Metabolic Pathways Quiz
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Questions and Answers

What is the consequence of fatty acids being oxidized in the liver with the inactivation of PDH?

  • Formation of fructose 6-phosphate
  • Conversion of pyruvate to acetyl CoA
  • Production of fructose 1,6-bisphosphate
  • Conversion of pyruvate to OAA (correct)

How is pyruvate carboxylase activated?

  • By the stimulation of glucagon
  • By the binding of acetyl CoA (correct)
  • By the phosphorylation of pyruvate
  • By the presence of NADH

What is a severe consequence of PEPCK deficiency?

  • Fatty infiltration of the liver and kidney
  • Optic atrophy (correct)
  • Hyperglycemia
  • Cerebral atrophy

What leads to the phosphorylation and inactivation of Pyruvate Kinase?

<p>Action of protein kinase A (B)</p> Signup and view all the answers

How is transcription of the gene encoding PEPCK stimulated?

<p>By glucocorticoid–protein complexes (C)</p> Signup and view all the answers

What induces increased production of PEPCK messenger RNA (mRNA)?

<p>Increased cAMP levels (D)</p> Signup and view all the answers

What is the consequence of deficient glucose 6-phosphatase activity in von Gierke disease?

<p>Intracellular accumulation of glucose 6-phosphate (C)</p> Signup and view all the answers

Which enzyme is responsible for converting pyruvate to phosphoenolpyruvate (PEP) in gluconeogenesis?

<p>Pyruvate carboxylase (D)</p> Signup and view all the answers

What is the main clinical feature associated with deficiency of PEPCK (phosphoenolpyruvate carboxykinase)?

<p>Lethargy and seizures (D)</p> Signup and view all the answers

What activates pyruvate carboxylase?

<p>Acetyl CoA (B)</p> Signup and view all the answers

Which enzyme is inhibited by glucagon via cAMP in the pathway shown?

<p>Pyruvate kinase (D)</p> Signup and view all the answers

What induces phosphoenolpyruvate carboxykinase (PEPCK) activity?

<p>Glucagon via cAMP (D)</p> Signup and view all the answers

What is a futile cycle in the context of gluconeogenesis?

<p>A cycle that continuously recycles substrates and products with a net consumption of energy and no useful result (D)</p> Signup and view all the answers

What effect does increased glucagon and decreased insulin have on fatty acids?

<p>Stimulates the release of fatty acids from adipose tissue (D)</p> Signup and view all the answers

Which enzyme catalyzes the conversion of pyruvate to oxaloacetate in gluconeogenesis?

<p>Pyruvate carboxylase (C)</p> Signup and view all the answers

What are the clinical features associated with PEPCK deficiency?

<p>Hypoglycemia and lactic acidosis (C)</p> Signup and view all the answers

Which enzyme is responsible for regulating the conversion of phosphoenolpyruvate to pyruvate in gluconeogenesis?

<p>PEPCK (C)</p> Signup and view all the answers

What is the effect of glucagon on the induction of PEPCK?

<p>Stimulation of PEPCK induction (A)</p> Signup and view all the answers

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