration of glucose that is needed to make the enzyme function at half the speed Y and calls this concentration X. Which of the following is most likely true about the properties of this enzyme?
AHigh X and high Y
BLow X and infinite Y
CLow X and high Y
DLow X and low Y
EHigh X and low Y
A 45-year-old woman with type 1 diabetes mellitus is brought to the emergency department by her husband because of polyuria, nausea, vomiting, and altered mental status for 4 hours. On arrival, she is unconscious. Treatment with a drug is begun that increases glucose transport to skeletal muscle and adipose tissue. Which of the following cellular events is most likely to also occur in response to this drug?
ADephosphorylation of fructose-1,6-bisphosphatase
BIncreased activity of acyl-CoA dehydrogenases
CCleavage of UDP from UDP-glucose
DUpregulation of glucose transporter type 3 expression
EPhosphorylation of glycogen phosphorylase kinase
A 52-year-old man undergoes an exercise stress test for a 1-week history of squeezing substernal chest pain that is aggravated by exercise and relieved by rest. During the test, there is a substantial increase in the breakdown of glycogen in the muscle cells. Which of the following changes best explains this intracellular finding?
AActivation of phosphorylase kinase
BDecrease in protein kinase A
CInactivation of glycogen synthase kinase
DActivation of protein phosphatase
EIncrease in glucose-6-phosphate
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