Calculation of ATP during glucose oxidation. Calculation of ATP during glucose oxidation Stage - oxygen

Stage 1 – preparatory

Polymers → monomers

Stage 2 – glycolysis (oxygen-free)

C 6 H 12 O 6 +2ADP+2H 3 PO 4 =2C 3 H 6 O 3 +2ATP+2H 2 O

Stage - oxygen

2C 3 H 6 O 3 +6O 2 +36ADP+36 H 3 PO 4 =6CO 2 +42 H 2 O+36ATP

Summary equation:

C 6 H 12 O 6 +6O 2+ 38ADP+38H 3 PO 4 =6CO 2 +44H 2 O+38ATP

TASKS

1) During the hydrolysis process, 972 ATP molecules were formed. Determine how many glucose molecules were broken down and how many ATP molecules were formed as a result of glycolysis and complete oxidation. Explain your answer.

Answer:1) during hydrolysis (oxygen stage), 36 ATP molecules are formed from one glucose molecule, therefore, hydrolysis was carried out: 972: 36 = 27 glucose molecules;

2) during glycolysis, one glucose molecule is broken down into 2 PVK molecules with the formation of 2 ATP molecules, so the number of ATP molecules is: 27 x 2 = 54;

3) with the complete oxidation of one glucose molecule, 38 ATP molecules are formed, therefore, with the complete oxidation of 27 glucose molecules, the following are formed: 27 x 38 = 1026 ATP molecules (or 972 + 54 = 1026).

2)Which of the two types of fermentation – alcoholic or lactic acid – is more energetically efficient? Calculate efficiency using the formula:

3) efficiency of lactic acid fermentation:

4) alcoholic fermentation is more energetically efficient.

3) Two glucose molecules underwent glycolysis, only one was oxidized. Determine the number of ATP molecules formed and carbon dioxide molecules released during this process.

Solution:

To solve, we use the equations of stage 2 (glycolysis) and stage 3 (oxygen) energy metabolism.

Glycolysis of one glucose molecule produces 2 ATP molecules, and oxidation produces 36 ATP.

According to the conditions of the problem, 2 glucose molecules were subjected to glycolysis: 2∙× 2 = 4, and only one was oxidized

4+36=40 ATP.

Carbon dioxide is formed only at stage 3; with the complete oxidation of one glucose molecule, 6 CO 2 is formed

Answer: 40 ATP; CO 2 .- 6

4) During the process of glycolysis, 68 molecules of pyruvic acid (PVA) were formed. Determine how many glucose molecules were broken down and how many ATP molecules were formed during complete oxidation. Explain your answer.

Answer:

1) during glycolysis (an oxygen-free stage of catabolism), one glucose molecule is broken down to form 2 PVC molecules, therefore, glycolysis was subjected to: 68: 2 = 34 glucose molecules;

2) with the complete oxidation of one glucose molecule, 38 ATP molecules are formed (2 molecules during glycolysis and 38 molecules during hydrolysis);

3) with the complete oxidation of 34 glucose molecules, the following is formed: 34 x 38 = 1292 ATP molecules.

5) During glycolysis, 112 molecules of pyruvic acid (PVA) were formed. How many glucose molecules are broken down and how many ATP molecules are formed during the complete oxidation of glucose in eukaryotic cells? Explain your answer.

Explanation. 1) In the process of glycolysis, when 1 molecule of glucose is broken down, 2 molecules of pyruvic acid are formed and energy is released, which is enough for the synthesis of 2 molecules of ATP.

2) If 112 molecules of pyruvic acid were formed, then, therefore, 112 were split: 2 = 56 glucose molecules.

3) With complete oxidation, 38 ATP molecules are formed per one molecule of glucose.

Therefore, with the complete oxidation of 56 glucose molecules, 38 x 56 = 2128 ATP molecules are formed

6) During the oxygen stage of catabolism, 1368 ATP molecules were formed. Determine how many glucose molecules were broken down and how many ATP molecules were formed as a result of glycolysis and complete oxidation? Explain your answer.

Explanation.

7) During the oxygen stage of catabolism, 1368 ATP molecules were formed. Determine how many glucose molecules were broken down and how many ATP molecules were formed as a result of glycolysis and complete oxidation? Explain your answer.

Explanation. 1) In the process of energy metabolism, 36 ATP molecules are formed from one glucose molecule, therefore, glycolysis, and then 1368 were subjected to complete oxidation: 36 = 38 glucose molecules.

2) During glycolysis, one molecule of glucose is broken down into 2 molecules of PVK with the formation of 2 molecules of ATP. Therefore, the number of ATP molecules formed during glycolysis is 38 × 2 = 76.

3) With the complete oxidation of one glucose molecule, 38 ATP molecules are formed, therefore, with the complete oxidation of 38 glucose molecules, 38 × 38 = 1444 ATP molecules are formed.

8) During the dissimilation process, 7 moles of glucose were split, of which only 2 moles underwent complete (oxygen) splitting. Define:

a) how many moles of lactic acid and carbon dioxide are formed;

b) how many moles of ATP are synthesized;

c) how much energy and in what form is accumulated in these ATP molecules;

d) How many moles of oxygen are consumed for the oxidation of the resulting lactic acid.

Solution.

1) Out of 7 moles of glucose, 2 underwent complete cleavage, 5 – not half-cleaved (7-2=5):

2) draw up an equation for the incomplete breakdown of 5 moles of glucose; 5C 6 H 12 O 6 + 5 2H 3 PO 4 + 5 2ADP = 5 2C 3 H 6 O 3 + 5 2ATP + 5 2H 2 O;

3) composes the overall equation for the complete breakdown of 2 moles of glucose:

2C 6 H 12 O 6 + 2 6O 2 +2 38H 3 PO 4 + 2 38ADP = 2 6CO 2 +2 38ATP + 2 6H 2 O + 2 38H 2 O;

4) sum up the amount of ATP: (2 38) + (5 2) = 86 mol ATP; 5) determine the amount of energy in ATP molecules: 86 40 kJ = 3440 kJ.

Answer:

a) 10 mol lactic acid, 12 mol CO 2;

b) 86 mol ATP;

c) 3440 kJ, in the form of chemical bond energy of high-energy bonds in the ATP molecule;

d) 12 mol O 2

9) As a result of dissimilation, 5 moles of lactic acid and 27 moles of carbon dioxide were formed in the cells. Define:

a) how many moles of glucose were consumed;

b) how many of them underwent only incomplete and how many complete splitting;

c) how much ATP is synthesized and how much energy is accumulated;

d) how many moles of oxygen are consumed for the oxidation of the resulting lactic acid.

