BUNDLE 2026 FULL QUESTIONS AND
CORRECT ANSWERS STUDY GUIDE
GRADED A+
⩥Which of the following enzymes is correctly paired with its activator?
Answer: N-acetylglutamate synthatase; arginine
⩥The urea cycle takes place in which of the following subcellular
locations?
Answer: the cytosol and the mitochondria
⩥Which of the following enzymes is regulated by N-acetylglutamate
(NAGs)?
Answer: CPS I
⩥Which of the following enzymes is the regulatory step in the urea
cycle?
Answer: Carbamoyl phosphate synthetase I (CPS I)
⩥Which of the following statements is consistent with nitrogen transport
in the fasted state?
,Answer: The urea cycle will be active
⩥A comatose infant is brought to the ER. In the course of the
examination, plasma ammonia was found to be elevated 20-fold over
normal values. Urine orotic acid and uracil were both greater than
normal. A defect of which of the following enzymes is the most likely
diagnosis?
Answer: Ornithine transcarbamoylase
⩥Your patient presents with a deficiency of the enzyme that catalyzes
synthesis of N-acetylglutamate (NAGs). Which of the following would
be a consequence of this deficiency in the patient?
Answer: Increased amino acids in the blood
⩥The cellular uptake of LDL increases intracellular cholesterol levels.
This has which of the following impacts on de novo cholesterol
synthesis?
Answer: Increases degradation of HMG-CoA reductase
⩥Dietary cholesterol is primarily transported in the body by which of
the following lipoproteins?
Answer: Chylomicron
,⩥Secondary bile salts are generated by bacterial modification of primary
bile salts in the intestinal lumen. These modifications have which of the
following impacts on bile salt solubility?
Answer: Decrease solubility
⩥A 47-year-old male is prescribed a statin (HMG-CoA reductase
inhibitor) to manage his elevated LDL cholesterol. What is the initial
mechanism of action for obtaining the desired effect in this man?
Answer: Decreasing hepatic cholesterol biosynthesis
⩥A deficiency in the LDL receptor will result in an initial decrease in
which of the following?
Answer: Intracellular cholesterol
⩥A 45-year-old man has a mild heart attack and a history of vascular
disease. He is placed on a Mediterranean diet and statin drug therapy.
Which of the following will be the most likely result of this drug
therapy?
Answer: Low blood LDLs
⩥A 45-year-old man is found to have an elevated serum triglycerides of
> 730mg/dL. He tells you he forgot to fast before his visit and he ate a
full breakfast of bacon and eggs before the labs were drawn. Which of
the following lipoproteins would be the largest contributors to a
measurement of plasma triglycerides in this situation?
, Answer: Chylomicrons and VLDLs
⩥In the reaction catalyzed by cholesterol ester transfer protein (CETP),
the VLDL particle receives which of the following compounds from
HDL particles?
Answer: Cholesterol-ester
⩥In reverse cholesterol transport HDL interacts with the ABCA1
transporter to move cholesterol from the cell to the HDL. This also
requires the activity of which of the following enzyme?
Answer: Lecithin cholesterol acyltransferase (LCAT)
⩥HDL particles interact with VLDL particles to exchange cholesterol
ester for triacylglyerols. Which of the following enzymes is responsible
for this process?
Answer: Cholesterol ester transfer protein (CETP)
⩥Which of the following is a major source of extracellular cholesterol
for human tissues?
Answer: LDLs
⩥An individual is suspected of having a deficiency in branched chain
keto acid dehydrogenase. Supplementation of which of the following
vitamins or cofactors may help resolve this issue?