Wednesday, March 9, 2016

Xenobiotics and Oncogenes; Vitamins and Minerals - Exam Reviewer

NAME __________________________________ DATE:
Choose the best answer. Place your answers on the space provided for:
1. ___True of xenobiotic metabolism:
A. involves only rates of distribution of drugs in humans
B. mechanisms by which humans biotransform and eliminate foreign substances
C. utilize hydroxylation reactions only
D. the only product of phase I reactions are hydroxylated inactive forms
2. ___The main object of xenobiotic metabolism:
A. Conversion of harmful substances to inactive and excretable forms
B. Transformation of drugs to inactive intermediates
C. Conversion of dangerous agents to conjugated forms
D. None of the above
3. ___Phase I and II reactions of xenobiotic metabolism ultimately affects these aspects of the foreign substance:
A. Size                                         C. ionization
B. Solubility                                  D. all of the choices
4. ___The process of detoxification of dangerous agents are carried out in what stage of xenobiotic metabolism:
A. Phase I                                     C. Phase II
B. Phase III                                   D. all of the choices
5. ___True of Phase I reactions, EXCEPT:
A. biological alteration to less active or inactive form
B. uses primarily cytochromes
C. utilizes conjugation reactions
D. addition of functional groups
6. ___True of hydroxylation reaction of Phase I
A. catalyzed by a dioxygenase class of enzymes, Cytochrome  P450s
B. two atoms of oxygen utilized for R-OH formation
C. one atom of oxygen utilized for R-OH formation and one atom utilized for
   generation of water
D. enzymes utilized belongs to Major class I 
7. ___The following are the products of conjugases, EXCEPT:
A. glucuronic acid conjugates                 C. glutathione conjugates
B. glycine conjugates                              D. lysyl conjugates
8. ___Acetaminophen biotransformation can be determined by increased levels of this intermediate in the urine:
A. O-hydroxyhippurate                               C. Urinary benzoate
B. Urinary glucarate                                   D. glucuronide conjugate
9. ___Factors that influence xenobiotic transformation:
A. Disease states                        C. environment
B. Age                                         D. all of the choices
10. ___Molecules that support xenobiotic metabolism:
A. co-factors and nutients like niacin, pyridoxine, glycine
B. Antioxidants and protective nutrients like magnesium, calcium
C. Phytonutrients that stimulate activity of enzymes
D. co-enzymes like pyridoxine, cobalamin and folate

Match the specific isozyme of P450 with their specific substrate:
11. ___CYP2A6                           A. cafeine
12. ___CYP2E1                           B. cyclosporine
13. ___CYP1A2                           C. coumarin
14. ___CYP2C8,9,18                   D. ethanol
15. ___CYP3A4,5                        E. mephenhytoin


Matching Type: Match the toxins with its specific method of detoxification:
16. ___ organotoxins(polar)                     A. sequestration in bone
17. ___ammonia                                      B. conjugation process
18. ___heavy metals                               C. antioxidant cycling
19. ___non-polar organotoxins               D. redox reactions introducing
                                                                               functional groups
20. ___oxygen radicals                           E. mobilization with help of Glu/Gln
Choose the best answer. Place your answers on the space provided for:
21. ___True of the transformed cell, EXCEPT:
A.  Early functions of these viruses are expressed
B. Virus proteins expressed but no mature virus particles
C. Virus proteins expressed with mature virus particles
D. Early functions of these viruses are expressed altering infected cell properties
22. ___Transformation involves:
A. non-interference of cell replication control mechanism
B. ability to form tumors
C. synthesis of structural proteins by DNA viruses
D. DNA viruses do not control cellular and viral genome replication
23. ___Characteristics of a transformed cell, EXCEPT:
A. Loss of contact inhibition
B. More mobile cells
C. Maintains adhesions with other cells
D. Frequently exhibits chromosomal aberrations
24. ___True of Papilloma viruses:
A. Causes warts that transforms to malignant squamous cell carcinoma
B. Affects the larynx and esophagus only
C. Majority of all human cancers are human papilloma virus-linked
D. Not linked to penile and vulval cancers
25. ___Epstein-Barr Virus of the Herpes Viruses is associated with:
A. Cervical malignancy               C. Hepatocellular CA
B. Uterine cancer                        D. Burkitt’s lymphoma
26. ___True of hepatitis B virus:
A. majority of persons infected by the virus develops hepatoma
B. Utilizes RNA polymerase II of the host cell
C. Does not possess reverse transcriptase enzyme
D. Characterized by short incubation  period
27. ___A characteristic of DNA tumor viruses in human cancer:
A. Have reverse transcriptase
B. Incorporation into host cell chromosome is possible
C. Propagation in the wild depends on production of cancer
D. DNA tumor viruses are much less than RNA tumor viruses
28. ___A component gene of a normal retrovirus that codes for viral core proteins:
A. Pol        B. env        C. gag        D. src
29. ___The retrovirus life cycle sequence:
1. Nucleus    
2. release of nucleocapsid to cytoplasm    
3. fusion of membranes    
4. endocytosis
A. 1, 3, 4, 2        B. 4, 3, 2, 1        C. 2, 4, 1, 3        D. 3, 4, 1 ,2
30. ___Function of long-terminal repeats(LTR):
A. Encode integrase enzyme
B. Produces protein tyrosine kinase
C. Initiates transcription through its repressor
D. regulates and initiates transcription through its promoters and enhancers
31. ___The genes of the retrovirus needed for replication to produce more virus:
A. gag, pol and src                     C. env, gag and src
B. gag, pol and env                    D. gag and src