Answer:

b) 4.5 mol complete + 2.5 mol incomplete;

c) 176 mol ATP, 7040 kJ;

Should be considered:

  • Reactions that involve the consumption or formation of ATP and GTP;
  • Reactions that produce and use NADH and FADH 2;
  • Since glucose forms two trioses, all compounds formed downstream of the GAF dehydrogenase reaction are formed in double (relative to glucose) quantities.

Calculation of ATP during anaerobic oxidation

Areas of glycolysis associated with energy production and expenditure


At the preparatory stage, 2 ATP molecules are spent on the activation of glucose, the phosphate of each of which ends up on triose - glyceraldehyde phosphate and dihydroxyacetone phosphate.

The next second stage includes two molecules of glyceraldehyde phosphate, each of which is oxidized to pyruvate with the formation of 2 molecules of ATP in the seventh and tenth reactions - substrate phosphorylation reactions. Thus, summing up, we get that on the way from glucose to pyruvate, 2 ATP molecules are formed in its pure form.

However, we must also keep in mind the fifth reaction, glyceraldehyde phosphate dehydrogenase, from which NADH comes out. If conditions are anaerobic, then it is used in the lactate dehydrogenase reaction, where it is oxidized to form lactate and does not participate in the production of ATP.

Calculation of the energy effect of anaerobic oxidation of glucose


Aerobic oxidation

Sites of glucose oxidation associated with energy production


If there is oxygen in the cell, then NADH from glycolysis is sent to the mitochondria (shuttle systems), to the processes of oxidative phosphorylation, and there its oxidation brings dividends in the form of three ATP molecules.

Pyruvate formed in glycolysis under aerobic conditions is converted into acetyl-S-CoA in the PVK-dehydrogenase complex, resulting in the formation of 1 molecule of NADH.

Acetyl-S-CoA is involved in the TCA cycle and, when oxidized, produces 3 molecules of NADH, 1 molecule of FADH2, 1 molecule of GTP. NADH and FADH 2 molecules move into the respiratory chain, where their oxidation produces a total of 11 ATP molecules. In general, the combustion of one aceto group in the TCA cycle produces 12 ATP molecules.

Summing up the results of the oxidation of “glycolytic” and “pyruvate dehydrogenase” NADH, “glycolytic” ATP, the energy output of the TCA cycle and multiplying everything by 2, we get 38 ATP molecules.

Let us now determine the yield of chemical energy in the form of ATP during the oxidation of glucose in animal cells to and .

The glycolytic breakdown of one glucose molecule under aerobic conditions produces two molecules of pyruvate, two molecules of NADH and two molecules of ATP (this entire process takes place in the cytosol):

Then two pairs of electrons from two molecules of cytosolic NADH, formed during glycolysis by glyceraldehyde phosphate dehydrogenase (Section 15.7), are transferred to the mitochondria using the malate-aspartate shuttle system. Here they enter the electron transport chain and are directed through a series of successive carriers to oxygen. This process gives since the oxidation of two NADH molecules is described by the following equation:

(Of course, if the glycerol phosphate shuttle system operates instead of the malate-aspartate shuttle system, then for each NADH molecule not three, but only two ATP molecules are formed.)

We can now write the complete equation for the oxidation of two molecules of pyruvate to form two molecules of acetyl-CoA and two molecules in the mitochondria. This oxidation results in two molecules of NADH. which then transfer two of their electrons through the respiratory chain to oxygen, which is accompanied by the synthesis of three ATP molecules for each pair of transferred electrons:

Let us also write an equation for the oxidation of two molecules of acetyl-CoA to through the citric acid cycle and for oxidative phosphorylation associated with the transfer to oxygen of electrons removed from isocitrate, -ketoglutarate and malate: in this case, for each pair of transferred electrons, three ATP molecules are formed. Let's add to this two ATP molecules formed during the oxidation of succinate, and two more that are formed from succinyl-CoA via GTP (section 16.5e):

If we now sum up these four equations and reduce the common terms, we obtain a summary equation for glycolysis and respiration:

So, for every glucose molecule that undergoes complete oxidation in the liver, kidneys or myocardium, i.e., where the malate-aspartate shuttle system functions, a maximum of 38 ATP molecules are formed. (If the glycerol phosphate system acts instead of the malate-aspartate system, then 36 ATP molecules are formed for each completely oxidized glucose molecule.) The theoretical free energy yield for complete oxidation of glucose is thus equal under standard conditions (1.0 M). In intact cells, the efficiency of this transformation probably exceeds 70%, since the intracellular concentrations of glucose and ATP are not the same and are significantly lower than 1.0 M, i.e. the concentration from which standard free energy calculations are usually based (see Appendix 14-2).

In this article we will look at how glucose oxidation occurs. Carbohydrates are compounds of the polyhydroxycarbonyl type, as well as their derivatives. Characteristic features are the presence of aldehyde or ketone groups and at least two hydroxyl groups.

Based on their structure, carbohydrates are divided into monosaccharides, polysaccharides, and oligosaccharides.

Monosaccharides

Monosaccharides are the simplest carbohydrates that cannot be hydrolyzed. Depending on which group is present in the composition - aldehyde or ketone, aldoses (these include galactose, glucose, ribose) and ketoses (ribulose, fructose) are distinguished.

Oligosaccharides

Oligosaccharides are carbohydrates that contain from two to ten residues of monosaccharide origin, connected through glycosidic bonds. Depending on the number of monosaccharide residues, disaccharides, trisaccharides, and so on are distinguished. What is formed during the oxidation of glucose? This will be discussed later.

Polysaccharides

Polysaccharides are carbohydrates that contain more than ten monosaccharide units linked together by glycosidic bonds. If a polysaccharide contains identical monosaccharide residues, then it is called a homopolysaccharide (for example, starch). If such residues are different, then it is a heteropolysaccharide (for example, heparin).

What is the significance of glucose oxidation?

Functions of carbohydrates in the human body

Carbohydrates perform the following main functions:

  1. Energy. The most important function of carbohydrates is that they serve as the main source of energy in the body. As a result of their oxidation, more than half of human energy needs are satisfied. As a result of the oxidation of one gram of carbohydrates, 16.9 kJ is released.
  2. Reserve. Glycogen and starch are a form of nutrient storage.
  3. Structural. Cellulose and some other polysaccharide compounds form a strong skeleton in plants. They are also, in combination with lipids and proteins, a component of all cellular biomembranes.
  4. Protective. Acid heteropolysaccharides play the role of biological lubricants. They line the surfaces of joints that touch and rub against each other, the mucous membranes of the nose, and the digestive tract.
  5. Antigoagulant. A carbohydrate such as heparin has an important biological property, namely, it prevents blood clotting.
  6. Carbohydrates are a source of carbon necessary for the synthesis of proteins, lipids and nucleic acids.

