MCAT Bros AAMC Bio Question Pack 1 #1-120 Presented by Charlie Hoying NOW vs. LATER recap • Some questions are “Now” questions, because they rely exclusively or primarily on outside-passage information. • We do now questions before reading, only looking up a line or two max! • Some questions are “Later” questions, because they require extensive passage analysis • Remember, the now vs. later technique is designed to minimize the number of questions you worry about for AFTER reading a CP/BB passage. • Conserve brainpower, conserve willpower! • If a question takes more than 15-30s to determine its now/later classification, it’s a LATER! • Let’s analyze passage 1 for now/later questions. Passage 1 Intro: - Na/K ATPase Erythrocytes Isotonic Looks like we have a passage on Na/K ATPase! Q1: Active sodium pump Q1: • Most active sodium pump? A. Veins B. Loop of Henle C. Lungs D. Bone marrow Q1: • Most active sodium pump? A. Veins B. Loop of Henle. Correct. The loop of Henle is responsible for the osmolarity gradient of the nephron. As such, it will need active transport. C. Lungs D. Bone marrow • A. B. C. D. In which region of the loop of Henle would the sodium pump be most active? Proximal tubule Descending limb Thin ascending limb Thick ascending limb • The answer is D. A. Incorrect. Proximal tubule is not part of the loop of Henle. B. Incorrect. The descending limb is where H2O is passively reabsorbed. C. Incorrect. The thin ascending limb is permeable to water, and salt is passively reabsorbed. D. Correct. The thick ascending limb is impermeable to water, and is the region most responsible for the kidney ion gradient due to its active transport. • Descending limb • Passive H2O reabsorption (?) • Osmosis • Water flows down its concentration gradient • i.e. up the ion gradient • Thin ascending limb • Passive transport of NaCl down its concentration gradient (?) • Diffusion • Thick ascending limb • Active transport of NaCl, creating the nephron concentration gradient • Thick because impermeable to H2O • Active transport Q2: Osmosis Q2: • Reason erythrocyte volume increases upon placement into distilled water? A. Ion gradient causes water to enter cells B. Contractile filaments of the cytosol open pores in PM C. Na pump transports sodium out of cells more rapidly D. Erythrocytes produce degradative enzymes Q2: • Reason erythrocyte volume increases upon placement into distilled water? A. Ion gradient causes water to enter cells. Correct. Osmotic pressure causes water to go down its concentration gradient, i.e. H2O travels from lower [ion] to higher [ion]. This increases the volume of the cells. B. Contractile filaments of the cytosol open pores in PM. Incorrect. This mechanism does not exist and would be maladaptive for cells. C. Na pump transports sodium out of cells more rapidly. Incorrect. The Na pump is not regulated by external osmolarity. Na pump regulation is beyond the scope of the MCAT. D. Erythrocytes produce degradative enzymes. Incorrect. No reason why these enzymes would increase Vol of cell. • Define hypertonic, hypotonic, and isotonic. • Hypertonic = higher [ion] outside cell • Hypotonic = lower [ion] outside cell • Isotonic = same [ion] outside cell • Aquaporins, channels that facilitate diffusion of H2O, contain an Arg-rich selectivity filter. This filter most effectively prevents transport of which species, while allowing H2O movement? A. Glucose C. ClB. H+ D. O2 A. Incorrect. Arg could interact with glucose at Phys pH. B. Correct. Being positively charged at Phys pH, Arg will keep H+ out of the channel. C. Incorrect. Arg(+) and Cl- would be attracted. D. Incorrect. O2 could diffuse through an Arg-rich filter as well as a plasma membrane. Q3: Sodium pump & action potentials Q3: • Could the Na pump cause action potentials in neurons? A. No; APs result in increased PM permeability to Na. B. No; myelin sheaths prevent movement of ions across neuron PMs. C. Yes; Na is transported out of neurons during action potentials. D. Yes; APs are accompanied by