Question 1
Question
Biosynthesis of cholesterol:
 
Answer
- 
occurs in mitochondria 
- 
occurs in cytosol 
- 
consumes hydrogen atoms in the form of NADPH 
- 
is accompanied with storage of energy in the form of ATP 
- 
requires a large quantity of ATP 
 
Question 2
Question 3
Question
The key enzyme of cholesterol biosynthesis is:
 
Answer
- 
Thiolase 
- 
HMG-CoA synthase 
- 
HMG-CoA reductase 
- 
Mevalonate kinase 
- 
Squalene synthetase 
 
Question 4
Question
The biosynthesis of triacylglycerols requires:
 
Answer
- 
phospholipase B 
- 
phospholipase D 
- 
cholesteryl ester molecules 
- 
phosphorylated triose (glycerol 3-phosphate) 
- 
fatty acids in the form of acyl-CoA 
 
Question 5
Question
Which of the following is true?
 
Answer
- 
Triacylglycerols are formed by acylation of triose phosphates 
- 
Triacylglycerols are hydrolyzed by lipases 
- 
Triacylglycerols are polymerized into glycogen 
- 
Triacylglycerols are storage lipids stored in adipose tissue 
- 
Triacylglycerols are degraded by acyl-CoA synthase 
 
Question 6
Question
Which of the following compounds is not a lipid?
 
Answer
- 
cholesterol 
- 
glycerol 
- 
triacylglycerol 
- 
sphingomyelin 
- 
phosphatidylcholine 
 
Question 7
Question
Which is the main apoprotein in LDL, recognized by the LDL receptors:
 
Answer
- 
Apo B-48 
- 
Apo E 
- 
Apo B-100 
- 
Apo C-II 
 
Question 8
Question
Which is the main regulatory enzyme in cholesterol biosynthesis:
 
Answer
- 
Thiolase 
- 
HMG-CoA reductase 
- 
HMG-CoA synthase 
- 
Mevalonate kinase 
 
Question 9
Question
Which of the following compounds are cholesterol derivatives:
 
Answer
- 
Bile acids 
- 
Vit. D3 
- 
steroid hormones 
- 
HMG-CoA 
- 
ketone bodies 
 
Question 10
Question
Which of the following is TRUE:
 
Answer
- 
oxidation of fatty acids occurs in mitochondria 
- 
oxidation of fatty acids occurs in cytosol 
- 
oxidation of fatty acids generates FADH2 and NADH 
- 
oxidation of fatty acids is catalyzed by a multifunctionai protein with seven enzyme activities 
 
Question 11
Question
Which of the following apoproteins activates lipoprotein lipase:
 
Answer
- 
Apo B-48 
- 
Apo E 
- 
Apo B-100 
- 
Apo C-II 
 
Question 12
Question
What is the effect of the following hormones on lipolysis‘?
 
Answer
- 
lipolysis is stimulated by adrenaline 
- 
lipolysis is inhibited by adrenaline 
- 
lipolysis is inhibited by insulin 
- 
lipolysis is stimulated by insulin 
 
Question 13
Question
Which of the following is TRUE:
 
Answer
- 
VLDL transport triacylglycerols from the liver to the extrahepatic tissues 
- 
VLDL deliver cholesterol to the tissues 
- 
LDL deliver cholesterol to the tissues 
- 
HDL remove cholesterol from the tissues and return it to the liver for excretion 
 
Question 14
Question
Which of the following is not true
 
Answer
- 
cholesterol is an essential structural component of cellular membranes 
- 
cholesterol is the precursor of steroid hormones, bile acids and vit D3 
- 
HMG-CoA synthase is the main regulatory enzyme in the pathway of cholesterol biosynthesis 
- 
HMG-CoA reductase activity is increased by insulin 
 
Question 15
Question
Which of the following substances are ketone bodies
 
Answer
- 
Acetone 
- 
Acetoacetate 
- 
Acetyl-CoA 
- 
Pyruvate 
- 
3-hydroxybutyrate 
 
Question 16
Question
Which of the following statements about LDL are true?
 
Answer
- 
contain only apo B-100 
- 
contain apo B-100 and apo E 
- 
they transport cholesterol from the extrahepatic tissues to the liver 
- 
they transport cholesterol from the liver to the extrahepatic tissues 
- 
they transport triacylglycerols from the liver to the extrahepatic tissues 
 
Question 17
Question
Which of the following statements about eicosanoids are FALSE?
 
Answer
- 
they are synthesized and secreted by separate glands 
- 
they have an escpecially fast metabolism 
- 
corticosteroids can block their production 
- 
thromboxanes are synthesized through the lipoxygenase pathway 
- 
derive only from the arachidonic acid 
 
Question 18
Question
Which of the following compounds is not a glycerophospholipid?
 