32. ___The gene of Rous sarcoma virus that cause acute transformation or rapid onset of neoplasia:
A. env          B. gag          C. src          D. pol
33. ___The translocation mechanism seen in Burkitt’s lymphoma:
A.  7:15 translocation                               C. 8:14 translocation
B. 9:18 translocation                                D. 11:15:17 translocation
34. ___The cellular oncogene(c-onc) and promoter involved in T cell chronic lymphocytic leukemia:
A.  myc, T cell receptor                          C. bcl-1, Ig light
B. bcl-2, B-cell receptor                         D. tcl-1, T cell receptor
35. ___Oncogenes of RNA tumor viruses encode:
A. protein hormones                             C. growth factor receptors
B. steroid hormone receptors               D. replication factors
36. ___Tumor-suppressor genes includes p53 and Rb. How would a "gain-of-function" mutation likely affect the cell?
A. The cell would divide constantly because of the loss of cell cycle repression.
B. The cell would divide much less frequently because of the extra cell cycle repression.
C. The cell would divide normally because these genes have no effect on cell cycle control.
D. The cell would commit suicide by apoptosis.
37. ___In lab, you are studying cell cycle control in the fission yeast, S. pombe. A student finds a new mutant that she wants to call "giant" because the cells are much larger than normal (suggesting that it is not dividing normally.) What type of mutation do you think your student has isolated?
A. a loss-of-function mutation in a tumor-suppressor gene
B. a loss-of-function mutation in a cellular proto-oncogene
C. a gain-of-function mutation in a cellular proto-oncogene
D. Both a and c are possible.
38. ___Which of the following would be an effective approach to a new cancer therapy?
A. finding a way to stabilize p53 specifically in tumor cells
B. preventing nucleotide synthesis in tumor cells
C. inhibiting growth of new blood vessels with endostatin
D. All of the above would help to fight cancer.
39. ___How would the cell cycle be affected if you removed the phosphorylation sites in the Rb protein?
A. The cell cycle would not be affected because pRb is not phosphorylated normally.
B. The cell cycle would be blocked in G1.
C. The cell cycle would be blocked in G2.
D. The cell cycle would be shorter.
40. ___Embryonic stem (ES) cells are an attractive source of material for therapeutic cloning because
A. they can be induced to assume any cell fate.
B. ES cells are not targets for the host immune response, so tissue rejection is not an issue.
C. there are no other sources of stem cells to use for therapeutic cloning, so ES cells are the only solution.
D.ES cells will not work as a source of tissue for cloning.
41. ___How would growing cells in the presence of methyladenosine affect the mismatch repair system?
A. The repair system would only repair half of the errors introduced by DNA polymerase.
B. There would be no repair of mismatched DNA.
C .Mismatch repair would be normal, but excision repair would fail.
D. Methyladenosine would prevent DNA replication, so there would be no need for mismatch repair.
 42. ___Too much time in a tanning booth probably causes DNA damage to epithelial cells. The most likely effect would be
A. depurination                    
B. pyrimidine dimmers
C. deamination            
D. single-stranded nicks in the phosphodiester backbone
43. ___Using a "car and driver" analogy, which of the following accurately describes the role of tumor-suppressor genes and proto-oncogenes in normal cells?