ATP hydrolysis. Q3: • Could the Na pump cause action potentials in neurons? A. No; APs result in increased PM permeability to Na. Correct. Na can diffuse down its concentration gradient into the cell during an AP because ligand- and voltage-gated channels open. The sodium pump moves Na out of the cell. B. No; myelin sheaths prevent movement of ions across neuron PMs. Incorrect. Myelin sheaths have nothing to do with the Na pump. C. Yes; Na is transported out of neurons during action potentials. Incorrect. Na enters neurons during APs. D. Yes; APs are accompanied by ATP hydrolysis. Incorrect. ATP hydrolysis is used to set up conc gradients for an AP. • Which of the following gives the producer of myelin sheaths for the CNS and PNS, respectively? A. Schwann cells, oligodendrocytes B. Oligodendrocytes, Schwann cells C. Schwann cells, astrocytes D. Astrocytes, oligodendrocytes • The answer is B. Myelin sheaths are produced by oligodendrocytes in the CNS and Schwann cells in the PNS. • What is the function of a myelin sheath? • Myelin sheaths are impermeable to ions, and thus increase conductivity along the axon of a neuron by preventing Na+ from exiting. The AP gets relayed at nodes of Ranvier, which contain voltage-gated Na+ channels. Q4: Glycolysis vs Na/K ATPase Q4: • Number of Na+ ions removed per molecule of glucose? A. 3 B. 6 C. 9 D. 12 Q4: • Number of Na+ ions removed per molecule of glucose? A. 3 B. 6. Correct. Since glycolysis produces 2 net ATP per glucose, via reaction A, 6 Na+ could be removed from the cell per glucose. C. 9 D. 12 • If a 12-C diunsaturated fatty acid were metabolized completely, how many Na+ could be removed from the cell? A. 20 Na+ B. 54 Na+ C. 225 Na+ D. 234 Na+ • The answer is C. For a 12-C saturated fatty acid, • 5 rounds of Beta-ox • 5 NADH (x2.5 ATP) = 12.5 ATP • 5 FADH2 (x1.5 ATP) = 7.5 ATP • 6 acetyl-CoA • 18 NADH = 45 ATP • 6 FADH2= 9 ATP • 6 GTP = 6 ATP • Cost: -2 ATP for activation • Cost: 2 FADH2 for diunsaturation = -3 ATP • Total = 75 ATP (x3 Na+) = 225 Na+ Data interpretation practice: What observations can we make from this table? • • • • High rate of ATP hydrolysis when erythrocyte contains NaCl Low rate when ecf contains NaCl Low rate when Mg2+ absent (?) • Cofactor Low rate when ATP is outside cell only (?) • ATP hydrolysis occurs on intracellular side Passage 1 Takeaways • Body sodium – region where lots of Na+ is transported • Nephron – major transport in each area • Osmosis, diffusion, facilitated diffusion, active transport • Hypertonicity, hypotonicity, isotonicity • Amino acids • Action potentials – phases, permeabilities • Normal [ion] inside and outside cell • Myelin sheaths and cells that produce them • COPS = CNS oligodendrocytes; PNS Schwann Cells • Beta-oxidation • Location • Electron carriers (NADH, FADH2) per round • Number of acetyl-CoA • Strategy in analyzing data tables Passage 2 Intro: - Ulcers H. pylori vacA Looks like we have a passage on microbio/ulcers! Q5: Link to cancer Q5: • H pylori infection may ^cell proliferation in stomach • How H. pylori infection would lead to cancer A. Genetic mutations in proliferating germ cells B. Genetic mutations in proliferating somatic cells C. Immune system fails to recognize bacterial antigens D. Crowded mucosal cells remain in interphase Q5: • H pylori infection may ^cell proliferation in stomach • How H. pylori infection would lead to cancer A. Genetic mutations in proliferating germ cells. Incorrect. Germ cells are not present in the stomach. B. Genetic mutations in proliferating somatic cells. Correct. Cancer arises mainly from mutations in genes regulating cell cycle. C. Immune system fails to recognize bacterial antigens. Incorrect. This would promote cancer due to ^B, but would not lead to cancer on its own. D. Crowded mucosal cells remain in interphase. Incorrect. Cancer is uncontrolled cell growth/division; cells in interphase cannot cause cancer. • CagA is an H. pylori cytotoxin thought to be involved in increased cell proliferation and