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USMLE: Biochem Buzzwords Exam Questions With 100% Solved Correct Answers Latest Update

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USMLE: Biochem Buzzwords Exam
Questions With 100% Solved Correct
Answers Latest Update

What are the three posttranscriptional modifications? - ANSWER✔✔-1. 7-methyl

guanine cap on the 5' end


2. Addition of the poly(A) tail to the 3' end


3. Removal of introns


What AA is the major carrier of nitrogen byproducts from most tissues in the body? -

ANSWER✔✔-Glutamine


What two AAs have a pKa of 4? - ANSWER✔✔-Aspartic acid and glutamic acid


How many acetyl CoAs per glucose enter into the TCA cycle? - ANSWER✔✔-2 acetyl

CoA per glucose, producing 12 ATPs per acetyl CoA, resulting in a total 24 ATPs

produced from glucose (via acetyl CoA) enter the TCA cycle




COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1

,What topoisomerase makes ssDNA cuts, requires no ATP, relaxes supercoils (only

negative in prokaryotes, both for eukaryotes), and acts as the swivel in front of the

replication fork? - ANSWER✔✔-*Topoisomerase I (Relaxase)*


- what drugs inhibit this?


Autoantibodies targeted against type I topoisomerase are called anti-Scl-70 antibodies,

named by the association with scleroderma


-Drugs which poison Eukaryotic Topo I e.g. camptothecin, Topotecan


In Prokaryotes, what is the name of the RNA sequence that ribosomes bind to so

translation can occur? - ANSWER✔✔-Shine-Dalgarno sequence


Name the pattern of genetic transmission: both M and F are affected; M-to-M

transmission may be present; both parents must be carriers; the trait skips generations;

two mutant alleles are needed for disease; and affected children may be born of

unaffected adults? - ANSWER✔✔-Autosomal recessive


What factors are needed for translation in prokaryotes? - ANSWER✔✔-Elongation

factor-G and GTP


What three AAs must patients with maple syrup urine disease not eat? - ANSWER✔✔-

Isoleucine, leucine, and valine




COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2

,How many high-energy bonds are used to activate an AA? - ANSWER✔✔-2 ATPs, via

the amino acyl tRNA synthase enzyme


What water-soluble vitamin deficiency results in Pellagra? - ANSWER✔✔-Niacin (B3)


What glycolytic enzyme has a high Vmax, high Km, and low affinity for glucose? -

ANSWER✔✔-Glucokinase


How many ATPs are generated per acetyl coenzyme A (CoA)? - ANSWER✔✔-12 ATPs

per acetyl CoA that enter the tricarboxylic acid (TCA) cycle (Krebs cycle)


What cytoplasmic pathway produces NADPH and is a source of ribose 5-phosphate? -

ANSWER✔✔-HMP shunt


What is the main inhibitor of pyruvate dehydrogenase? - ANSWER✔✔-Acetyl CoA

(pyruvate to acetyl CoA)


Where on the Codon and Anticodon does the wobble hypothesis take place? -

ANSWER✔✔-3' end of the codon (third position) on mRNA and 5' end of the anticodon

(first position) on tRNA.


What DNA excision and repair enzyme is deficient in patients with xeroderma

pigmentosum? - ANSWER✔✔-Excision endonuclease, which removes thiamine dimers

from DNA


What form of bilirubin is carried on albumin? - ANSWER✔✔-Unconjugated (indirect)




COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 3

, What are the two Ketogenic AAs? - ANSWER✔✔-Leucine and lysine


Which organisms have polycistronic mRNA? - ANSWER✔✔-Prokaryotes. Polycistronic

and prokaryotes both start with P.


As what compound do the carbons for fatty acid synthesis leave the mitochondria? -

ANSWER✔✔-Citrate, via the citrate shuttle


What four substances increase the rate of gluconeogenesis? - ANSWER✔✔-1. Glucogon


2. NADH


3. Acetyl CoA


4. ATP


With what three enzymes is TPP associated? - ANSWER✔✔-1. alpha-Ketoglutarate

dehydrogenase


2. Pyruvate dehydrogenase


3. Transketolase


What test uses very small amounts of DNA that can be amplified and analysed without

the use of Southern blotting or cloning? - ANSWER✔✔-PCR


What approtein is required for the release of chylomicrons from the epithelial cells into

the lymphatics? - ANSWER✔✔-apo B-48




COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 4

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