A. Tumor-suppressor genes are the gas pedal, while proto-oncogenes are the brakes.
B. Tumor-suppressor genes are the brakes while proto-oncogenes are the gas.
C. Both tumor-suppressor genes and proto-oncogenes are like the gas, but tumor-suppressors are like turbo and proto-oncogenes are like a regular carburetor.
D. Tumor-suppressor genes are like the steering wheel, and proto-oncogenes are like the turn signals.
44. ___During the early years of cancer research, there were two schools of thought regarding the causes of cancer: 1) that cancer was caused entirely by environmental factors, and 2) that cancer was caused by genetic factors. Which is correct?
A. #1 because we have identified many potential carcinogens
B. #2 because we know of many proto-oncogenes
C. #2 because we know of many tumor-suppressor genes
D. Both were correct; most chemical carcinogens function by altering genes.
45. ___If you found a specific chromosomal deletion in the genome from a tumor, what could be the cause of this specific cancer?
A. The deletion likely affected a tumor-suppressor gene, leading to a loss of function in the tumor cells.
B. The deletion likely affected a proto-oncogene, leading to a loss of function in the tumor cells.
C. The deletion likely affected a tumor-suppressor gene, leading to a gain of function in the tumor cells.
D. The deletion likely affected a proto-oncogene, leading to a gain of function in the tumor cells
46.___Type of dermatitis found in patients as part of the cutaneous changes in Vitamin deficiency?
A. light-sensitive dermatitis                    C. dry, scaly dermatitis
B. phrynoderma                                     D. flaky-paint skin rash
47. ___Which of the following does not affect transport, storage and metabolism of Vitamin B1?
A. tea                                                     C. alcohol
B. uncooked fresh water fish                 D. cabbage. broccoli, turnips
48. ___Hypothyroidism may present with cheilosis because this enzyme is not activated?
A. thiaminase    B. flavokinase    C. xanthine oxidase   D. glutathione peroxidase
49. ___There is a need to increase the daily intake of ascorbic acid during stressful conditions because of:
A. increased hydroxylation of proline and lysine residues in collagen formation
B. increased production of GABA
C. increased synthesis of epinephrine, norepinephrine and steroid hormones
D. increased requirement for maintenance of integrity of cell membranes
50. ___Which of the following increase the absorption of calcium in the intestine?
A. oxalic acid  in spinach and cocoa          C. fiber in the diet
B. loss of adaptive response in aging        D. acidic medium
51. ___Which of the following decrease the absorption of iron in the duodenum; EXCEPT:
A. zinc in increased amounts                    C. phytates in cereal grains
B. tannin in tea                                          D. Vitamin A
52. ___This laboratory finding is NOT present in iron deficiency anemia.
A. microcytic, hypochromic RBCs    
B. decreased MCHC and MCV
C. decreased serum iron concentration <50ug/dl
D. serum transferrin saturation >30%
53. ___Which of the following mineral is needed in osteoblastic activity and indirectly involved in the growth process?       
A. chromium      B. zinc           C. molybdenum       D. manganese
54. ___A vitamin B complex that serves as the precursor of the coenzyme needed for transamination reactions:
A. pyridoxine     B. thiamine      C. riboflavin     D. biotin
55. ___Which vitamin contains a pyrimidine and a thiazole ring?
A. Riboflavin             B. Niacin        C. Thiamine              D. Pantothenic acid

