64 clinical MCQs in Clinical Biochemistry. 0 The synthesis of Thymidine Monosphosphate (TMP) requires all BUT one;. Kenya, Africa and global revision.
Q1. 0 The synthesis of Thymidine Monosphosphate (TMP) requires all BUT one;
Answer: Folic acid
Explanation: 5-Fluorouracil is a chemotherapy drug that INHIBITS thymidylate synthase; it is not a requirement for TMP synthesis. Folate, NADPH, thymidylate synthase and dihydrofolate reductase are all genuinely needed to convert dUMP to dTMP. ---
Q2. Which of the following statements is TRUE about Molisch’s test for carbohydrates?
Answer: It is negative for non-reducing sugars
Explanation: Molisch's test (α-naphthol + concentrated H2SO4, forming a purple ring) is a general test positive for essentially all carbohydrates, since it depends on acid-catalysed dehydration to furfural/hydroxymethylfurfural. ---
Q3. Question text In reference to Lewis structures of PCl3 and SCl4;
Answer: Dative bond exists in the latter but not in the former
Explanation: Both PCl3 and SCl4 have exactly one lone pair on the central atom (P and S respectively), which is the one universally true structural fact among the options. ---
Q4. Question text The following are components of Coenzyme A, EXCEPT
Answer: Ribose
Explanation: Coenzyme A is built from pantothenic acid + β-mercaptoethylamine (pantetheine) linked to 3′-phosphoadenosine diphosphate (ADP with a 3′-phosphate) and its ribose. Glutamate is not part of its structure. ---
Q5. Question text Macromolecules’ three-dimensional structure is formed and maintained by the following noncovalent interactions, except.
Answer: Hydrogen bonds
Explanation: Carbon-carbon bonds are covalent, not noncovalent — 3D macromolecular structure is instead held together by hydrogen bonds, hydrophobic effects, ionic interactions and van der Waals forces. ---
Q6. Question text Saliva has a [H3O+] of 10-8 while compound B has pOH of 6. Which one is more acidic?
Answer: Saliva, pH 8
Explanation: [H3O+]=10⁻⁸ M gives pH 8. pOH 6 gives pH = 14 − 6 = 8. Identical pH means identical acidity. ---
Q7. Question text A prosthetic group of a protein is a non-protein structure that is:
Answer: Permanently associated with the protein.
Explanation: A prosthetic group is a non-protein component permanently/tightly bound to a protein (e.g. heme in hemoglobin), as opposed to a substrate or transiently-bound ligand. ---
Q8. Question text A solution with pH = 5 is than a solution with pH = 7.
Answer: 200 times more basic
Explanation: Each pH unit is a 10-fold difference in [H+]; pH 5 vs pH 7 is a 2-unit difference, i.e. 10² = 100 times more acidic. ---
Q9. Inadequate tryptophan in the diet can lead to low levels of;
Answer: Pyridoxine
Explanation: Tryptophan is a precursor for endogenous niacin (vitamin B3) synthesis, so dietary tryptophan deficiency can precipitate niacin deficiency (pellagra). ---
Q10. Glucokinase is to be found in the liver and in the pancreatic β-cells. Which of the following is NOT true about glucokinase?
Answer: It is induced by insulin
Explanation: This is the false statement, which is what the question asks for: glucokinase actually has LOWER affinity for glucose (higher Km) than hexokinase, not higher. It is correctly not inhibited by G6P, is induced by insulin, and has a higher Vmax. ---
Q11. Which of the following is associated with type I GSD?
Answer: Hyperuricemia
Explanation: Hypoglycemia is the cardinal, unifying feature of Type I glycogen storage disease (von Gierke's, glucose-6-phosphatase deficiency) — the liver cannot release free glucose from either glycogenolysis or gluconeogenesis. ---
Q12. Aspirin:
Answer: Inhibits cyclooxygenase
Explanation: Aspirin's core mechanism is irreversible acetylation/inhibition of cyclooxygenase (COX); the downstream effects on thromboxane and prostaglandin levels follow from this. ---
Q13. Which of the following is INCORRECT about glycogenin?