cancer. Researchers transfected gastric cells with CagA in vitro and measured cell growth. What would be the most appropriate negative control experiment? A. Measuring apoptosis of the gastric cells B. Transfecting the cells with vacA, an H. pylori toxin that creates holes in intracellular membranes C. Incubating the cells with lenaldekar, a drug that inhibits cell proliferation D. Transfecting the cells with cDNA for PDGF, which promotes cell division • The answer is C. A. Control experiments are IVs, not DVs. B. Transfection with a different toxin does not give control information regarding cagA. C. Preventing the effect of cagA, which is hypothesized to be cell proliferation, constitutes a negative control expt. D. This would be more of a positive control, since it elicits the expected effect, i.e. proliferation. Q6: Reason host antibodies are ineffective against H. pylori Q6: • Host antibodies are ineffective against H. pylori • Why? A. Antibodies denatured in stomach B. Antibodies not effective against bacteria C. H. pylori suppresses immune system D. Antibodies not secreted into extracellular spaces Q6: • Host antibodies are ineffective against H. pylori • Why? A. Antibodies denatured in stomach. Correct. Extreme pH denatures proteins, and antibodies are proteins. B. Antibodies not effective against bacteria. Incorrect. Antibodies are generally effective against bacteria and viruses. C. H. pylori suppresses immune system. Incorrect. No reason to assume immune suppression. D. Antibodies not secreted into extracellular spaces. Incorrect. Antibodies secreted into extracellular spaces are known as immunoglobulins. • Which region of H. pylori antibodies is most likely to be different from HIV antibodies? A The answer is A. • The variable region of antibodies is the arms (top-left C and top-right). • The A regions bind to antigens • The B region binds to host molecules depending on antibody function B • The C regions are unimportant on the MCAT Q7: Diff between bacterial strains Q7: • Difference between bacterial strains A. Attack different hosts B. Express different genes C. Diff antibiotic resistance D. Exist in diff countries Q7: • Difference between bacterial strains A. Attack different hosts. Incorrect. This does not necessarily define a bacterial strain. B. Express different genes. Correct. By definition, different strains of a pathogen express different genes. Otherwise, they would be the same strain. This is the broadest answer. C. Diff antibiotic resistance. Incorrect. This may be true, but it does not define diff strains. D. Exist in diff countries. Incorrect. Same as A and C. • H. pylori strains can be categorized as either CagA(+) or CagA(-). CagA is a highly antigenic toxin that is injected into the cell, mimicking effects of hepatocyte growth factor and triggering a morphological cellular change to a more motile phenotype. Given this, which is LEAST likely seen in CagA(+) strains of H. pylori? A. Increased metastasis B. Increased resistance to antibiotics C. Increased vascular permeability D. Increased cytoplasmic volume • The answer is B. A. Incorrect. Greater motility would mean greater metastasis. B. Correct. No reason to suspect greater antibiotic resistance. C. Incorrect. Vascular permeability would increase due to CagA’s high antigenicity. D. Incorrect. Question states CagA mimicks hepatocyte growth factor. Q8: Effects of CagA? Q8: • Effects of cagA? • A. B. C. D. CagA inflammation Disruption of host cell enzymatic activity. Disruption of host cell protein synthesis. Movement of leukocytes into mucosal tissue. Vasoconstriction of arterioles in mucosal layer. Q8: • Effects of cagA? • CagA inflammation A. Disruption of host cell enzymatic activity. Incorrect. Inflammation can lead to loss of function, but C is better. B. Disruption of host cell protein synthesis. Incorrect. Inflammation is not associated with decreased protein synthesis. C. Movement of leukocytes into mucosal tissue. Correct. Inflammation is associated with extravasation. D. Vasoconstriction