Answer
- 
Phosphatidylinositol 
- 
Phosphatidylserine 
- 
Lecithin 
- 
Ganglioside 
 
Question 19
Question
Which of the following statements about biosynthesis of fatty acids and B-oxidation are TRUE
 
Answer
- 
Acetyl-CoA, which serves as substrate for the synthesis, derives from B-oxidation 
- 
B-oxidation and lipogenesis are controlled reciprocally 
- 
Malonyl-CoA inhibits carnitine-palmitoyl transferase 2 and thus B-oxidation 
- 
Citrate is an activator of acetyl-CoA carboxylase 
 
Question 20
Question
Which of the following statements about ketone bodies are TRUE?
 
Answer
- 
Ketogenesis occurs when there is an increase in the level of free fatty acids 
- 
All ketone bodies serve as an energy fuel for the extrahepatic tissues 
- 
Acetone and B-hydroxybutirate serve as energy fuel but acetoacetate does not 
- 
Ketone bodies are physiologically present in blood but in a very low concentration 
- 
The abnormal increase in the concentration of ketone bodies can cause ketoacidosis 
- 
HMG-CoA synthase and HMG-CoA lyase are enzymes from the pathway of ketogenesis 
 
Question 21
Question
Which of the following about activation of free fatty acids is true?
 
Answer
- 
an enzyme, acetyl-CoA carboxylase, is needed 
- 
an enzyme, acyl-CoA synthetase, is needed 
- 
the enzyme is placed in inner mitochondrial membrane 
- 
the enzyme is placed in outer mitochondrial membrane 
- 
ATP is needed as energy donor 
 
Question 22
Question
Which of the following is true?
 
Answer
- 
long-chain fatty acids are oxidized in mitochondrial matrix 
- 
peroxisomes oxidize very long-chain fatty acids 
- 
β-oxidation leads to an activated energy consumption 
- 
oxidation of fatty acids produces large quantity of NADH and FADH2 which leads to large production of ATP 
- 
oxidation of fatty acids produces large quantity of NADPH, which leads to acceleration of anabolic processes 
 
Question 23
Question
Which of the following is true?
 
Answer
- 
NADPH for fatty acids biosynthesis is generated by the pentose phosphate pathway, mainly 
- 
NADPH is generated in the B-oxidation, mainly 
- 
hydrogen atoms, needed for reductive reactions in fatty acids biosynthesis, are produced by the respiratory chain 
- 
enzyme activities of the acyl synthase complex need NADPH 
- 
NADPH is also generated by the “malic” enzyme, placed in cytosol 
 
Question 24
Question
Which of the following is true?
 
Answer
- 
ketone bodies are the main energy source for skeletal muscles 
- 
ketone bodies are an alternative energy source for extrahepatic tissues 
- 
ketone bodies enter glycolysis after activation 
- 
higher than normal quantities of ketone bodies in blood cause a condition called ketosis 
- 
ketosis is mild in starvation but severe in diabetes mellitus 
 
Question 25
Question
HMG-CoA reductase
 
Answer
- 
is inhibited by lipids and cholesterol 
- 
is activated by phophorylation 
- 
insulin serves both as its activator but also as an inducer an gene level 
- 
in hypercholesterolaemia can be pharmologically affected by statins 
 
Question 26
Question
Which is the only one glucogenic metabolite from the free fatty acids metabolism
 
Answer
- 
acyl-CoA 
- 
acetyl-CoA 
- 
malonyl-CoA 
- 
propionyl-CoA 
 
Question 27
Question
Which of the following statements about acyl-CoA synthase are NOT TRUE?
 
Answer
- 
in mammals it is a multifunctional complex, organized as a hetrodimer 
- 
it functions together with acyl carrier protein, which contains 4-phosphopantethine as a prosthetic group 
- 
ketoacyl reductase uses NADH+H+ as a cofactor 
- 
the last enzyme is thioesterase 
 
Question 28
Question
Which of the following is TRUE:
 
Answer
- 
free fatty acids that arise from Iipolysis of triacylglycerol in adipose tissue are the precursors of ketone bodies 
- 
in starvation the insulin/glucagon ratio increases 
- 
ketosis is mild in starvation but severe in diabetes mellitus 
- 
ketogenesis occurs in the extrahepatic tissues 
 
Question 29
Question
Which of the following is TRUE:
 
Answer
- 
the biosynthesis of fatty acids (lipogenesis) occurs in the cytosol 
- 
in mammals the fatty acid synthase complex consists of three identical monomers 
- 
the main source of NADPH for the biosynthcsis of fatty acids is glycolysis 
- 
acetyl-CoA carboxylase is the main regulatory enzyme in lipogenesis 
 
Question 30
Question
Which of the following is TRUE:
 
Answer
- 
glycerol-3-phosphate and Acyl-CoA are required for the biosynthesis of triacylglycerols 
- 
glycerol kinase is active in muscle and adipose tissue 
- 
the degradation of triacylglycerols (lipolysis) is catalyzed by lipase 
- 
the hormone-sensitive lipase is activated by insulin 
 
Question 31
Question
Which of the following is TRUE:
 
Answer
- 
eicosanoids can be produced from arachidonic acid 
- 
the NSAIDs like aspirin, ibuprofen and indomethacin activate COX-1 and COX-2 
- 
arachidonic acid may be obtained from membrane phospholipids by the action of phospholipase A2 
- 
the cyclooxygenase pathway produces prostaglandins 
 
Question 32
Question
Which phospholipase is essential for initializing the biosynthesis of eicosanoids? 
 