Answer: It has an inherent catalytic power
Explanation: This is the incorrect statement (as asked): glycogenin sits at the single reducing end of the glycogen molecule, not the non-reducing end — glycogen chains elongate outward from glycogenin at their non-reducing ends. ---
Q14. What type of inhibitors does the pesticides belong to?
Answer: Arsenic acid
Explanation: Organophosphate compounds are the classic pesticide class that act as (irreversible) enzyme inhibitors, most notably of acetylcholinesterase. ---
Q15. Which of the following enzymes does not catalyze an anaplerotic reaction?
Answer: Malic enzyme (ME)
Explanation: Malate dehydrogenase simply interconverts malate and oxaloacetate as an internal step of the TCA cycle itself; it does not add net carbon to replenish the cycle from an outside source the way pyruvate carboxylase, PEPCK (reverse), malic enzyme, or GOT can. ---
Q16. Which of the following metabolites would not yield glucose?
Answer: Glucogenic amino acids
Explanation: Even-chain fatty acids are broken down entirely to acetyl-CoA, and animals cannot achieve net conversion of acetyl-CoA to glucose (the two carbons lost as CO2 in the TCA cycle offset the two that entered), so they cannot yield net new glucose. ---
Q17. A is associated with favism
Answer: Kinase
Explanation: Favism is caused by glucose-6-phosphate dehydrogenase (G6PD) deficiency — G6PD is a dehydrogenase. ---
Q18. Galactosemia:
Answer: is manifested by improved vision
Explanation: Classic (Type I) galactosemia is caused by deficiency of galactose-1-phosphate uridyltransferase (GALT). ---
Q19. The following are all true representations of the Lineweaver-Burk equation from the transformed Hyperbolic Michaelis-Menten equation into a straight line equation, y = mx + b, EXCEPT:
Answer: x = 1/[S]
Explanation: In the Lineweaver-Burk plot (1/v vs 1/[S]), the slope is Km/Vmax, not Vmax/Km as stated — this is the incorrect statement the question asks for. ---
Q20. Dopamine
Answer: does not require pyridoxal phosphate in its synthesis
Explanation: Dopamine is a catecholamine neurotransmitter; it requires PLP (vitamin B6) for its synthesis via DOPA decarboxylase, does not cross the blood-brain barrier well (hence L-DOPA is used therapeutically instead), and its underproduction is linked to Parkinson's disease, not schizophrenia. ---
Q21. Cysteine synthesis requires the following EXCEPT:
Answer: homocysteine
Explanation: α-Ketobutyrate is a byproduct released when cystathionine is cleaved to cysteine, not a required input for the synthesis pathway (which needs homocysteine, serine, cystathionine synthase and vitamin B6). ---
Q22. Bonding between atoms of elements is influenced by the following forces EXCEPT;
Answer: Shielding effect of electrons
Explanation: Like-charged nuclei repel rather than attract one another; nuclear-nuclear attraction is not a real force in chemical bonding. ---
Q23. Which of the following properties of water does not contribute to the fitness of the aqueous environment for living organisms?
Answer: High heat of vaporization.
Explanation: Water's very low molecular weight is simply a fact about the molecule, not itself a 'fitness for life' property in the classic sense — unlike its high heat of vaporization, high specific heat, hydrogen-bond-driven cohesion, and the density anomaly that makes ice float, which are the properties classically cited as making water suited to life. ---
Q24. Amino acids are said to be conditionally essential if:
Answer: the body is not able to synthesize them
Explanation: Conditionally essential amino acids are only required from the diet in specific circumstances, such as during rapid growth in infancy or metabolic stress/illness, when endogenous synthesis cannot keep pace with demand. ---
Q25. A patient with methanol poisoning was prescribed oral or intravenous ethanol administration at high doses. What is biochemical mechanism of such treatment?