In the process of calculating the glycolytic reaction, it is necessary to take into account that each step of the second stage is repeated twice. From this we can conclude that at the first stage two ATP molecules are consumed, and during the second stage 4 ATP molecules are formed by phosphorylation of the substrate type. This means that as a result of the oxidation of each glucose molecule, the cell accumulates two ATP molecules.

We looked at the oxidation of glucose with oxygen.

Anaerobic pathway of glucose oxidation

Aerobic oxidation is an oxidation process in which energy is released and which occurs in the presence of oxygen, which acts as the final acceptor of hydrogen in the respiration chain. The donor is the reduced form of coenzymes (FADH2, NADH, NADPH), which are formed during the intermediate reaction of substrate oxidation.

The process of aerobic dichotomous glucose oxidation is the main pathway of glucose catabolism in the human body. This type of glycolysis can occur in all tissues and organs of the human body. The result of this reaction is the breakdown of the glucose molecule into water and carbon dioxide. The released energy will be accumulated in ATP. This process can be divided into three stages:

  1. The process of converting a glucose molecule into a pair of pyruvic acid molecules. The reaction occurs in the cell cytoplasm and is a specific pathway for glucose breakdown.
  2. The process of formation of acetyl-CoA as a result of oxidative decarboxylation of pyruvic acid. This reaction takes place in cellular mitochondria.
  3. The oxidation process of acetyl-CoA in the Krebs cycle. The reaction takes place in cellular mitochondria.

At each stage of this process, reduced forms of coenzymes are formed, which are oxidized through enzyme complexes of the respiratory chain. As a result, ATP is formed during the oxidation of glucose.

Formation of coenzymes

Coenzymes that are formed at the second and third stages of aerobic glycolysis will be oxidized directly in the mitochondria of cells. In parallel with this, NADH, which was formed in the cell cytoplasm during the reaction of the first stage of aerobic glycolysis, does not have the ability to penetrate through mitochondrial membranes. Hydrogen is transferred from cytoplasmic NADH to cellular mitochondria through shuttle cycles. Among such cycles, the main one can be distinguished - malate-aspartate.

Cytoplasmic NADH then reduces oxaloacetate to malate, which in turn enters the cell mitochondria and is then oxidized to reduce mitochondrial NAD. Oxaloacetate is returned to the cell cytoplasm in the form of aspartate.

Modified forms of glycolysis

Glycolysis may additionally be accompanied by the release of 1,3 and 2,3-bisphosphoglycerates. In this case, 2,3-bisphosphoglycerate, under the influence of biological catalysts, can return to the process of glycolysis and then change its form to 3-phosphoglycerate. These enzymes play a variety of roles. For example, 2,3-bisphosphoglycerate, found in hemoglobin, promotes the transfer of oxygen to tissues, while promoting dissociation and reducing the affinity of oxygen and red blood cells.

Conclusion

Many bacteria can change the forms of glycolysis at its various stages. In this case, it is possible to reduce their total number or modify these stages as a result of the influence of various enzyme compounds. Some of the anaerobes have the ability to decompose carbohydrates in other ways. Most thermophiles have only two glycolytic enzymes, in particular enolase and pyruvate kinase.

We looked at how glucose oxidation occurs in the body.

1. Glycogenolysis enzymes are
+ phosphorylase
+ phosphofructokinase
– glucokinase
+ pyruvate kinase
2. What enzyme systems differ gluconeogenesis from glycolysis?
+ pyruvate carboxylase, phosphoenolpyruvate carboxykinase,
+ phosphoenolpyruvate carboxykinase, fructose diphosphatase,
– pyruvate carboxylase, fructose diphosphatase, glucose-6-phosphatase, aldolase
+ pyruvate carboxylase, phosphoenolpyruvate carboxykinase, fructose diphosphatase and glucose-6-phosphatase
– hexokinase, glucose-6-phosphatase, glycerate kinase and triosephosphate isomerase
3. With the participation of which vitamins is the oxidative decarboxylation of pyruvic acid carried out?
+ B1;
+ B2;
+ B3;
+ B5;
- AT 6.
4. With the participation of what enzymes is glucose-6-phosphate converted into ribulose-5-phosphate?
– glucose phosphate isomerase
+ gluconolactonases
+ glucose-6-phosphate dehydrogenase
+ phosphogluconate dehydrogenase
– transaldolase
5. What functions does glycogen perform?
+ energy
+ regulatory
+ backup
– transport
– structural
6. Optimal phosphofructokinase activity requires the presence of
– ATP, citrate
– NAD (reduced), H2O2
+ NAD, AMP
– AMP, NADP (reduced) and phosphoric acid
+ NAD, magnesium ions
7. What blood and urine parameters should be examined to assess the state of carbohydrate metabolism?
+ galactose
– urea
+ pH
+ specific gravity of urine
+ glucose tolerance test
8. What compounds are substrate, reaction product and inhibitor of LDH1,2
+ lactic acid
- Apple acid
+ pyruvic acid
- lemon acid
+ NADH2
9. How many molecules of NADH2 and carbon dioxide can be formed during the complete oxidation of 1 molecule of PVC
– 3 NADH2
+ 3 CO2
+ 4 NADH2
– 4 CO2
– 2 NADH2
10. What symptoms are characteristic of the clinical picture of adenoma of the islets of Langerhans?
+ hypoglycemia
– hyperglycemia
– glucosuria
+ loss of consciousness
+ convulsions
11. What enzymes take part in glycolysis
+ aldolase
– phosphorylase
+ enolase
+ pyruvate kinase
+ phosphofructokinase
– pyruvate carboxylase
6. Enzymes are involved in the reactions of converting lactate into acetyl-CoA
+ LDH1
– LDH5
– pyruvate carboxylase
+ pyruvate dehydrogenase
– succinate dehydrogenase
7. The biosynthesis of what number of high-energy bonds is accompanied by the complete oxidation of a glucose molecule along a dichotomous path with the participation of the Krebs cycle
– 12
– 30
– 35
+ 36
+ 38
8. Dehydrogenation reactions in the pentose cycle involve
- ABOVE
– FAD
+ NADP
– FMN
– tetrahydrofolic acid
9. In what organs and tissues is a glycogen reserve created for the entire body?
– skeletal muscles
– myocardium
- brain
+ liver
– spleen
10. Phosphofructokinase is inhibited
– AMF
+ NADH2
+ ATP
- ABOVE
+ citrate
11. What biochemical parameters of urine should be examined to identify disorders of carbohydrate metabolism?
+ sugar
+ ketone bodies
+ specific gravity of urine
- protein
+ pH
– indican
12. What is the cause of increased fragility of red blood cells in the hereditary disease hemolytic drug-induced anemia
+ deficiency of glucose-6-phosphate dehydrogenase in erythrocytes
+ vitamin B5 deficiency
+ insulin deficiency
– hyperproduction of insulin
+ impaired glutathione recovery
13. How many moles of ATP are formed during the complete oxidation of 1 molecule of fructose-1,6-biphosphate
– 36
+ 38
+ 40
– 15
– 30
14. What enzymes take part in the conversion of aspartate to phosphoenolpyruvate
+ aspartate aminotransferase
– pyruvate decarboxylase
– lactate dehydrogenase

