Скачати 0.53 Mb.
A 48 year old patient complained about intense pain, slight swelling and reddening of skin
over the joints, temperature rise up to $38^oC$. Blood analysis revealed high
concentration of urates. This condition might be caused by disturbed metabolism of:
A patient has yellow skin colour, dark urine, dark-yellow feces. What substance will have
strengthened concentration in the blood serum?
A Unconjugated bilirubin
B Conjugated bilirubin
A patient has an increased pyruvate concentration in blood. A large amount of it is
excreted with the urine. What vitamin is lacking in this patient?
Ammonia is a very toxic substance, especially for nervous system. What substance takes
the most active part in ammonia detoxication in brain tissues?
A Glutamic acid
A patient has pellagra. Interrogation revealed that he had lived mostly on maize for a long
time and eaten little meat. This disease had been caused by the deficit of the following
substance in the maize:
Increased production of thyroidal hormones $T_3$ and $T_4$, weight loss, tachycardia,
psychic excitement and so on present on thyrotoxicosis. How do thyroidal hormones effect
energy metabolism in the mitochondrion of cells?
A Disconnect oxidation and oxidated phosphorylation
B Activates phosphorylation of substance
C Stops phosphorylation of substance
D Stops respiratory chain
E Activates oxidated phosphorylation
A patient with high rate of obesity was advised to use carnitine as a food additive in order
to enhance "fat burning". What is the role of carnitine in the process of fat oxidation?
A Transport of FFA (free fatty acids) from cytosol to the mitochondria
B Transport of FFA from fat depots to the tissues
C It takes part in one of reactions of FFA beta-oxidation
D FFA activation
E Activation of intracellular lipolysis
An experimantal animal that was kept on protein-free diet developed fatty liver infiltration, in
particular as a result of deficiency of methylating agents. This is caused by disturbed
generation of the following metabolite:
E Linoleic acid
A patient consulted a doctor about symmetric dermatitis of open skin areas. It was found
out that the patient lived mostly on cereals and ate too little meat, milk and eggs. What
vitamin deficiency is the most evident?
C Folic acid
A 46 year old woman suffering from chololithiasis developed jaundice. Her urine became
dark-yellow and feces became colourless. Blood serum will have the highest concentration
of the following substance:
A Conjugated bilirubin
B Unconjugated bilirubin
A 46 year old patient applied to a doctor complaining about joint pain that becomes
stronger the day before weather changes. Blood examination revealed strengthened
concentration of uric acid. The most probable cause of the disease is the intensified
disintegration of the following substance:
A Adenosine monophosphate
B Cytidine monophosphate
C Uridine triphosphate
D Uridine monophosphate
E Thymidine monophosphate
A 42-year man suffering from gout has increased level of urinary acid in the blood.
Allopurinol was prescribed to decrease the level of urinary acid. Competitive inhibitor of
what enzyme is allopurinol?
A 38 year old patient suffers from rheumatism in its active phase. What laboratory
characteristic of blood serum is of diagnostic importance in case of this pathology?
A C-reactive protein
B Uric acid
Patient experienced increased susceptibility of the skin to the sunlight. His urine after some
time became dark-red. What is the most likely cause of this?
B Hemolytic jaundice
A patient with serious damage of muscular tissue was admitted to the traumatological
department. What biochemical urine index will be increased in this case?
B Common lipids
D Mineral salts
E Uric acid
12 hours after an accute attack of retrosternal pain a patient presented a jump of aspartate
aminotransferase activity in blood serum. What pathology is this deviation typical for?
A Myocardium infarction
B Viral hepatitis
D Diabetes mellitus
E Diabetes insipidus
Donor skin transplantation was performed to a patient with extensive burns. On the 8-th
day the graft became swollen and changed colour; on the 11-th day graft rejection started.
What cells take part in this process?
A 30 y.o. woman had been ill for a year when she felt pain in the area of joints for the first
time, they got swollen and skin above them became reddened. Provisional diagnosis is
rheumatoid arthritis. One of the most probable causes of this disease is a structure
alteration of a connective tissue protein:
Autopsy of a 12-year-old girl revealed: multiple cutaneous hemmorhages (mostly into the
skin of buttocks, lower extremities), serous and mucous memrane hemmorhages, cerebral
hemmorhages. Adrenal glands show focal necrosis and massive hemmorhages; kidneys
show necrotic nephrosis, suppurative arthritis, iridocyclitis, vasculitis. What is the most
B Epidemic typhus
C Periarteritis nodosa
D Systemic lupus erythematosus
E Radiation sickness
Examination of a 27-year-old patient revealed pathological changes in liver and brain.
