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The liver normally uses which one of the following for its own energy needs in the fed state?


A) Free fatty acids
B) Amino acids
C) glucose
D) Glycerol

E) A) and B)
F) A) and C)

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In the metabolism of adipose triacylglycerols, insulin stimulates the activity of each of the following proteins EXCEPT


A) 3',5'-AMP phosphodiesterase.
B) fatty acid synthase.
C) glucose transporter 4.
D) hormone-sensitive lipase.
E) lipoprotein lipase.

F) A) and B)
G) A) and E)

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Glycogen breakdown in which of the following tissues can be used to support blood glucose levels during periods of fasting?


A) skeletal muscle
B) adipose tissue
C) liver
D) brain
E) spleen

F) A) and B)
G) A) and C)

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The enzyme in muscle which is most directly stimulated by epinephrine is


A) glycogen synthase.
B) phosphofructokinase.
C) isocitrate dehydrogenase.
D) glucose-6-phosphatase.
E) adenylate cyclase.

F) None of the above
G) A) and B)

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During exercise epinephrine and glucagon levels are elevated and insulin levels are depressed. Under these conditions, which enzyme should be activated?


A) glycogen synthase
B) fatty acid synthase
C) hormone-sensitive lipase
D) acetyl CoA carboxylase
E) ATP-citrate lyase

F) A) and E)
G) B) and C)

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Which reaction does NOT occur in muscle?


A) synthesis of glucose from alanine
B) oxidation of beta-hydroxybutyric acid
C) oxidation of lactic acid
D) glycogenolysis
E) formation of glutamine from glutamate

F) A) and E)
G) C) and D)

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The increase in blood sugar level resulting from epinephrine injection can best be explained by which one of the following?


A) Synthesis of carbohydrate from fat
B) Absorption of carbohydrate from the digestive tract
C) Liver glycogenesis
D) Liver glycogenolysis
E) Gluconeogenesis

F) B) and D)
G) B) and E)

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Long-chain fatty acids in heart


A) are minor energy sources.
B) are usually converted to triglycerides.
C) are converted to ketones.
D) are obtained by synthesis in mitochondria.
E) provide the energy for most ATP synthesis.

F) All of the above
G) B) and E)

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Which statement about the Cori cycle is TRUE?


A) All of the component reactions occur in the liver.
B) Lactate from muscle is used in the liver as a gluconeogenic substrate.
C) Free glucose, produced from glycogen in skeletal muscle, is utilized for the synthesis of glycogen in the liver.
D) It is the cycle in the liver by which glycogen is synthesized from and degraded to glucose 1-phosphate.
E) All of the component reactions occur in skeletal muscle.

F) B) and D)
G) A) and B)

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Direct precursors of lactose are


A) UDP-glucose and fructose.
B) UDP-glucose and galactose.
C) glucose 1-phosphate + galactose 6-phosphate.
D) UDP-galactose + fructose.
E) UDP-galactose + glucose

F) B) and C)
G) B) and E)

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Integration of metabolism between organs occurs primarily through:


A) Allosteric effectors
B) Hormones
C) Induction/repression
D) Covalent modification
E) Substrate supply

F) B) and E)
G) B) and C)

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Lactate production during muscular contraction is ascribed in part to


A) an overproduction of acetyl-CoA not metabolized in the Krebs cycle.
B) an underproduction of acetyl-CoA for utilization in the Krebs cycle.
C) temporary anaerobic state in muscle.
D) overabundance of ATP produced by metabolism through the Krebs cycle.

E) All of the above
F) A) and B)

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The substrate normally utilized as the major source of energy by the brain is


A) triglycerides.
B) fatty acids.
C) ketone bodies.
D) amino acids.
E) glucose.

F) C) and D)
G) A) and E)

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Which of the following is the major substrate used for energy by resting muscle?


A) fructose
B) nonesterified fatty acids
C) glycerol
D) beta-hydroxybutyrate
E) lactate

F) A) and C)
G) C) and E)

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Which amino acid is most important as a non-toxic form in which ammonia is transported in the bloodstream?


A) asparagine
B) glutamine
C) aspartate
D) ornithine
E) glutamate

F) All of the above
G) C) and E)

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A 25 year old, healthy male has begun a treadmill exercise program. He has set the treadmill to a fast pace and has begun to run. As his physical activity continues for several minutes his heart rate would be expected to increase and the levels of _______________ would be expected to rise significantly in his blood.


A) aspartic acid
B) citric acid
C) lactic acid
D) pyruvic acid
E) uric acid

F) A) and D)
G) A) and E)

Correct Answer

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The following compounds are potential substrates (carbon sources) for the gluconeogenic pathway EXCEPT which one?


A) glutamic acid
B) aspartic acid
C) oleic acid
D) succinic acid
E) citrate

F) B) and C)
G) None of the above

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In an uncontrolled diabetic which of the following amino acids would yield both glucose and ketone bodies?


A) Alanine
B) Tyrosine
C) Proline
D) Glycine
E) Leucine

F) All of the above
G) B) and C)

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