– pyruvate carboxylase
15. To convert fructose-6-phosphate into fructose-1,6-diphosphate, in addition to the corresponding enzyme, it is necessary
– ADF
– NADP
+ magnesium ions
+ ATP
– fructose-1-phosphate
16. Gluconeogenesis in the human body is possible from the following precursors
– fatty acids, ketogenic amino acids
+ pyruvate, glycerol
– acetic acid, ethyl alcohol
+ lactate, pike
+ glycogenic amino acids and dihydroxyacetone phosphate
17. What final product is formed during the oxidative decarboxylation of pyruvic acid under aerobic conditions?
– lactate
+ acetyl-CoA
+ carbon dioxide
– oxaloacetate
+ NADH2
18. What enzyme is used to carry out decarboxylation in the pentose cycle?
– gluconolactonase
– glucose phosphate isomerase
+ phosphogluconate dehydrogenase

– transketolase
19. Specify the enzymes involved in the mobilization of glycogen to glucose-6-phosphate
– phosphatase
+ phosphorylase
+ amylo-1,6-glycosidase
+ phosphoglucomutase
– hexokinase
20. What hormones activate gluconeogenesis?
– glucagon
+ actg
+ glucocorticoids
– insulin
– adrenaline
21. Hyperglycemia can lead to
– a lot of physical activity
+ stressful situations

+ excess intake of carbohydrates from food
+ Cushing's disease
+ hyperthyroidism
22. What enzymes and vitamins take part in the oxidative decarboxylation of alpha-ketoglutarate
+ alpha-ketoglutarate dehydrogenase
+ dihydrolipoate dehydrogenase
– succinyl-CoA thiokinase
+ B1 and B2
– B3 and B6
+ B5 and lipoic acid
23. What products are formed with the participation of alcohol dehydrogenase
- carbon dioxide
+ ethyl alcohol
- acetic acid
+ NADH2
+ OVER
+ acetaldehyde
24. Which of the following symptoms are characteristic of the clinical picture of Gierke’s disease?
+ hypoglycemia, hyperuricemia
+ hyperlipidemia, ketonemia
+ hyperglycemia, ketonemia
+ hyperlactatemia, hyperpyruvatemia
– hyperproteinemia, azoturia
25. Glyceraldehyde phosphate dehydrogenase contains in a protein-bound state
+ OVER
– NADP
– ATP
– copper ions (p)
+ Sn-groups
26. Gluconeogenesis proceeds intensively
– skeletal muscles
– myocardium and brain
+ in the liver
– spleen
+ renal cortex
27. GTP synthesis is associated with the conversion of which substrate into the TCA cycle?
– alpha-ketoglutarate
– fumarate
– succinate
+ succinyl-CoA
– isocitrate
28. Which of the following enzymes is involved in the direct oxidation of glucose?
– pyruvate carboxylase
+ glucose-6-phosphate dehydrogenase
– lactate dehydrogenase
– aldolase
+ 6-phosphogluconate dehydrogenase
+ transaldolase
29. What nucleoside triphosphate is necessary for the synthesis of glycogen from glucose?
+ UTF
– GTF
+ ATP
– CTF
– TTF
30. What hormones block gluconeogenesis?
– glucagon
– adrenaline
– cortisol
+ insulin
– STG
31. Which of the proposed studies should be carried out first to confirm diabetes mellitus?
+ determine the level of blood ketone bodies
+ determine fasting blood glucose levels
– determine the content of cholesterol and lipids in the blood
+ determine the pH of blood and urine
+ determine glucose tolerance
32. Name the substrates of oxidation in the TCA cycle
– pike
+ isocitrate
+ alpha-ketaglutarate
– fumarate
+ malate
+ succinate
33. Which of the following symptoms are characteristic of the clinical picture of Thaerje’s disease?
– hyperlactatemia
– hyperpyruvatemia
– hypoglycemia
+ painful muscle cramps during intense exercise
+ myoglobinuria
34. What products are formed from PVC under the action of pyruvate decarboxylase
- acetic acid
+ acetaldehyde
+ carbon dioxide
– ethanol
– lactate
35. The conversion of glucose-6-phosphate to fructose-1,6-diphosphate is carried out in the presence
– phosphoglucomutase
– aldolases
+ glucose phosphate isomerase
– glucose phosphate isomerase and aldolase
+ phosphofructokinase
36. Which enzyme of gluconeogenesis is regulatory?
– enolase
– aldolase
– glucose-6-phosphatase
+ fructose-1,6-biphosphatase
+ pyruvate carboxylase
37. Which metabolites of the TCA cycle are oxidized with the participation of NAD-dependent dehydrogenases
+ alpha-ketoglutarate
- acetic acid
- succinic acid
+ isocitric acid
+ malic acid
38. Thiamine pyrophosphate is a coenzyme of which enzymes?