Answer: Uncompetitive inhibition of alcohol dehydrogenase
Explanation: Ethanol is a competitive substrate for alcohol dehydrogenase, outcompeting methanol for the enzyme and slowing methanol's conversion to its toxic metabolites (formaldehyde, formic acid). ---
Q26. blocks oxidative phosphorylation by inhibiting ATP-synthetase
Answer: Oligomycin
Explanation: Oligomycin binds and blocks ATP synthase directly, halting oxidative phosphorylation while still permitting some proton leak. Cyanide, CO, antimycin A and amytal instead block electron transport chain complexes. ---
Q27. The difference between Group IV and Group VI elements is that;
Answer: None of the choices is correct
Explanation: Group VI elements (O, S...) are generally more reactive than Group IV elements (C, Si), which tend to be relatively inert/stable due to their tetravalent, fully-shared-bond covalent chemistry. ---
Q28. Which of the following enzymes require a primer to function?
Answer: Glycogen phosphorylase
Explanation: Glycogen synthase cannot initiate a new glucose chain de novo — it requires an existing primer (built by glycogenin) of at least ~4 glucose residues to extend. ---
Q29. One of the following compounds is NOT a glycosaminoglycan.
Answer: Dermatan sulfate
Explanation: Keratin is a structural intermediate-filament protein, not a glycosaminoglycan. Dermatan sulfate, chondroitin sulfate, hyaluronic acid and heparan sulfate are all genuine GAGs. ---
Q30. The following amino acids are synthesized from α-ketoglutarate EXCEPT:
Answer: Proline
Explanation: Alanine is synthesized from pyruvate by transamination, not from α-ketoglutarate. Glutamate, glutamine, proline and arginine are all part of the glutamate family, synthesized from/via α-ketoglutarate. ---
Q31. One of the following carbohydrates is a heteropolysaccharide
Answer: Cellulose
Explanation: Hyaluronate (hyaluronic acid) is built from alternating glucuronic acid and N-acetylglucosamine — two different sugars, making it a heteropolysaccharide. Cellulose, glycogen, chitin and starch are each built from a single repeating sugar unit (homopolysaccharides). ---
Q32. The following are correct about vitamin B12 EXCEPT
Answer: it is also called cobalamin
Explanation: This is the false statement (as asked): vitamin B12 (cobalamin) participates in methylmalonyl-CoA mutase and methionine synthase reactions (isomerization and methyl transfer), not hydroxylation reactions. ---
Q33. Between (CH3)3NH+ and (CH3)2NH2+, the N in
Answer: in the latter is a stronger Nucleophile
Explanation: Additional methyl groups on nitrogen donate electron density inductively (+I effect), making the more heavily methylated amine's nitrogen a stronger Lewis base/nucleophile in simplified inductive-effect teaching (ignoring solvation effects). ---
Q34. Lack of vitamin C leads to
Answer: well deposited collagen
Explanation: Vitamin C deficiency causes scurvy — impaired collagen hydroxylation leads to fragile connective tissue, bleeding gums, and poor wound healing. ---
Q35. From ribose-5-phosphate, humans may synthesize the following compounds EXCEPT:
Answer: CoA-SH
Explanation: Biotin is not synthesized from ribose-5-phosphate (or by humans at all — it must be obtained from diet/gut flora); it has an entirely separate biosynthetic origin unrelated to the pentose phosphate pathway. ATP, NAD, CoA-SH and nucleic acids all incorporate a ribose-5-phosphate-derived nucleotide backbone. ---
Q36. The following are functions of nucleotides EXCEPT:
Answer: they are structural components of cell membranes
Explanation: Nucleotides are not structural components of cell membranes — that role belongs to phospholipids. Nucleotides do serve as energy carriers, coenzyme components, nucleic acid building blocks, and cell-signalling regulators. ---
Q37. The end product of glycolytic pathway during strenuous activity in skeletal muscle is;
Answer: Acetyl CoA
Explanation: Under strenuous anaerobic conditions, skeletal muscle regenerates NAD+ via lactate dehydrogenase, converting pyruvate to lactate. ---
Q38. Which of the following statements is NOT true about anabolic processes?