Blood plasma analysis revealed an abrupt decrease in the copper concentration, urine
analysis revealed an increased copper concentration. The patient was diagnosed with
Wilson’s degeneration. To confirm the diagnosis it is necessary to study the activity of the
following enzyme in blood serum:
B Carbonic anhydrase
C Xanthine oxidase
D Leucine aminopeptidase
E Alcohol dehydrogenase
A patient complains about dyspnea provoked by the physical activity. Clinical examination
revealed anaemia and presence of the paraprotein in the zone of gamma-globulins. To
confirm the myeloma diagnosis it is necessary to determine the following index in the
A Bence Jones protein
As a result of exhausting muscular work a worker has largely reduced buffer capacity of
blood. What acidic substance that came to blood caused this phenomenon?
A patient was delivered to the hospital by an emergency team. Objectively: grave condition,
unconscious, adynamy. Cutaneous surfaces are dry, eyes are sunken, face is cyanotic.
There is tachycardia and smell of acetone from the mouth. Analysis results: blood glucose -
20,1 micromole/l (standard is 3,3-5,5 micromole/l), urine glucose - 3,5\% (standard is - 0).
What is the most probable diagnosis?
A Hyperglycemic coma
B Hypoglycemic coma
C Acute heart failure
D Acute alcoholic intoxication
E Anaphylactic shock
Profuse foam appeared when dentist put hydrogen peroxide on the mucous of the oral
cavity. What enzyme caused such activity?
A 62 y.o. woman complains of frequent pains in the area of her chest and backbone, rib
fractures. A doctor assumed myelomatosis (plasmocytoma). What of the following
laboratory characteristics will be of the greatest diagnostical importance?
A newborn child has convulsions that have been observed after prescription of vitamin
$B_6$. This most probable cause of this effect is that vitamin $B_6$ is a componet of the
A Glutamate decarboxylase
B Pyruvate dehydrostase
C Netoglubarate dehydromine
D Aminolevulinate synthase
E Glycogen phosphorylase
Nappies of a newborn have dark spots that witness of formation of homogentisic acid.
Metabolic imbalance of which substance is it connected with?
Pathological changes of the liver and brain were revealed in a 27-year-old patient.The
copper concentration is abruptly decreased in blood plasma and increased in the urine.
Wilson's disease was diagnosed. Activity of what enzyme in the blood serum should be
examined to prove diagnisis?
A 50-year-old patient complains about general weakness, appetite loss and cardiac
arrhythmia. The patient presents with muscle hypotonia, flaccid paralyses, weakened
peristaltic activity of the bowels. Such condition might be caused by:
An 18-year-old patient has enlarged inguinal lymphnodes, they are painless, thickened on
palpation. In the area of genital mucous membrane there is a small-sized ulcer with
thickened edges and "laquer" bottom of greyish colour. What is the most probable
D Trophic ulcer
Concentration of pyruvate is increased in the patient's blood, the most of which is excreted
with urine. What avitaminosis is observed in the patient?
A Avitaminosis $В_1$
B Avitaminosis $E$
C Avitaminosis $В_3$
D Avitaminosis $B_6$
E Avitaminosis $В_2$
Carnitine including drug was recomended to the sportsman for improving results. What
process is activated most of all with help of carnitine?
A Transport of fatty acids to the mitochondria
B Synthesis of steroid hormones
C Synthesis of ketone bodies
D Synthesis of lipids
E Tissue respiration
A patient with suspected diphtheria went through bacterioscopic examination. Examination
of throat swab revealed rod-shaped bacteria with volutin granules. What etiotropic
preparation should be chosen in this case?
A Antidiphtheric antitoxic serum
C Diphtheria antitoxin
Patient with diabetes mellitus experienced loss of consciousness and convulsions after
injection of insulin. What is the result of biochemical blood analysis for concentration of the
A 1,5 mmol/L
B 8,0 mmol/L
C 10,0 mmol/L
D 3,3 mmol/L
E 5,5 mmol/L
A woman who has been keeping to a clean-rice diet for a long time was diagnosed with
polyneuritis (beriberi). What vitamin deficit results in development of this disease?