– transaldolase
+ transketolase
+ pyruvate dehydrogenase
+ pyruvate decarboxylase
39. What enzyme systems distinguish between glycolysis and glycogenolysis?
+ phosphorylase
– glucose-6-phosphate dehydrogenase
+ phosphoglucomutase
– fructose-1,6-bisphosphatase
+ glucokinase
40. Which hormones increase blood sugar levels?
– insulin
+ adrenaline
+ thyroxine
– oxytocin
+ glucagon
41. What disease is associated with liver enlargement, growth failure, severe hypoglycemia, ketosis, hyperlipidemia, hyperuricemia?
– Measles disease
– McArdle disease
+ Gierke's disease
– Andersen's disease
– Wilson's disease
42. What vitamins are included in the PFC enzymes
+ B1
- AT 3
+ B5
- AT 6
- AT 2
43. Which of the following symptoms are characteristic of the clinical picture of aglycogenosis?
+ severe hypoglycemia on an empty stomach
+ vomiting
+ convulsions
+ mental retardation
– hyperglycemia
+ loss of consciousness
44. Which glycolytic enzymes are involved in substrate phosphorylation
– phosphofructokinase
+ phosphoglycerate kinase
– hexokinase
– phosphoenolpyruvate carboxykinase
+ pyruvate kinase
45. What enzymes convert fructose-1,6-diphosphate into phosphotrioses and fructose-6-phosphate
– enolase
+ aldolase
– triosephosphate isomerase
+ fructose diphosphatase
– glucose phosphate isomerase
46. ​​Which of the following compounds are the initial substrates of gluconeogenesis
+ malic acid
- acetic acid
+ glycerol phosphate
- fatty acid
+ lactic acid
47. What metabolite is formed during the condensation of acetyl-CoA with PKA
+ citril-CoA
+ citric acid
- succinic acid
- lactic acid
– alpha-ketoglutaric acid
48. What amount of NADPH2 is formed during the complete oxidation of 1 molecule of glucose along the direct path of decay?
– 6 molecules
– 36 molecules
+ 12 molecules
– 24 molecules
– 26 molecules
49. Where are the enzymes responsible for the mobilization and synthesis of glycogen localized?
+ cytoplasm
- core
– ribosomes
– mitochondria
– lysosomes
50. Which hormones lower blood sugar levels?
– thyroxine
– ACTH
+ insulin
– glucagon
- a growth hormone
51. The patient has hypoglycemia, tremors, weakness, fatigue, sweating, a constant feeling of hunger, possible disturbances in brain activity, what is the cause of these symptoms?
– hyperfunction of the thyroid gland

+ hyperfunction of beta cells of the islets of Langerhans of the pancreas
+ hyperfunction of alpha cells of the islets of Langerhans of the pancreas

– adenoma of the islets of Langerhans of the pancreas
52. What vitamins are part of enzyme systems that catalyze the conversion of succinyl-CoA into fumaric acid
- IN 1
+ B2
+ B3
- AT 5
– N
53. What enzyme is defective in McArdle disease?
– liver phosphorylases
– myocardial glycogen synthetase
+ muscle tissue phosphorylases
– muscle phosphofructokinase
– liver enzyme
54. What products are formed during substrate phosphorylation in the TCA cycle?
– malate
+ succinate
– fumarate
+ GTP
+ HSCoA
– NADH2
– hyperfunction of alpha cells of the islets of Langerhans of the pancreas
– hyperfunction of the adrenal cortex
55. What is the active form of glucose in glycogen synthesis
+ glucose-6-phosphate
+ glucose-1-phosphate
– UDP-glucuronate
+ UDP-glucose
– UDP-galactose
56. Which reaction does not occur in the TCA cycle?
– dehydration of citric acid to form cis-aconitic acid
– oxidative decarboxylation of alpha-ketoglutarate to form succinyl-CoA
– hydration of fumaric acid to form malic acid
+ decarboxylation of citric acid to form oxalosuccinate
– dehydrogenation of succinic acid to form fumaric acid
+ oxidative decarboxylation of PKA with the participation of NADP-dependent malate dehydrogenase
57. From which metabolite does glucose synthesis via the gluconeogenesis pathway occur with minimal ATP consumption?
– pyruvate
+ glycerol
– malate
– lactate
– isocitrate
58. How many molecules of carbon dioxide are formed during the oxidation of glucose apotomically?
– 2
– 4
+ 6
– 1
– 3
59. Which enzyme is involved in the formation of the alpha-1,6-glycosidic bond of glycogen?
– phosphorylase
– glycogen synthetase
+ branching enzyme
– amylo-1,6-glycosidase
+ (4=6) – glycosyltransferase
60. Which hormones stimulate the breakdown of glycogen in the liver?
– glucocorticoids
– vasopressin
– insulin
+ adrenaline
+ glucagon
61. Under what physiological conditions does lactic acid accumulate in the blood?
– transmission of nerve impulses
– stressful situations
+ increased physical activity
– cell division
+ hypoxia
62. What initial substrates are necessary for the action of the enzyme citrate synthase
– succinate
+ acetyl-CoA
– malate
– acyl-CoA
+ PIKE
63. What enzyme is defective in Andersen's disease?
– liver glycogen synthases
+ branching liver enzyme
– aldolases
+ branching enzyme of the spleen
– liver phosphorylases
64. The activity of which cytoplasmic dehydrogenases will be increased in the liver under aerobic conditions (Pasteur effect)
+ LDH 1.2
– LDH 4.5
+ glycerolphosphate dehydrogenase
– glyceroaldehyde phosphate dehydrogenase
+ malate dehydrogenase
65. Irreversible reactions of glycolysis are catalyzed by enzymes
+ hexokinase
+ phosphofructo-kinase
+ pyruvate kinase
– aldolase
– triosephosphate isomerase
66. How many molecules of GTP are required to synthesize 1 molecule of glucose from pyruvate?
+ 2
– 4
– 6
– 8
– 1
67. What is the energetic effect of oxidative decarboxylation of PVK
+ 3 ATP molecules
– 36 ATP molecules
– 12 ATP molecules
– 10 ATP molecules
– 2 ATP molecules
68. What is the fate of NADPH2 formed in the pentose cycle?
+ detoxification reactions of drugs and poisons
+ glutathione restoration
– glycogen synthesis
+ hydroxylation reactions
+ synthesis of bile acids
69. Why can skeletal muscle glycogen only be used locally?
– absence of lactate dehydrogenase I

– lack of amylase
– absence of glucokinase
– absence of phosphoglucomutase
70. What hormones are activators of liver glucokinase?
– norepinephrine
– glucagon
+ insulin
– glucocorticoids
– ACTH
71. Under what pathological conditions does lactic acid accumulate in the blood?
+ hypoxia
- diabetes
+ Gierke's disease
– jades
+ epilepsy
72. How many ATP molecules are formed during the complete oxidation of 1 lactic acid molecule?
– 15
+ 17
+ 18
– 20
– 21
73. What causes the development of dyspeptic disorders when feeding a child milk?
+ lactase deficiency
– phosphofructokinase deficiency

