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Biochemistry USMLE Step 1 ACTUAL Exam Questions and CORRECT Answers $10.49   Add to cart

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Biochemistry USMLE Step 1 ACTUAL Exam Questions and CORRECT Answers

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Biochemistry USMLE Step 1 ACTUAL Exam Questions and CORRECT Answers histones are rich in which 2 AA's - CORRECT ANSWER- lysine & argenine Barr bodies (what, type of chromatin) - CORRECT ANSWER- inactive X chromosomes heterochromatin (highly condensed, sterically inaccessible) less condensed, ...

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  • October 13, 2024
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Biochemistry USMLE Step 1 ACTUAL
Exam Questions and CORRECT Answers
histones are rich in which 2 AA's - CORRECT ANSWER✔✔- lysine & argenine



Barr bodies (what, type of chromatin) - CORRECT ANSWER✔✔- inactive X chromosomes
heterochromatin (highly condensed, sterically inaccessible)


less condensed, transcriptionally active, sterically accessible chromatin - CORRECT
ANSWER✔✔- euchromatin


DNA methylation at CpG islands - CORRECT ANSWER✔✔- represses transcription


"CpG Methylation makes DNA Mute"


DNA methylation (what is methylated and why?) - CORRECT ANSWER✔✔- template
strand cytosine and adenine are methyated during replication --> mismatch repair enzymes
can distinguish between old and new strands


Histone methylation - CORRECT ANSWER✔✔- usually reversibly represses DNA
transcription (can activate depending on location)


"histone Methylation Mostly makes DNA Mute"


Histone acetylation - CORRECT ANSWER✔✔- relaxes DNA coiling --> permits
transcription


"histone Acetylation makes DNA Active"


function of methylation and acetylation - CORRECT ANSWER✔✔- change DNA
transcription activity

,methylation mutes
acetylation activates


purines (which, ring number) - CORRECT ANSWER✔✔- A, G
2 rings


PUR As Gold


pyrimidines (which, ring number) - CORRECT ANSWER✔✔- C, T, U
1 ring


CUT the PY (pie is a single circle)


thymine vs uracil - CORRECT ANSWER✔✔- thymine has a methyl, found in DNA
deamination of cytosine --> uracil, found in RNA


base pair with 3 H-H bonds (and consequences) - CORRECT ANSWER✔✔- G-C


G-C is stronger than A-T (2 H-H)


inc G-C content --> inc melting temperature of DNA


amino acids necessary for purine synthesis - CORRECT ANSWER✔✔- GAG + THF


glycine
aspartate
glutamine


nucleoside vs. nucleotide vs. nucleotide di/triphosphate - CORRECT ANSWER✔✔-
nucleoside = base + sugar

,nucleotide = base + sugar + phosphate
nucleotide diphosphate = base + sugar + 2P's
nucleotide triphosphate = base + sugar + 3P's


de novo purine synthesis - CORRECT ANSWER✔✔- R5P --> PRPP by PRPP synthetase
(adds 2P's)
add base (hypoxanthine) --> IMP by HGPRT
IMP converted to AMP and GMP


ribonucleotides --> deoxyribonucleotides - CORRECT ANSWER✔✔- ribonucleotide
reductase


carbamoyl phosphate involved in which 2 metabolic pathways? - CORRECT ANSWER✔✔-
de novo pyrimidine synthesis (CP synthetase II)
urea cycle


de novo pyrimidine synthesis - CORRECT ANSWER✔✔- *Make temporary base:*
1. glutamine + CO2 + ATP --> carbamoyl phosphate by CP synthetase II
2. carbamoyl phosphate + aspartate --> orotic acid via dihydroorotate dehydrogenase


*Add sugar + P (PRPP):*
3. orotic acid + PRPP --> UMP --> UDP


*Modify base*
4a. UDP --> CTP
4b. UDP --> dUDP by ribonucleotide reductase
5. dUDP --> dUMP
6. dUMP + THF --> dTMP by thymidylate synthase = methylates uracil into thymadine
*THF (which becomes DHF) regenerated by dihydrofolate reductase

, differences in de novo purine and pyrimidine synthesis - CORRECT ANSWER✔✔- purines:
start with sugar + phos (PRPP), add base


pyrimidines: make temporary base (orotic acid), add sugar + phos (PRPP), modify base
(requires THF for thymidylate synthase)


inhibits dihydroorotate dehydrogenase - CORRECT ANSWER✔✔- leflunomide (tx: RA)
prevents carbamoyl phosphate --> orotic acid in pyrimidine synthesis


inhibits IMP dehydrogenase - CORRECT ANSWER✔✔- mycophenolate (tx: organ
transplant rejection)
ribavirin (tx: viral infx)


prevents IMP --> GMP in purine synthesis


inhibits ribonucleotide reductase - CORRECT ANSWER✔✔- hydroxyurea (tx: SC dz > inc
HbF)


prevents UDP --> dUDP (RNA > DNA) in pyrimidine synthesis


prodrug of 6-mercaptopurine (6-MP) - CORRECT ANSWER✔✔- Azathioprine



MOA of 6-MP and Azathioprine (and use) - CORRECT ANSWER✔✔- inhibit de novo
purine synthesis
tx: leukemia, immune dzs (RA, IBD)


prevents PRPP --> IMP


inhibits thymidylate synthase - CORRECT ANSWER✔✔- 5-fluorouracil


prevents dUMP --> dTMP, decreases thymine

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