B Ascorbic acid
D Folic acid
Removal of gall bladder of a patient has disturbed processes of $Ca$ absorption through
the intestinal wall. What vitamin will stimulate this process?
A 63-year-old woman developed signs of rheumatoid arthritis. Increase of which indicated
blood values level could be helpful in proving diagnosis?
A Additive glycosaminoglycans
C Acid phosphatase
D General cholesterol
A 1,5-year-old child presents with both mental and physical lag, decolorizing of skin and
hair, decrease in catecholamine concentration in blood. When a few drops of 5\% solution
of trichloroacetic iron had been added to the child’s urine it turned olive green. Such
alteration are typical for the following pathology of the amino acid metabolism:
A patient complains of frequent diarrheas, especially after consumption of fattening food,
and of body weight loss. Laboratory examination revealed steatorrhea; hypocholic feces.
What can be the cause of this condition?
A Obturation of biliary tracts
B Mucous membrane inflammation of small intestine
C Lack of pancreatic lipase
D Lack of pancreatic phospholipase
E Unbalanced diet
On the empty stomach in the patients blood glucose level was 5,65 mmol/L, in an hour
after usage of sugar it was 8,55 mmol/L, in a 2 hours - 4,95 mmol/L. Such indicators are
A Healthy person
B Patient with hidden diabetes mellitus
C Patient with insulin-dependent diabetes mellitus
D Patient with non-insulin dependent diabetes mellitus
E Patient with tireotoxicosis
A child is languid, apathetic. Liver is enlarged and liver biopsy revealed a significant excess
of glycogene. Glucose concentration in the blood stream is below normal. What is the
cause of low glucose concentration?
A Low (absent) activity of glycogene phosphorylase in liver
B Low (absent) activity of hexokinase
C High activity of glycogen synthetase
D Low (absent) activity of glucose 6-phosphatase
E Deficit of a gene that is responsible for synthesis of glucose 1-phosphaturidine
A 65 year old man suffering from gout complains of kidney pain. Ultrasound examination
revealed renal calculi. The most probable cause of calculi formation is the strengthened
concentration of the following substance:
A Uric acid
A 65-year-old suffering from the gout man complains of the pain in the kidney's region. On
ultrasonic examination the renal calculi were revealed. As a result of what process were
A Decay of purine nucleotides
B Protein catabolism
C Ornithine cycle
D Heme decay
E Restoration of cysteine
A 5-year-old child who often fells ill with respiratory diseases has eczematous appearances
after consumption of some food products, tendency to prolonged course of inflammatory
processes. What kind of diathesis can be suspected in this case?
|Частина ІІ 3 модуль ІIІ «молекулярна біологія. Біохімія міжклітинних комунікацій. Біохімія тканин І фізіологічних функцій»|
Модуль ІIІ «молекулярна біологія. Біохімія міжклітинних комунікацій. Біохімія тканин І фізіологічних функцій»
|Анотації до практик кафедра імунології та біохімії Відповідно до спеціалізації „Біохімія І імунологія”|
Відповідно до спеціалізації „Біохімія і імунологія” практична підготовка студентів має наскрізний характер, починаючи з другого семестру...
|5. 0 Біохімія 1||5. 0 Біохімія 1|
|Методичні вказівки по організації та проведенню практики для студентів IV курсу біологічного факультету денної форми навчання спеціальності: імунологія та біохімія|
Для студентів IV курсу біологічного факультету денної форми навчання спеціальності: імунологія та біохімія
|Студенти, що навчаються на спеціальності Біологія* Спеціалізація: Біохімія та імунологія|
|24п 25п 26п 27п 28п 29п 30п 31 п 32 п понеділок Фізвиховання 30-10. 05 Біохімія (лекція)||24п 25п 26п 27п 28п 29п 30п 31 п 32 п понеділок Фізвиховання 30-10. 05 Біохімія (лекція)|
|Крок стоматологія 0 Біохімія (частина 2 )|
У хворого при обстеженні в сечі І крові знайдена фенілпіровиноградна кислота. З приводу
|Гігієна ● Біохімія ● Загальна мікробіологія І вірусологія|
Предмет гігієни. Навколишнє середовище та профілактика здоров’я. Гігієнічне нормування