TRUE OR FALSE: Write A if the statement is TRUE and B if the statement is FALSE.
56. ___The earliest symptom of Vitamin A deficiency is nyctalopia.
57. ___The synthetic form of Vitamin K routinely given to newborn infants is menaquinone.
58. ___Pyridoxine is required in the conversion of tryptophan to niacin.
59. ___It is not advisable to take calcium and iron supplements together because they will complete with intestinal absorption sites and transport systems for divalent ions.
60. ___Cauliflower, spinach, cabbage and soy beans are considered as “anti-nutrients” which adversely influence proper absorption and utilization of iodine.
61. ___Flaky-paint rash or enamel dermatosis is a pathognomonic sign of kwashiorkor and diagnosis is not made in its absence.
62. ___Cobalamin’s function has a hemotopoeitic facet only.
63. ___Marasmus may result from taking diet very low in protein but contains calories from carbohydrates like cassava and sweet potato.
64. ___Ascorbic acid promotes resistance to infection by stimulating the production of interferons.

Match the vitamins (Column B) with the manifestation/s of their deficiency (Column A)
65. ___gum bleeding                                           A. cyanocobalamin
66. ___rachitic chest                                            B. niacin
67. ___irritability & convulsions                            C. pyridoxine                       
68. ___dermatitis, diarrhea                                   D. thiamine                           
69. ___acute pernicious beriberi                         E. folic acid                   
70. ___megaloblastic anemia with                       F. ascorbic acid
                neurologic symptoms                            G. Calcitriol

Choose the best answer. Place your answers on the space provided for:
71.___30% of glucose utilized by the cornea is metabolized through:
A. glycolysis                      C. Embden Meyerhof Pathway(aerobic)
B. Kreb’s Cycle                 D. Pentose Phosphate Pathway
72.___The protein that counteracts the insult brought about by increase in the UV irradiation of the lens cells.
A. glutathione reductase            C. Na+K+ exchanging ATPase
B. aldehyde dehydrogenase      D. lactate dehydrogenase
73.___The activated rhodopsin:
A. metarhodopsin I                    C. bathorhodopsin
B. metarhodopsin II                   D. lumirhodopsin
74.___The active cGMP phosphodiesterase of the rods is made up of which subunits?
A. aa                   B. ag                         C. ab            D. gg
75.___The ion channel of the rods not affected by light absorbed by rhodopsin:
A. Na+Ca++/K+ exchanger          C. Ca++ channel
B. Na+Ca++ channel                   D. Ca++ATPase
76.___The molecule that binds to phosphorylated activated rhodopsin:
A. arrestin                  B. opsin             C. transducin           D. cyanopsin
77.___Chromosome where the genes for red and green pigments are located:
A. chromosome 10                     C. X chromosome
B. chromosome 3                       D. chromosome 7
78.___The chromophore utilized by the cone cells to form iodopsin:
A. 11 cis-retinal                         C. 11 cis-retinol
B. all trans-retinal                      D. all trans-retinol
79.___With the action of light, the resting membrane potential of the rod cell membrane is hyperpolarized to how many mv:
A. -30mv         B. -70mv         C. -60mv        D. -35mv
80. ___The enzyme that generates NADPH + H needed to reduce GSSG:
A. glutathione reductase                      C. aldehyde dehydrogenase
B. glucose 6 PO4 dehydrogenase        D. lactate dehydrogenase
81. ___The metabolic pathway of the lens that metabolizes 30% of glucose.
 A. Pentose Phosphate Pathway          C. anaerobic glycolysis
B. Kreb’s Cycle                                    D. aerobic glycolysis
82. ___A reaction that results into the alteration of normal architectural arrangement of lens proteins found in elderly persons.
A. breakdown of protein molecules starting at N-terminal end
B. deamination reaction
C. racemization of aspartyl residues
D. deamidation reaction of valine
83. ___A factor that contribute to the accumulation of sorbitol in the lens cells and fibers.
A. sorbitol not utilized by any major pathway
B. ability of sorbitol to diffuse out of the lens cells and fibers
C. the high Km of aldose reductase
D. the low affinity of polyol dehydrogenase to sorbitol
84. ___Source of NADPH + H utilized by aldose reductase of the Polyol Pathway:
A. glycolysis                                            C. Pentose Phosphate Pathway
B. Krebs cycle                                         D. Uronic acid pathway
85. ___The immediate metabolite generated before producing active rhodopsin through the action of light:
A. bathorhodopsin                                   C. metarhodopsin  I
B. lumirhodopsin                                     D. metarhodopsin II
86.____The inactive transducin:
A. a GTPbg         B. a GTP         C. bg         *D. a GDPbg
87. ___Calcium level that stimulates the guanylyl cyclase activity after the action of
light:
A. 500nM                                  C. 100nM
B. 700nM                                  D. 1000nM
88.___Majority of the glucose(65%) utilized by the cornea is metabolized through:
A. glycolysis                    C. Embden Meyerhof Pathway(anaerobic)
B. Kreb’s Cycle               D. Pentose Phosphate Pathway
89.___The protein that counteracts the insult brought about by increase in the osmolarity of the lens cells.