+ galactose-1-phosphate uridyltransferase deficiency
– fructokinase deficiency
74. What enzymes are involved in the conversion of pyruvate to PEPVC
– pyruvate kinase
+ pyruvate carboxylase
– phosphoglycerate kinase
+ phosphoenolpyruvate carboxykinase
– pyruvate dehydrogenase
75. The reaction to the formation of glucose-6-phosphate from glycogen is accelerated by enzymes
+ glucokinase
+ phosphoglucomutase
+ phosphorylase
– phosphatase
– glucose phosphate isomerase
+ amylo-1,6-glycosidase
76. How many molecules of ATP are required to synthesize 1 molecule of glucose from malate?
– 2
+ 4
– 6
– 8
– 3
77. What is the energy effect of the oxidation of PVC to the final metabolic products of carbon dioxide and water?
– 38 ATP molecules
+ 15 ATP molecules
– 3 ATP molecules
– 10 ATP molecules
– 2 ATP molecules
78. What is the fate of ribulose-5-phosphate formed in the pentose cycle?
+ proline synthesis
+ synthesis of nucleic acids
+ synthesis of c3.5AMP
+ ATP synthesis
– carnitine synthesis
79. Why is liver glycogen a reserve of glucose for the whole body?
– presence of glucokinase
+ presence of glucose-6-phosphatase
– presence of fructose-1,6-bisphosphatase
– presence of aldolase
– presence of phosphoglucomutase
80. Activators of liver glycogen synthesis are
+ glucocorticoids
– glucagon
+ insulin
– thyroxine and norepinephrine
– adrenaline
81. The patient has an enlarged liver, growth failure, severe hypoglycemia, ketosis, hyperlipidemia, what causes these symptoms?
+ absence of glucose-6-phosphatase
– absence of glucokinase
– absence of galactose-1-phosphate uridyltransferase
– absence of aldolase
– absence of glycogen phosphorylase
82. Which enzymes are involved in the consumption of ATP during gluconeogenesis from pyruvate?
+ pyruvate carboxylase
– phosphoenolpyruvate carboxykinase
+ phosphoglycerate kinase
– fructose-1,6-bisphosphatase
– glucose-6-phosphatase
83. How many ATP molecules are formed during the oxidation of lactate to acetyl-CoA
– 2
– 3
+ 5
+ 6
– 7
– 8
84. What causes diabetes mellitus
+ insulin deficiency
– excess insulin
+ impaired insulin activation
+ high insulinase activity
+ impaired synthesis of insulin receptors in target cells
85. What enzymes are involved in the conversion of 3-phosphoglyceric acid into 2-phosphoenolpyruvic acid
– triosephosphate isomerase
+ enolase
– aldolase
– pyruvate kinase
+ phosphoglycerate mutase
86. Gluconeogenesis is inhibited by the following ligands
+ AMF
– ATP
+ ADP
– magnesium ions
– GTF
87. What end products form the oxidative decarboxylation of alpha-ketoglutarate?
– acetyl-CoA
- lemon acid
+ succinyl-CoA
+ carbon dioxide
– fumarate
88. Through what intermediate metabolites is the pentose cycle connected to glycolysis?
+ 3-phosphoglyceraldehyde
– xylulose-5-phosphate
+ fructose 6-phosphate
– 6-phosphogluconate
– ribose 5-phosphate
89. What ligands are activators of glycogen breakdown?
+ cAMP
+ ADP
– citrate
– cGMP
– iron ions
90. What compounds are activators of pyruvate carboxylase?
+ acetyl-CoA
– AMF
+ ATP
– citrate
+ biotin
+ carbon dioxide
91. In which disease does a patient experience the following symptoms: hypoglycemia, tremors, weakness, fatigue, sweating, constant feeling of hunger, and possible disturbances in brain activity?
– Wilson's disease
– McArdle disease
- diabetes
+ beta cell adenoma of the islets of Langerhans of the pancreas
+ hyperinsulinism
92. What enzymes take part in the conversion of glucose-6-phosphate to UDP-glucose?
– hexokinase
+ phosphoglucomutase
– phosphoglyceromutase
+ glucose-1-phosphate uridylyltransferase
– branching enzyme
93. What is the reason for the decrease in lipogenesis in patients with diabetes mellitus?
+ low glucose-6-phosphate dehydrogenase activity
– disruption of glycogen synthesis
+ decreased activity of glycolytic enzymes
+ low glucokinase activity
– increased activity of glycolytic enzymes
94. How many ATP molecules are formed during the complete oxidation of 1 molecule of 3-phosphoglyceric acid
– 12
– 15
+ 16
– 17
– 20
95. The transfer of the phosphate group from phosphoenolpyruvate to ADP is catalyzed by enzymes and produces
– phosphorylase kinase
– carbamate kinase
+ pyruvate
+ pyruvate kinase
+ ATP
96. The activator of gluconeogenesis is
+ acetyl-CoA
– ADF
+ ATP
– AMF
+ acyl-CoA
97. Oxidative decarboxylation of alpha-ketoglutarate is carried out with the participation
+ thiamine
+ pantothenic acid
– pyridoxine
+ lipoic acid
+ riboflavin
+ niacin
98. In which cell organelles does the pentose cycle occur intensively?
– mitochondria
+ cytoplasm
– ribosomes
- core
– lysosomes
99. Which of the following enzymes is allosteric in the synthesis of glycogen
+ glycogen synthetase
– phosphorylase
– branching enzyme 4-glucose-1-phosphate uridylyltransferase
– amylo-1,6-glycosidase
100. Which glycolytic enzyme is inhibited by glucagon?
– enolase
+ pyruvate kinase
– hexokinase
– lactate dehydrogenase
101. In what disease does a child experience increased blood sugar, an increase in galactose content, and the presence of galactose in the urine?
– fructosemia
+ galactosemia
– Gierke's disease
– hyperinsulinism
- diabetes
102. What metabolites accumulate in the blood and the activity of which blood enzymes increases during hypoxia (myocardial infarction)?
– acetoacetic acid
+ lactic acid
+ LDH 1.2
– LDH 4.5
+ ASAT
103. How many FADH2 molecules are formed during the complete oxidation of a DOAP molecule?
+ 1
– 2
– 3
– 4
– 5
104. Which enzymatic systems of carbohydrate metabolism include vitamin B2?
– dihydrolipoate acetyltransferase
+ dihydrolipoyl dehydrogenase
+ alpha-ketoglutarate oxidase
– succinyl-CoA thiokinase
+ succinate dehydrogenase
105. What enzymes convert fructose-6-phosphate into phosphotrioses
– hexokinase
– enolase
– phosphoglucomutase
+ aldolase
– phosphorylase
+ phosphofructokinase
106. How many glycerol molecules are required to synthesize 2 glucose molecules along the gluconeogenesis pathway?
– 2
+ 4
– 6
– 8
– 3
107. With the participation of which enzyme systems is the conversion of lactic acid into PIKE carried out?
– alpha-ketoglutarate dehydrogenase
– pyruvate dehydrogenase
+ lactate dehydrogenase
– pyruvate dehydrogenase
+ pyruvate carboxylase
108. In which organelles and tissues do pentose cycle enzymes exhibit the greatest activity?
+ adrenal glands
+ liver
+ adipose tissue
- lungs
- brain
109. Which enzyme is allosteric in the breakdown of glycogen?
+ phosphorylase
– phosphatase
– amylo-1,6-glycosidase
– triosephosphate isomerase
– aldolase
110. Which Krebs cycle enzyme is inhibited by malonic acid?
+ succinate dehydrogenase
– isocitrate dehydrogenase
– cisaconitase
– citrate synthetase
– alpha-ketoglutarate dehydrogenase
111. The child has an increase in total blood sugar, an increase in the content of galactose in the blood, and its appearance in the urine. What is the cause of these disorders?

