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USMLE step 1 – Biochemistry Exam Questions With Correct Answers $12.49   Add to cart

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USMLE step 1 – Biochemistry Exam Questions With Correct Answers

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©THEBRIGHT EXAM STUDY SOLUTIONS 8/19/2024 2:07 PM cherry macula, neurodegeneration, foam cells, hepatomegaly - answerniemann-pick (sphyngomyelin) cherry macula, neurodegenration, lysosomes with onion skin, NO hepatisplenomegaly - answertay-sachs (GM2 ganglioside) causes of albinism - answerty...

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  • August 29, 2024
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©THEBRIGHT EXAM STUDY SOLUTIONS 8/19/2024 2:07 PM



USMLE step 1 – Biochemistry Exam
Questions With Correct Answers

Infant with somnolence, vomiting, cerebral edema, decreased BUN, hyperammonemia -
answer✔✔ornithine transcarbamoylase deficiency

infantile cataracts, doesn't track objects, absent social smile - answer✔✔galactokinase deficiency

infantile cataracts, hepatomegaly, jaundice, failure to thrive - answer✔✔uridyltransferase
deficiency

causes of Down syndrome - answer✔✔1) meiotic nondisjunction (95%)
2) unbalanced robertsonian translocation (extra arm on Ch 21)
3) mosaic trisomy 21

treatment of hyperammonemia (HCV, urea cycle deficiency) - answer✔✔limit protein in diet
benzoate, phenylbutarate (bind a.a.'s, increased aa exretion)
actulose (acidify GI tract, trap NH4 for excretion)

effect of hyperammonemia on metabolism - answer✔✔decreased alpha ketoglutarate, inhibiting
TCA cycle

Tay-Sach's (enzyme, accumulated substance) - answer✔✔hexosaminidase, GM2 ganglioside

metachromatic leukodystrophy (enzyme, accumulated substance) - answer✔✔arylsulfatase,
cerebroside sulfate

fabry's (enzyme, accumulated substance) - answer✔✔alpha-galactosidase, ceramide trihexoside

krabbe's (enzyme, accumulated substance) - answer✔✔beta-galactocerebrosidase,
galactocerebroside

gauche's (enzyme, accumulated substance) - answer✔✔glucocerebrosidase, glucocerebroside

niemann-pick - answer✔✔sphingomyelinase, sphingomyelin
hepatosplenomegaly, aseptic necrosis of femur, bone crises, macrophages that look like
crumpled tissue paper - answer✔✔Gaucher's sphingolipidosis (glucocerebroside accumulation)

, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/19/2024 2:07 PM
cherry macula, neurodegeneration, foam cells, hepatomegaly - answer✔✔niemann-pick
(sphyngomyelin)
cherry macula, neurodegenration, lysosomes with onion skin, NO hepatisplenomegaly -
answer✔✔tay-sachs (GM2 ganglioside)

causes of albinism - answer✔✔tyrosine transporter defect
tyrosine hydroxylase deficiency
lack of migration of neural crest cells (melanocytes)

where do preganglionic parasympathetic neurons originate? - answer✔✔nuclei of cranial nerves
sacral spinal cord (S2-S4)

where do preganglionic sympathetic neurons originate? - answer✔✔thoracolumbar spinal cord
(T1-L3)

arginine derivatives - answer✔✔creatine
urea (urea cycle intermediate)
NO

glutamate derivatives - answer✔✔GABA
glutathione

snRNPs - answer✔✔combine with pre-mRNA in nucleus to form spliceosome to remove introns
what must happen in the nucleus so that 7-methylguanosine can be added to RNA in the cytosol?
- answer✔✔5' capping

what is the purpose of the mRNA 3' poly-A tail? - answer✔✔export of mRNA from the nucleus
protection from enzymatic degradation in the cytoplasm

infant with coarse facial features, clouded corneas, restricted joint movement - answer✔✔I cell
disease: failure of mannose phosphorylation of lysosome proteins in cis golgi --> lysosomal
enzymes are secreted outside the cell instead of sent to lysosome

mitochondrial DNA structure - answer✔✔double stranded circular

ligand-gated ion channels - answer✔✔GABA (Cl-)
glutamate (NMDA/Ca), AMPA/Na)
Ach at NMJ (Nm/Na, K)

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