Question 1
Question
What is the fed state?
Answer
-
The absorptive state
-
The 2-4 hour period after ingestion of a normal meal
-
The time after you’ve eaten something
-
The 8 hours after ingestion
Question 2
Question
What happens during the fed state?
Answer
-
Plasma levels of CHO, AAs and TAGS rise
-
Plasma levels of CHO, AAs and TAGs fall
-
Islet tissue responds
-
An anabolic period
-
A catabolic period
-
Glucose used as fuel
-
Gluconeogenis is mainly used
-
Metabolic response dominated by alterations in the liver, adipose tissue, muscle and brain
Question 3
Question
What factors control the flow of intermediates through metabolism?
Answer
-
Availability of substrates
-
Allosteric activators and inhibitors
-
Synthesis of new enzyme molecules
-
Covalent modification of enzymes
Question 4
Question
When does fasting begin?
Answer
-
If no food is ingested after the absorptive period
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Once ingestion of a meal ends
-
When eating stops
-
Before the absorptive period begins
Question 5
Question
How quickly does the availability of substrates affect the flow of intermediates through metabolism?
Answer
-
Minutes
-
Minutes to hours
-
Seconds
-
Hours to days
Question 6
Question
How quickly does the allosteric activators and inhibitors affect the flow of intermediates through metabolism?
Answer
-
Seconds
-
Minutes
-
Minutes to hours
-
Hours to days
Question 7
Question
How quickly does the covalent modification of enzymes affect the flow of intermediates through metabolism?
Answer
-
Seconds
-
Minutes
-
Minutes to hours
-
Hours to days
Question 8
Question
How quickly does the synthesis of new enzyme molecules affect the flow of intermediates through metabolism?
Answer
-
Seconds
-
Minutes
-
Minutes to hours
-
Hours to days
Question 9
Question
The fed state is a ...
Answer
-
anabolic period
-
catabolic period
-
osmotic period
Question 10
Question
During the fed state nutrients are captured as...
Answer
-
Glycogen
-
TAG
-
proteins
-
alcohol
-
sugar
Question 11
Question
Glucokinase has a _______ Km for glucose
Question 12
Question
How does the liver respond to high blood glucose levels?
Answer
-
by increasing the phosphorylation of glucose
-
by decreasing the phosphorylation of glucose
-
by ingesting glucokinase
-
by allowing sodium into the cell to counteract the blood glucose levels
-
by releasing insulin
Question 13
Question
What enzyme phosphorylates glucose?
Answer
-
glucokinase
-
fructokinase
-
amalase
-
glucolase
Question 14
Question
Glucose uptake by the hepatocyte __________ rate limiting
Question 15
Question
What trasports glucose iinto the liver?
Answer
-
GLUT 4
-
insulin
-
glucokinase
-
fructokinase
-
amalase
Question 16
Question
In the well fed (absorptive state) Glycogen Synthase has a part in one of the major metabolic pathways.
What is glycogen synthase activated by?
Answer
-
glucose 6-P
-
glucose 7-P
-
glucokinase
-
fructokinase
Question 17
Question
What GLUTs do adipocytes contain?
Answer
-
the insulin sensitive GLUT 4
-
the insulin sensitive GLUT 3
-
the non - insulin sensitive GLUT 4
-
the non-insulin sensitive GLUT 3
-
the insulin sensitive GLUT 2
Question 18
Question
Carbohydrate metabolism in the fed state causes.....
Question 19
Question
Fat metabolism in the fed state causes...
Question 20
Question
In the absorptive state, CHO Metabolism causes ____________ in Skeletal muscle.
Answer
-
increased glucose transport
-
increased glycogen synthesis
-
increased Fatty Acids
-
increased protein degradation.
-
increased glucose synthase
Question 21
Question
The absorptive state is the same as the fed state
Question 22
Question
In the absorptive state, Fat Metabolism causes ____________ in Skeletal muscle.
Answer
-
Fatty acids from chylomicrons by lipoprotein lipase
-
increased glucose transport
-
increased uptake of BCAAs
-
hunger
-
increased glucose synthase
Question 23
Question
In the absorptive state, Amino Acid Metabolism causes ____________ in Skeletal muscle.
Answer
-
increased protein synthase
-
Increased uptake of BCAAs
-
increased glycogen synthesis
-
FA breakdown
-
Protein breakdown
-
amalgamation of amino acids
Question 24
Question
During the absorptive state the grain completely....
Answer
-
oxidizes glucose to CO2 and Water
-
oxidizes glycogen to CO2 and Water
-
oxidizes glycogen to O2 and Water
-
oxidizes glucose to O2 and Water
Question 25
Question
What is the main GLUT used in the brain?
Question 26
Question
During the fasting state, plasma levels of glucose, amino acids and TAG fall triggering a ....
Answer
-
decline in insulin secretion
-
increase in insulin secretion
-
increase in inulin secretion
-
decline in glucagon secretion
-
increase in glucagon secretion
Question 27
Question
the fasting state is __________
Question 28
Question
One of the [blank_start]2[blank_end] priorities during the [blank_start]fasting[blank_end] state is the need to maintain adequate [blank_start]plasma[blank_end] levels of [blank_start]glucose[blank_end] to sustain energy metabolism of the [blank_start]brain,[blank_end] [blank_start]RBC[blank_end]s and other glucose requiring tissues.