+ deficiency of galactose-1-phosphate uridyl transferase
+ galactokinase deficiency

– glucokinase deficiency
112. How many molecules of NADH2 are formed during the complete oxidation of 1 molecule of glucose to carbon dioxide and water?
– 5
+ 10
– 12
– 15
– 36
113. A defect in which enzymes can lead to the development of aglycogenosis
– glycogen phosphorylase
+ glycogen synthetase
+ branching enzyme
+ phosphoglucomutase
– glucose-6-phosphatase
114. What compounds can be precursors of PCA, necessary for stimulation of the TCA cycle and the process of gluconeogenesis
– acetyl-CoA
+ pyruvate
+ carbon dioxide
+ aspartate
+ pyridoxal phosphate
- ethanol
115. The conversion of dihydroxyacetone phosphate into 1,3-diphosphoglyceric acid requires the action of enzymes
– aldolases
– hexokinases
– glucose phosphate isomerase
+ triosephosphate isomerase
– glycerate kinase
+ glyceroaldehyde phosphate dehydrogenase
116. What number of moles of NADH2 will be required to synthesize 1 molecule of glucose from malate?
– 8
– 6
– 4
– 2
+ 0
117. What substrates of the TCA cycle enter into hydration reactions?
+ isocitrile-CoA
+ fumarate
+ aconitate
– oxaloacetate
– succinate
118. How many water molecules are needed for the direct oxidation of glucose?
– 3
– 2
+ 7
– 4
– 6
119. What end products are formed during glycogenolysis?
+ pyruvate
– fructose 6-phosphate
– glucose-6-phosphate
+ lactate
+ glucose
120. What factors determine the rate of acetyl-CoA oxidation in the TCA cycle?
– lactate
+ malonic acid
+ oxaloacetic acid
+ pyruvate
+ energy charge of the cell
+ aerobic conditions
121. What biochemical studies need to be carried out for differential
Diagnosis of diabetes mellitus and diabetes insipidus?

– determine ESR
+ determine the specific gravity of urine
– determine protein in urine
– determine blood protein fractions
+ determine urine and blood sugar
+ determine urine pH
122. The concentration of which metabolites of carbohydrate metabolism will increase in the blood under stress?
+ lactate
– glycogen
+ glucose
– glycerin
– alanine
123. How many UTP molecules are required to activate 100 glycosyl residues during glycogenesis
– 50
+ 100
– 150
– 200
– 300
124. What enzymes are involved in the conversion of DOAP to fructose-6-phosphate
+ aldolase
+ triosephosphate isomerase
– phosphofructokinase
+ fructose-1,6-diphosphatase
– phosphogluco-mutase
125. The following enzymes participate in the reactions of conversion of pyruvate to carbon dioxide and ethyl alcohol
+ pyruvate decarboxylase
– lactate dehydrogenase
+ ethanol dehydrogenase
+ alcohol dehydrogenase
– phosphoglycerate kinase
126. How many water molecules are needed to synthesize 10 glucose molecules from pyruvate?
+ 6
– 2
– 8
– 7
– 10
127. Which substrates of the TCA cycle are oxidized with the participation of FAD-dependent dehydrogenases
+ alpha-ketoglutarate
– malate
– isocitrate
+ succinate
– oxalosuccinate
128. Which of the following metals are activators of the pentose cycle
– cobalt
+ magnesium
+ manganese
- iron
- copper
129. Which glycogenolysis enzymes require the presence of inorganic phosphate
– pyruvate kinase
+ glycogen phosphorylase
– phosphoglucomutase
+ glyceroaldehyde dehydrogenase
– phosphoglycerate kinase
130. Which glycolytic enzymes are stimulated by AMP?
– enolase
+ pyruvate kinase
+ phosphofructo-kinase
– fructose-1,6-bisphosphatase
131. What is the main cause of juvenile diabetes mellitus
– hyperfunction of the adrenal cortex
+ absolute insulin deficiency
– relative insulin deficiency
– hyperfunction of the adrenal medulla
– glucagon deficiency
132. In what active form does vitamin B1 participate in the oxidative decarboxylation of alpha-keto acids?
+ cocarboxylase
– thiamine chloride
– thiamine monophosphate
+ thiamine pyrophosphate
– thiamine triphosphate
133. How many molecules of phosphoglyceraldehyde are formed during the oxidation of 3 glucose molecules in the pentose cycle?
+ 1
– 2
– 3
– 4
– 5
134. Which enzyme deficiency leads to impaired fructose metabolism?
– hexokinase
+ fructokinase
+ ketose-1-phosphate aldolase
– phosphofructo-kinase
– triosephosphate isomerase
135. Pyruvate is converted into lactic acid by the action of an enzyme
+ LDH 4.5
– phosphorylases
– ethanoldehyde hydrogenase
– LDH 1.2
– glyceroaldehyde phosphate dehydrogenase
136. In which organs and tissues does the enzyme glucose-6-phosphatase actively work?
+ liver
+ mucous renal tubules
+ intestinal mucosa
– myocardium
– spleen
137. What substrates undergo decarboxylation in the TCA cycle
+ oxalosuccinate
– cisaconitate
– succinate
+ alpha-ketoglutarate
– oxaloacetate
138. What is the biological role of the pentose cycle?
+ catabolic
+ energy
– transport
+ anabolic
+ protective
139. What products are formed when phosphorylase and amylo-1,6- act on glycogen?
glycosidases

– glucose-6-phosphate
+ glucose
– maltose
+ glucose-1-phosphate
+ dextrins
– amylose
140. Which enzyme is activated by citrate
– lactate dehydrogenase
– phosphofructokinase
– glucokinase
– phosphorylase
+ fructose-1,6-biphosphatase
141. During a clinical examination, the patient was found to have hyperglycemia (8 mmol/l),
after taking 100 g of glucose, its concentration in the blood increased to 16 mmol/l and
held for 4 hours, for which disease are these possible?
changes?