A. glutathione reductase           C. Na+K+ exchanging ATPase
B. aldehyde dehydrogenase     D. lactate dehydrogenase
90.___The active 3’5’cGMP phosphodiesterase of the cones is made up of which subunits?
A. aa                B. ag                C. ab            D. gg
91.___The ion channel of the cones that closes when light is absorbed by cyanopsin:
A. Na+Ca++/K+ exchanger          C. Ca++ channel
B. Na+Ca++ channel                   D. Ca++ATPase
92.___The protein molecule that phosphorylates rhodopsin:
A. rhodopsin kinase                        C. cGMP phosphodiesterase           
B. gyanylate kinase                        D. glutathione reductase
93.___With the action of light, the resting membrane potential of the rod cell membrane is lowered to a value below the resting potential, a phenomenon known as:
A. repolarization                          C. depolarization
B. hyperpolarization                    D. polarization
94. ___The enzyme that utilizes NADPH + H to reduce GSSG to 2GSH molecules:
A. glutathione reductase                      C. aldehyde dehydrogenase
B. glucose 6 PO4 dehydrogenase        D. lactate dehydrogenase
95. ___The harmful metabolite produced by the lipid peroxidation of the lipids molecules of the membranes of the cones cells is:
A. peroxides                                        C. aldehydes
B. hydroxyl radicals                             D. hydrogen peroxide
96. ___A type of galectin wherein the CRD is able to bind two different oligosaccharides:
A. chimera                                       C. tandem repeat
B. proto                                            D. annexin
97. ___A soluble Ca++ dependent lectin:
A. collectin L-1                                 C. collectin L-2
B. mannan binding lectin                 D. collectin P-1
98. ___A membrane, Ca++ dependent collectin:
A. surfactant protein D                     C. collectin P-1
B. conglutinin                                   D. collectin L-2
99. ___A selectin expressed on the plasma membrane of white blood cells:
A. L-selectin                                     C. P-selectin
B. E-selectin                                     D. siglec
100. ___True of galectins
A. presence of disulfide bonds
B. amino acid at the N-terminus has an acetyl moiety
C. with signal sequence within the molecule
D. acetylated carboxy terminal end
101. ___The following are roles mediated by galectins, EXCEPT:
A. for cellular differentiation
B. play a role in cancer metastasis
C. play a role in programmed-cell death
D. play a role in replication
102. ___Mannose binding lectin’s indirect role:
A. physical removal of a virus
B. phagocytosis of a virus
C. inhibition of viral growth
D. prevention of viral attachment
103. ___A feature of type II receptor lectin, asialoglycoprotein:
A. with a common motif associated with a clathrin-coated vesicle
B. carbohydrate recognition domain found at the amino end
C. two or more transmembrane domains
D. do not form oligomers
104. ___A feature of type I transmembrane receptors:
A. have a tandem of fibronectin domains
B. extracellular carboxyl end rich in cysteine residues
C. contains a cysteine-rich amino terminus
D. have several transmembrane domains
105. ___The active C3 convertase is composed of:
A. C2aC4a                                       C. C2bC4a
B. C2aC4b                                       D. C2aC2b
106. ___Expression of P-selectins occurs at what stage of leukocyte homing process:
A. extravasation                              C. signaling
B. firm adhesion                              D. tethering
107. ___An amino acid conserved in the immunoglobulin-like domain of siglecs:
A. asparagine                                 C. cysteine
B. phenylalanine                             D. aspartate
108. ___A phospholipids binding group of lectins:
A. collectins                                    C. annexins
B. selectins                                     D. siglecs
109. ___The specific activity of the lectin molecule depends on:
A. carbohydrate recognition domain
B. epidermal growth factor-like domain
C. complement regulatory domain
D. fibronectin-like domain
110. ___A characteristic of collectins:
A. involved in host defense utilizing an antibody
B. collagen-like lectin domain with no GlyXaaYaa sequence
C. stimulate the lectin pathway
D. amino terminal end contains the C-type lectin domain

  
111. ___Important characteristic of E-selectins, EXCEPT:
A. expressed on the endothelial cells of blood vessels
B. contains only one C-type lectin domain
C. possess several epidermal growth factor-like domain
D. contains a tandem sequence of complement regulatory domain
112. ___Presenting molecule for P-selectins:
A. CD34                                    C. PSGL-1
B. Sgp 200                                D. MAdCAM – 1
113. ___The siglex gene cluster is found in what chromosome:
A. chromosome 10                    C. chromosome 19
B. chromosome 17                    D. chromosome 22
114. ___A molecule bound by annexin II:
A. tenascin                                 C. collagen type II
B. heparan sulfate                      D. collagen type IV
115. ___A mannose binding protein direct effect on the process of virus infection, EXCEPT:
A. cell lysis                                  C. prevention of viral attachment
B. physical removal of virus        D. prevention of viral growth







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