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NBME BIOCHEMISTRY SHELF EXAM (UPDATED 2025/2026) – QUESTIONS AND ANSWERS – VERIFIED & COMPLETE – INSTANT DOWNLOAD

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NBME BIOCHEMISTRY SHELF EXAM (UPDATED 2025/2026) – QUESTIONS AND ANSWERS – VERIFIED & COMPLETE – INSTANT DOWNLOAD

Institution
NBME Biochemistry
Course
NBME Biochemistry

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NBME Biochemistry Shelf Exam 2025 Questions
and Answers

, What neurotransmitter stimulates release of epinephrine from adrenal medulla? - Answer-
acetylcholine

What is a metabolite if epinephrine that suggests epi-secreting carcinoma? What is another assoc
symptom? - Answer- metanephrine; assoc with HBP

What does acetazolamide (carbonic anhydrase ib) treat? - Answer- glaucoma, epilepsy, altitude sickness,
congestive heart failure
can cause dehydration

Sickle cell anemia is due to... - Answer- pt mutation of Glu -> val

What is a major neurotransmitter amino acid? - Answer- Glu

HA protein of influenza binds to - Answer- cytokine receptors

What is a reducing-sugar test? - Answer- Tests for aldo-keto sugars

What is omeprazole? - Answer- proton pump ib

Name some GAG's. - Answer- heparin sulfate, chondroitin sulfate,

What type of reaction is glucuronidation? - Answer- oxidation

In Marfan's syndrome, what part of fibrillin's protein structure is affected? - Answer- primary structure

What are the symptoms of Huntington's disease? - Answer- anxiety, uncontrollable mvmts, slurring of
speech, difficulty focusing or concentrating; caused by triple repeat expansion

What is Chediak-Higashi syndrome? - Answer- phagocyte deficiency ->
hypergammaglobulinemia, significant neutropenia,

In exposure to carbon monoxide or cyanide, which way does the ox sat curve shift? - Answer- to the
L; increased affinity at low pO_2

What is pralidoxime chloride? - Answer- reactivate acetylcholinesterase

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NBME Biochemistry

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