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First Aid Biochemistry USMLE

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Question
Answer
Full term neonate of uneventful delivery becomes mentally retarded and hyperactive and has musty odorWHat is the diagnosis   PKU  
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Stressed executive comes home from work consumes 7 or 8 martinis in rapid succession before dinner and becomes hypoglycemicWHat is the mechanism   NADH increase prevents gluconeogenesis by shunting pyruvate and oxaloacetate to lactate and malate  
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2 year old girl has increase in abdominal girth, failure to thrive and skin and hair depigmentation - what is the diagnosis   Kwashiorkor  
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Alcoholic develops rash, diarrhea and altered mental statusWhat is the vitamin defficiency   B3 (pellagra)  
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20 year old male presents with idiopathic hyperbillirubinemiaWHat is the most common cause   Gilberts syndrome  
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51 year old man has black spots on his sclera and has noted that urine turns black when he is standing   Alkaptonuria  
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25 year old complains of chest pains and has xanthoma of Achilles tendonWhat is his disease and where is the defect   Familial hypercholesterolemia, lDL receptor  
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Condensed by negatively charged DNA looped twice around positively charged H2a, H2b, H3 and H4 histones (nucleosome bead)   Chromatin  
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_ ties nucleosomes together in a string (30 nm fiber)   H1 histone  
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Condensed, transcriptionally inactive chromatin   Heterochromatin  
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Less condensed, transcriptionally active chromatin   Euchromatin  
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Name purines   A, GPURe As Gold  
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Name pyrimidines   C, T, UCUT Pye  
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Which nucleotides have two rings?   Purines  
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WHich nucleotides have one ring?   Pyrimidines  
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Which nucleotide has a ketone   guanine  
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Which nucleotide has methyl   thymine  
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Deamination of cytosine makes _   Uracyl  
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Uracil is found in _ Thymine is found in _   Uracil - RNAThymine - DNA  
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Which bond is stronger GC or AT   GC (3 H bonds), AT is weaker (2 H bonds)  
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If GC content is increased what happens to melting temperature   Increases  
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Nucleotides are linked by _   3-5 phosphodiesterase bond  
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Substituting purine for purine or pyrimidine for pyrimidine is called ?   TransItion (identical)  
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Substituting purine for pyrimidine or vice versa   TransVersion (conVersion between types)  
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4 features of genetic code   Unambiguous (each codon for only one amino acid)Degenerate (more then one codon can code for same amino acid)COmmaless, nonoverlappingUniversal  
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Name type of mutation - same amino acid, often base change in 3d position of codon tRNA wobble)   Silent mutation  
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Name type of mutation - changed amino acid (conservative - new amino acid is similar in chemical structure)   Missence mutation  
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Name type of mutation - change resulting in early stop codon   Nonsense mutation  
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Name type of mutation - change resulting in misreading of all nucleotides downstream, usually resulting in a truncated protein   Frameshift mutation  
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In prokaryotic replication, is there single or multiple origins of replication   Single origin of replication - continuous DNA synthesis on leading strand and discontinuous (okazaki fragments) on lagging strand  
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What is the role of primase in prokaryotic replication   Primase makes RNA PRIMER on which DNA polymerase III can initiate replication  
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Elongates the chain by adding deoxynucleotides to the 3 end until it reaches primer of preceding fragment   DNA polymerase III  
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Name enzyme that degrades RNA primer   5'-3' exonuclease activity of DNA polymerase I  
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Has 5'-3' synthesis and proofreads with 3'-5' exonuclease   DNA polymerase III  
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Create a nick in the helix to relieve supercoils   DNA topoisomerases  
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Name DNA repair defects   Xeroderma pigmentosum (skin sensitivity to UV light)Ataxia-telangiectasia (x rays)Blooms syndrome (radiation)Fanconis anemia (cross linking agents)  
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Defective excision repair such as uvr ABC endonuclease. Results in inability to repair thymidine dimers, which form in DNA when exposed to UV light. Associated with dry skin and with melanoma and other cancersInheritance pattern   Xeroderma pigmentosumAutosomal recessive  
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In which direction is Dna and RNA synthesized   5'-->3'  
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