Answer: It is a degradative phase of metabolism
Explanation: This is the false statement (as asked): anabolism is the synthetic/building phase of metabolism (using energy to build larger molecules from smaller ones), not the degradative phase — that describes catabolism. ---
Q39. With regards to H2O;
Answer: The angle H-O-H is = 180o
Explanation: Water is bent with two lone pairs on oxygen; lone-pair repulsion compresses the H-O-H bond angle to about 104.5°, which is less than the ideal tetrahedral angle of 109.5°. ---
Q40. The following are noble gases except;
Answer: Argon
Explanation: Hydrogen is a diatomic, group 1 element, not a noble gas. Argon, neon, radon and helium are all noble gases (group 18). ---
Q41. Moderately severe thiamine deficiency causes;
Answer: neurological disorders and oedema
Explanation: Moderately severe thiamine deficiency classically produces the mixed neurological-and-oedema picture of 'wet' beriberi, distinct from the more severe, typically alcohol-associated Wernicke-Korsakoff encephalopathy. ---
Q42. Both Serotonin and γ- amino-butyric acid:
Answer: are synthesized from aromatic amino acids
Explanation: Both serotonin (from tryptophan, via aromatic L-amino-acid decarboxylase) and GABA (from glutamate, via glutamate decarboxylase) require a PLP-dependent decarboxylase step in their synthesis. ---
Q43. Which of the following reactions is not endergonic?
Answer: C6H12O6 + C6H12O6 → C12H22O11 + H2O
Explanation: Complete oxidation of glucose to CO2 and water (aerobic respiration) is strongly exergonic, releasing free energy — unlike the other listed condensation/biosynthetic reactions, which require energy input (endergonic). ---
Q44. What functional groups are present in this molecule? HOCH2CH2CHO
Answer: Hydroxyl and ketone
Explanation: HOCH2CH2CHO has a terminal hydroxyl group (HO-) and a terminal aldehyde group (-CHO). ---
Q45. The glyoxylate cycle is also known as the
Answer: Kornberg cycle
Explanation: The glyoxylate cycle is also called the Kornberg cycle, after Hans Kornberg who first described it. ---
Q46. An inability to generate tetrahydrobiopterin might be expected to:
Answer: reduce the body’s ability to transfer one carbon fragments
Explanation: Phenylalanine hydroxylase strictly requires tetrahydrobiopterin (BH4) as a cofactor to convert phenylalanine to tyrosine; without BH4, this normal degradative route for phenylalanine is blocked (producing a BH4-deficient form of hyperphenylalaninemia). ---
Q47. The last irreversible reaction of gluconeogenesis is catalyzed by;
Answer: Phosphoglycerate mutase
Explanation: Glucose-6-phosphatase catalyses the final, irreversible step of gluconeogenesis, releasing free glucose from glucose-6-phosphate. ---
Q48. In the pyruvate dehydrogenase reaction, which of the following statements is INCORRECT?
Answer: E3 dehydrogenates reduced form of lipoate (reoxidation)
Explanation: This is the incorrect statement (as asked): the pyruvate dehydrogenase complex reaction occurs in the mitochondrial matrix, not the cytosol. ---
Q49. Enzymes are biological catalysts that enhance the rate of a reaction by:
Answer: Increasing the energy of the transition state.
Explanation: Enzymes speed up reactions by lowering the activation energy needed to reach the transition state, not by increasing it or altering the reaction's overall free-energy change. ---
Q50. The following enzymes participate in both Kreb’s cycle and glyoxylate cycle EXCEPT
Answer: Malate dehydrogenase
Explanation: Isocitrate lyase is one of the two defining enzymes unique to the glyoxylate cycle (along with malate synthase) and does not participate in the standard TCA cycle. Malate dehydrogenase, aconitase, citrate synthase and succinate dehydrogenase are shared with the TCA cycle. ---
Q51. Which of the following enzymes can be used in the diagnosis of heart and liver damage?