Answer
- 
phospholipase A1 
- 
phospholipase A2 
- 
phospholipase C 
- 
phospholipase D 
 
Question 33
Answer
- 
is the degradation of fatty acids 
- 
is the degradation of triacylglycerols 
- 
occurs in the mitochondria 
- 
occurs in the cytoplasm 
- 
is activated by epinephrine and glucagon which dephosphorylate the hormone-sensitive lipase 
 
Question 34
Question
Which of the following enzymes do not participate in 	β-oxidation?
 
Answer
- 
HMG-CoA syntahse 
- 
Thiolase 
- 
Thioesterase 
- 
Acyl-CoA dehydrogenase 
- 
hydratase 
 
Question 35
Question
Which of the following is TRUE:
 
Answer
- 
the primary bile acids are synthesized in the liver from cholesterol 
- 
the primary bile acids enter the bile as serine or alanine conjugates 
- 
the bile acids emulsify dietary lipids in the small intestine and aid their digestion 
- 
the bile acids emulsify dietary carbohydrates 
 
Question 36
Question
Which of the following enzymes participate in β-oxidation 
 
Question 37
Question
Which of the following statements is TRUE
 
Answer
- 
the fatty acid synthase complex in mammals is a dimer of two identical monomers 
- 
the synthesis of fatty acids (lipogenesis) occurs in the cytosol 
- 
acetyl-CoA carboxylase requires pyridoxal phosphate as a cofactor 
- 
glucagon activates acetyl-CoA carboxylase by stimulating its phosphorylation 
 
Question 38
Question
HMG-CoA reductase:
 
Answer
- 
is inhibited by bile acids and cholesterol 
- 
is activated by phosphorylation 
- 
insulin serves both as its activator, but also as an inducer on gene level 
- 
in hypercholesterolaemia can be pharmocologically affected by statins 
 
Question 39
Question
Which of the following statements are FALSE?
 
Answer
- 
the levels of leptin in obesity are high and these of adiponectin- low 
- 
the higher HDL-cholesterol level is, the higher cardio-vascular risk is 
- 
a defect in LDL-receptors can cause hypercholesterolaemia 
- 
a deficiency in vitamin D in adults is called rickets 
- 
cholelithiasis can be caused by impaired ratio between cholesterol and bile acids as well as phospholipids in the gallbladder 
 
Question 40
Question
Hormone-sensitive lipase
 
Answer
- 
is the main regulatory enzyme in β-oxidation 
- 
is activated by cAMP-dependent protein kinase (PKA) 
- 
is inhibited by insulin- the activator of phosphodieterase 
- 
is inhibited by glucagon and the thyroid hormones 
- 
catalyzes the degradation of monacylglycerols to fatty acid and glycerol 
- 
functions in the mitochondria 
 
Question 41
Question
Which of the following compounds is not a phospholipid
 
Answer
- 
Phosphatidylcortisol 
- 
Phosphatidylcholine 
- 
Glycerol-3-Phosphate 
- 
1, 2 diacylglycerol 
 
Question 42
Question
Which of the following statements about chylomicrons are true?
 
Answer
- 
their specific apoprotein is Apo B-100 
- 
their specific apoprotein is Apo B-48 
- 
they transport cholesterol from the intestines to the extrahepatic tissues 
- 
they transport triacylglycerols from the intestines to the extrahepatic tissues 
- 
they transport triacylglycerols from the liver to the extrahepatic tissues 
 
Question 43
Answer
- 
are synthesized in the cytoplasm of the hepatocytes 
- 
can serve as energy source for the brain 
- 
their synthesis is increased after feeding 
- 
their synthesis is pathologically increased in diabetes mellitus 
- 
there is a correlation between their degradation and Krebs cycle 
 
Question 44
Question
How is acetyl-CoA carboxylase (ACC) regulated?
 
Answer
- 
it is inhibited by acetyl-CoA 
- 
it is inhibited by acyl-CoA 
- 
it is activated by dephosphorylation 
- 
it is activated by phosphorylation 
- 
It is regulated in a coordination with the pyruvate dehydrogenase complex 
 
Question 45
Answer
- 
can be degraded only in the peroxisomes of the liver cell 
- 
together with the phospholipids is an essential component of the cell membranes 
- 
is the precursor of ketone bodies 
- 
the only possible way of its excretion is through bile and bile acids 
- 
its synthesis is under strict hormonal control realized on the level of HMG-CoA synthase 
 
Question 46
Question
Which reactions can provide NADPH + H+, necessary both for the synthesis of fatty acids and cholesterol?
 
Answer
- 
α-ketoglutarate dehydrogenase complex 
- 
cytosolic isocitrate dehydrogenase 
- 
malic enzyme 
- 
malate dehydrogenase 
- 
pentose phosphate pathway