- cirrhosis of the liver
+ diabetes mellitus
– jade
– pituitary diabetes
– steroid diabetes
142. What enzymes take part in the conversion of fructose into 3PHA in muscle
and adipose tissue and kidneys?

+ hexokinase
– glucokinase
– fructokinase
+ phosphofructokinase
+ aldolase
143. How many oxygen molecules are used in the oxidation of 1 molecule of 3PHA?
– 1
– 2
+ 3
– 5
– 6
– 8
144. The following statements are correct
+ glycolysis in red blood cells is the main supplier of energy needed
for their functioning
– oxidative phosphorylation is the main pathway for ATP synthesis in erythrocytes
+ increasing the concentration of 2,3FDG and lactate in erythrocytes reduces affinity
hemoglobin A1 to oxygen
+ increasing the concentration of 2,3FDG and lactate in erythrocytes increases efficiency
hemoglobin oxygen
+ substrate phosphorylation is the main pathway for ATP synthesis in erythrocytes
145. What is the energy efficiency of glycogenolysis under anaerobic conditions?
– 2 ATP molecules
+ 3 ATP molecules
– 15 ATP molecules
– 4 ATP molecules
– 1 ATP molecule
146. What number of carbon dioxide molecules is needed to activate the synthesis of glucose from pyruvate?
+ 2
– 4
– 6
– 8
– 3
147. Which compound is the end product of aerobic glycolysis?
+ pyruvate
– lactate
– phosphoenolpyruvate
– oxaloacetic acid
+ NADH2
148. Which of the following compounds are intermediate metabolites of the pentose cycle?
+ glucose-6-phosphate
– 1,3-diphosphoglyceric acid
+ 6-phosphogluconate
+ xylulose-5-phosphate
+ erythrose-4-phosphate
149. What amount of ATP is required to activate phosphorylase B
– 2
– 6
+ 4
– 8
– 3
150. Which metabolite regulates the transfer of reducing equivalents from the cytosol through the internal membranes of the mitochondrion and back
+ glycerol-3-phosphate
+ malate
– glutamate
+ oxaloacetate
+ dihydroxyacetone phosphate
151. What causes hypoglycemia and lack of glycogen in the liver
– glucose-6-phosphatase deficiency
+ branching enzyme deficiency
– glycogen phosphorylase deficiency
+ phosphoglucomutase deficiency
+ glycogen synthetase deficiency
152. How many molecules of oxygen are required for the complete oxidation of 1 molecule of acetyl-CoA?
– 1
+ 2
– 1/2
– 3
– 5
153. What enzymes take part in the conversion of fructose into 3fga in hepatocytes
+ fructokinase
– glucokinase
– phosphofructo-kinase
+ ketose-1-phosphate aldolase
– aldolase
– fructose-1,6-bisphosphatase
154. What diseases are accompanied by glucosuria?
+ diabetes mellitus
– pancreatic adenoma
+ Itsenko-Cushing's disease
+ jades
+ pituitary diabetes
– diabetes insipidus
155. What amount of ATP can be synthesized during the oxidation of glucose to pyruvate under aerobic conditions
– 2
– 4
+ 6
+ 8
– 10
156. In which liver organelles is the enzyme pyruvate carboxylase found?
+ cytoplasm
+ mitochondria
– core
– ribosomes
– nucleolus
157. Which metabolite of the TCA cycle undergoes dehydrogenation with the participation of oxidase
dependent dehydrogenases?

– alpha-ketoglutarate
– citrate
– fumarate
+ succinate
– malate
158. Which of the following substrates of the pentose cycle can be used to satisfy the energy needs of the body?
– 6-phosphogluconate
– ribulose 5-phosphate
– ribose 5-phosphate
+ 3-phosphoglyceraldehyde
+ fructose 6-phosphate
159. Where does glycogen biosynthesis occur most intensively?
- brain
+ liver
- pancreas
– myocardium
+ skeletal muscles
160. Deficiency of which vitamins leads to disruption of the functioning of shuttle mechanisms
- IN 1
+ B2
- AT 3
+ B5
+ B6
- WITH
161. Under what pathological conditions is an increase in the level of PVC in the blood above 0.5 mmol/l observed?
- diabetes
+ polyneuritis
– nephrosis
– galactosemia
+ Take it
162. What enzymes take part in the conversion of galactose into glucose in the liver
+ galactokinase
+ galactose-1-phosphate uridylyltransferase
+ epimerase
+ glucose-6-phosphatase
+ phosphoglucomutase
– fructose-1-phosphate aldolase
163. How many molecules of ATP are formed during the complete oxidation of 3 molecules of ribose-5-phosphate
– 30
– 52
+ 93
+ 98
– 102
164. What diseases cause the following symptoms: severe hypoglycemia
on an empty stomach, nausea, vomiting, convulsions, loss of consciousness, mental retardation?

+ Gierke's disease
+ Hers disease
+ aglycogenoses
+ hyperinsulinism
– hyperthyroidism
165. How many ATP molecules are formed during the complete oxidation of 1 DOAP molecule
– 5
– 6
+ 19
+ 20
– 36
– 38
166. How many ATP molecules are required to synthesize glucose from glycerol?
– 1
+ 2
– 4
– 6
– 8
167. What enzymes and vitamins are involved in the conversion of lactate to acetyl-CoA
+ LDH 1.2
– LDH 4.5
+ pyruvate oxidase
+ B2 and B5
+ B3 and B1
– B6 and lipoic acid
168. Which of the following ligands increases the rate of direct oxidation of glucose
– AMF
– inorganic phosphate
+ ATP
+ NADP
– cAMP
169. With the help of what enzymes does the formation of glucose-1-phosphate from glucose occur?
+ glucokinase
+ phosphoglucomutase
– glycogen phosphorylase
+ hexokinase
– phosphoglyceromutase
170. What enzyme of carbohydrate metabolism in hepatocytes is stimulated by insulin?
– enolase
– hexokinase
+ glucokinase
+ glycogen synthetase
– phosphorylase
171. Under what pathological conditions is an increase in activity observed?
alpha-amylase in blood and urine?

+ acute pancreatitis
– viral hepatitis
+ pyelonephritis
– myocardial infarction
– Wilson's disease
172. What disease is characterized by the following clinical picture: limited
ability to perform intense exercise due to muscle cramps?

– Hers disease
– Gierke's disease
+ Thaerje's disease
+ McArdle disease
– Andersen's disease