Answer: Glutaminase
Explanation: Alanine aminotransferase (ALT), together with AST, is a standard clinical marker used to help diagnose liver (and, for AST, cardiac) damage. ---
Q52. is not a reducing sugar
Answer: Galactose
Explanation: Sucrose is a non-reducing sugar because both anomeric carbons (of glucose and fructose) are tied up in the glycosidic bond, leaving no free reducing end. Galactose, lactose, maltose and fructose are all reducing sugars. ---
Q53. Which of the following is NOT a role of folic acid in the body;
Answer: is a carrier of one carbon groups
Explanation: Transamination reactions require vitamin B6 (pyridoxal phosphate), not folic acid. Folate instead carries one-carbon units for purine/pyrimidine and DNA synthesis, and interacts with B12. ---
Q54. Read the two statements below and answer the questions (I)Intensity of monochromatic light decreases exponentially as the length of the absorbing medium increases. (II)Intensity of monochromatic light decreases exponentially as the concentration of the absorbing medium increases.
Answer: None of the statements is correct
Explanation: Strictly, path-length dependence of light absorption (statement I) is Lambert's Law and concentration dependence (statement II) is Beer's Law; none of the specific pairings offered (B–E) assigns the law names correctly to the two statements. ---
Q55. The following is true for histamine EXCEPT:
Answer: It works through H2 receptor to stimulate acid secretion in the stomach
Explanation: Histamine is a biogenic amine derived from histidine, but it is not a catecholamine (catecholamines — dopamine, norepinephrine, epinephrine — are tyrosine-derived with a catechol ring). ---
Q56. Blood is drawn from a child with severe anemia and the hemoglobin protein is degraded for peptide and amino acid analysis. Of the results below, which change in hemoglobin primary structure is most likely to correlate with the clinical phenotype of anemia?
Answer: Gly-asp-gly to gty-glu-gty
Explanation: This substitution pattern (glutamate → valine) matches the classic sickle cell disease mutation at position 6 of the β-globin chain (HbS). ---
Q57. Hyperacidity associated with long term use of NSAIDs may be due to:
Answer: Synthesis of Prostaglandins (PGs)
Explanation: NSAID-associated gastric hyperacidity/mucosal injury stems from COX inhibition, which removes the normal protective, acid-suppressing, mucus-promoting effect of gastric prostaglandins. ---
Q58. The vitamin A derivative that plays a role in vision is;
Answer: All trans-retinal
Explanation: 11-cis-retinal is the vitamin A derivative that combines with opsin to form rhodopsin and directly mediates the light-triggered visual response. ---
Q59. In glucose-alanine cycle:
Answer: pyruvate is converted to glucose in the muscle.
Explanation: In the glucose-alanine cycle, alanine (formed by transamination of pyruvate in muscle) carries amino groups from muscle to the liver in a non-toxic, transportable form. ---
Q60. Some of the galactose may not undergo Leloir pathway but instead undergo the Isselbacher pathway to still yield a common product known as
Answer: G-1-P
Explanation: The Isselbacher pathway (UDP-glucose pyrophosphorylase acting directly on galactose-1-phosphate with UTP) bypasses GALT but still converges on glucose-1-phosphate as the shared downstream intermediate with the main Leloir pathway. ---
Q61. The products of the reaction between the Bronsted acid (H 2PO4 – anion) and base (CO32- anion) is;
Answer: HCO3 – and HPO4 2
Explanation: H2PO4⁻ donates a proton to CO3²⁻: H2PO4⁻ → HPO4²⁻ (loses H+) while CO3²⁻ + H+ → HCO3⁻, giving HCO3⁻ and HPO4²⁻ as products. ---
Q62. Hemoglobin of an adult person is a tetramer consisting of two identical α- and two identical β- polypeptide chains. What is this kind of the protein structure called?
Answer: Tertiary
Explanation: A tetramer of two identical α- and two identical β-globin chains held together by non-covalent interactions is a quaternary structure. ---
Q63. The following is true about the branched chain amino acids EXCEPT:
Answer: are essential in the diet
Explanation: This is the false statement (as asked): branched-chain amino acids are catabolized predominantly in muscle and other peripheral tissues, not primarily the liver — unlike most other amino acids. ---
Q64. The bicarbonate buffer system of the blood is very efficient because
Answer: Carbon dioxide forms a stable combination with base.