Answer
-
RBC
-
WBC
-
2
-
3
-
fasting
-
fed
-
plasma
-
blood
-
glucose
-
glycogen
-
brain,
-
liver
Question 29
Question
The other priority in the [blank_start]fasting[blank_end] state is the need to mobilize [blank_start]fatty[blank_end] acids from [blank_start]adipose[blank_end] tissue, and the synthesis and release of ketone bodies from the [blank_start]liver[blank_end] to supply [blank_start]energy[blank_end] to all other tissues.
Answer
-
fasting
-
fed
-
fatty
-
amino
-
starchy
-
adipose
-
muscle
-
carbohydrate
-
liver
-
kidneys
-
energy
Question 30
Question
Hepatic _________ maintains blood glucose
Answer
-
glycogenolysis
-
glucose synthase
-
glycogen metabolism
-
osmolarity
-
glucofructokinase
Question 31
Question
Which of these are used in the liver for gluconeogenesis?
Answer
-
lactate
-
glycerol
-
alanine
-
glucose
Question 32
Question
What cycle is important in hepatic gluconeogenesis?
Answer
-
the cori cycle
-
the acetyl CoA cycle
-
the plasma cycle
-
cycle against suicide
-
glucose cycle
Question 33
Question
What cannon be used for NET glucose synthesis?
Answer
-
acetyl CoA
-
lactate
-
glycerol
-
alanine
Question 34
Question
What proteins from muscle are important for net glucose synthesis?
Answer
-
alanine
-
glutamine
-
asphargine
-
calamine
-
glucomine
Question 35
Question
When is the postabsoprtive state?
Question 36
Question
What is the early phase of starvation?
Answer
-
gluconeogenic phase
-
glycolysis phase
-
fasting phase
-
fed phase
-
hepatomatic phase
Question 37
Question
How long does the gluconeogenic phase last?
Answer
-
until the 2nd or 3rd day of absolute starvation
-
until the end of the 1st day of absolute starvation
-
until the 2nd or 3rd week of absolute starvation
-
until the the 7th day of absolute starvation
Question 38
Question
When is the period of adaptation to starvation (approx) ?
Answer
-
over the first 3 weeks
-
over the first 5 days
-
over the 1st week
-
over the first year
Question 39
Question
During the phase of adaptation to starvation what happens to the active thyroid hormone?
Question 40
Question
When does the period of adapted starvation begin?
Answer
-
from 3 weeks onwards
-
from 3 days onwards
-
from 7 weeks onwards
-
from 7 days onwards
Question 41
Question
Initially during fasting, levels of fatty acids in the blood are...
Question 42
Question
During fasting in the liver, fatty acid oxidation provides
Answer
-
ATP for gluconeogenis
-
ATP for glycogenolysis
-
ADP for gluconeogenis
-
ADP for glycogenolysis
Question 43
Question
During fasting, when ,Evelyn of ketone bodies (that are released from the liver) are high, they supply the brain, completely replacing glucose
Question 44
Question
Ketone bodies prevent...
Question 45
Question
During the fasting state the pancreas released...
Answer
-
Glucagon
-
Fatty acids
-
Bile
-
Ketones
Question 46
Question
Basal energy requirements can be reduced by reducing production of the active thyroid hormone up to
Question 47
Question
Late stage fasting occurs after...
Answer
-
3 hours
-
3 days
-
10-12 hours
-
6 hours
-
1 day
Question 48
Question
During late stage fasting...
Answer
-
There is little to no glycogen left
-
The body is dependent on hepatic gluconeogenesis
-
Gbuconeogensis occurs primarily from lactate glycerol and alanine
Question 49
Question
Which of these occur in the liver in fasting?
Answer
-
Increased glycogen degradation
-
Increased gluconeogenesis
-
Increased fatty acid oxidation
-
Increased synthesis of ketone bodies
-
Increased degradation of TAGs
Question 50
Question
Which of these occur in adipose tissue during fasting?
Question 51
Question
Resting muscle uses .... as a fuel source during fasting
Answer
-
Fatty acids
-
Glycogen stores
Question 52
Question
During fasting which of these does exercising muscle use as fuel?
Answer
-
Glycogen stores
-
Fatty acids
Question 53
Question
What becomes the dominant fuel source in muscle during fasting once all other sources are gone?
Answer
-
Lactate
-
TAG from adipose tissue
-
Glycogen
-
Fatty acids
Question 54
Question
In early fasting the brain exclusively uses...
Answer
-
Glucose
-
Ketones
-
Fatty acids
-
Proteins
Question 55
Question
After 2 weeks of starvation the brain uses ... as a fuel source?
Answer
-
Glucose
-
Ketones
-
Protein
-
Fatty acids
Question 56
Question
Which of these are true about the kidney in long term fasting?
Answer
-
Contains enzymes for gluconeogenesis including glucose 6 phosphate
-
In late fasting 50% of gluconeogenesis occurs here
-
Maintains pH balance
-
Counteracts acidosis caused by raised ketone bodies in the plasma
-
AlphaKG is used with ammonia as a substrate for gluconeogenesis
-
Glutamine is converted to alphKG