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USMLE STEP 1- BIOCHEMISTRY UPDATED STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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USMLE STEP 1- BIOCHEMISTRY UPDATED STUDY GUIDE QUESTIONS AND CORRECT ANSWERSUSMLE STEP 1- BIOCHEMISTRY UPDATED STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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USMLE STEP 1- BIOCHEMISTRY UPDATED STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS

Histones are rich in which 2 amino acids? Lysine
Arginine


What histone protein is responsible for binding to the H1
nucleosome and to the "linker" DNA thereby stabilizing
the chromatin fiber?


When does DNA and histone synthesis occur in the cell S-phase
cycle?


Will the following be increased or decreased or neutral methylation increased
in heterochromatin? acetylation decreased


methylation
acetylation


Which two bases are methylated in DNA replication on Cytosine
the template strand in prokaryotes? Adenine


(Protip: this is done so the mismatch repair enzymes can distinguish between
old and new strands)


Where does DNA methylation occur in eukaryotes? CpG islands


(Protip: this represses transcription)


Deamination of cytosine will produce.... Uracil


Deamination of adenine will produce.... Guanine


Methylation of uracil will produce.... Thymine


What amino acids are necessary for purine synthesis? Glycine
Aspartate
Glutamine


What enzyme does Leflunomide inhibit? inhibits dihydroorotate dehydrogenase


What will be the general effect of Leflunomide? (results in increased carbamoyl1-P concentration and a blockage of the early
steps of pyrimidine base production)

, What enzyme does Methotrexate inhibit? Dihydrofolate reductase in humans


What will be the general effect of Methotrexate? Causes a decrease in deoxythmidine monophosphate (dTMP)




What enzyme does trimethorpim inhibit? Dihydrofolate reductase in bacteria


What enzyme does pyrimethamine inhibit? Dihydrofolate reductase in protozoa


What enzyme does 5-Fluorouracil inhibit? Thymidylate synthase


What will be the general effect of 5-FU? Decreased conversion of dUMP to dTMP




What will be the general effect of 5-mercaptopurine? Inhibit de novo purine synthesis




What will be the general effect of azathioprine? Inhibit de novo purine synthesis


(Protip: This is the prodrug for 5-mercaptopurine.)




What enzyme will be inhibited by Mycophenolate? Inosine monophosphate dehydrogenase


What will be the general effect of Mycophenolate? Disruption of purine synthesis




What enzyme will be inhibited by Ribavirin? Inosine monophosphate dehydrogenase


What will be the general effect of Ribavirin? Disruption of purine synthesis




What enzyme will be inhibited by Hydroxyurea? Ribonucleotide reductase


What will be the general effect of Hydroxyurea? (Protip: can't add deoxy to sugars without this enzyme)


Disruption of both purine and pyrimidine synthesis

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