A 45-year-old man is brought to the emergency department by ambulance after vomiting blood. The patient reports that he only ate a small snack the morning before and had not eaten anything for over 24 hours. At the hospital, the patient is stabilized. He is admitted to a surgical floor and placed on NPO with a nasogastric tube set to intermittent suction. He has been previously diagnosed with liver cirrhosis. An esophagogastroduodenoscopy (EGD) has been planned for the next afternoon. At the time of endoscopy, some pathways were generating glucose to maintain serum glucose levels. Which of the following enzymes catalyzes the irreversible biochemical reaction of this process?
AGlucose-6-phosphate dehydrogenase
BGlycogen phosphorylase
CEnolase
DGlyceraldehyde-3-phosphate dehydrogenase
EFructose-1,6-bisphosphatase
An investigator is studying severely ill patients who experience hypoglycemia and ketonuria during times of fasting. The investigator determines that during these episodes, amino acids liberated from muscle proteins are metabolized to serve as substrates for gluconeogenesis. Nitrogen from this process is transported to the liver primarily in the form of which of the following molecules?
AGlutamate
Bα-ketoglutarate
CAlanine
DArginine
EPyruvate
A 24-year-old man presents for an annual check-up. He is a bodybuilder and tells you he is on a protein-rich diet that only allows for minimal carbohydrate intake. His friend suggests he try exogenous glucagon to help him lose some excess weight before an upcoming competition. Which of the following effects of glucagon is he attempting to exploit?
AIncreased glucose utilization by tissues
BDecreased blood cholesterol level
CIncreased hepatic gluconeogenesis
DIncreased lipolysis in adipose tissues
EIncreased hepatic glycogenolysis
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