of arterioles in mucosal layer. Incorrect. Inflammation leads to local vasodilation. • Leukocyte extravasation, aka diapedesis, requires WBCs to cross which type of cell-cell connection? A. Gap junctions B. Tight junctions C. Desmosomes D. Intercalated disks • The answer is B. A. Gap junctions allow ion flow between cells. B. Tight junctions normally prevent movement esp out of BVs. C. Desmosomes are permeable to molecular flow. D. Intercalated disks are present between cardiac myocytes. Q9: Reason H. pylori doesn’t lead to cancer in most people Q9: • Let’s look for any backup info from the passage: • A. B. C. D. Increased risk of cancer, but why do most not develop cancer? Do not incorporate bacterial genes into chromosomes Robust immune systems defeat early cancers Eradicate infection before tumors develop Tolerate infection w/o developing tumors Q9: • Let’s look for any backup info from the passage: • Increased risk of cancer, but why do most not develop cancer? A. Do not incorporate bacterial genes into chromosomes. Incorrect. No mention of DNA integration (associated with retroviruses). B. Robust immune systems defeat early cancers. Incorrect. “Early cancers” would contradict question stem. C. Eradicate infection before tumors develop. Incorrect. Question only mentions they don’t get cancer; not eradicate infection. D. Tolerate infection w/o developing tumors. Correct. This is somewhat circular, but it addresses the question best. • The structure of metronidazole, a common antibiotic prescribed for H. pylori infection, is shown at right. Its methyl group is oxidized to alcohol during activation. Which of the following would LEAST inhibit metronidazole activation? A. LiAlH4 C. Beta-mercaptoethanol B. NAD+ D. glucose A. LAH is a reducing agent that could compete for oxidation. B. Correct. NAD+ is already oxidized; it gets reduced to NADH. C. Beta-mercaptoethanol gets oxidized when it reduces disulfides. D. Glucose is oxidized during metabolism, so it can compete with metronidazole. Glucose is also a reducing sugar (has hemiacetal). Passage 2 Takeaways • Somatic vs. germ-line cells • Cell cycle phases • Expt’l design • • • • Positive control Negative control DV IV • Antibodies – secreted immune proteins • • • • Produced by B cells (plasma cells) Neutralize and promote phagocytosis “Y” structure: Fixed and variable region; heavy and light chain Immunoglobulin – free antibody in blood • Inflammation • Redness, heat, swelling, pain, loss of function • Extravasation – migration of leukocytes (esp. neutrophils) from bloodstream into tissue • Types of cellular junctions • Reducing agents – NaBH4, LiAlH4 (LAH), beta-mercaptoethanol, DTT Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Passage 3 Intro: - Freeze tolerance Only extracellular water freezes Hyperglycemia Looks like we have a passage on freezing point reduction/osmosis! Q10: Why hyperglycemia cellular dehydration Q10: • Why does hyperglycemia lead to cellular dehydration? A. Glucose energy accelerates osmotic work performed by PMs B. Glucose energy accelerates PM ion-xc pumps C. Glucose raise osmotic pressure of ecf D. Glucose molecules exchanged for water molecules across PM Q10: • Why does hyperglycemia lead to cellular dehydration? A. Glucose energy accelerates osmotic work performed by PMs. Incorrect. Osmosis does not require work. B. Glucose energy accelerates PM ion-xc pumps. Incorrect. Active transport of ions does not lead to increased water export. C. Glucose raise osmotic pressure of ecf. Correct. ^[solute]ecf leads to increased osmotic water export. D. Glucose molecules exchanged for water molecules across PM. Incorrect. This occurs via secondary active transport with Na+. • Which solution would cause the greatest cellular dehydration? A. 3 mM glucose B. 1 mM NaCl C. 2 mM NaHCO3 D. 2 mM glycerol • The answer is C. π = iMRT. As R and T are the same, only iM need to be evaluated. Greatest cellular dehydration would follow from highest Posm. A. iM = 1*0.003 = 0.003 B. iM = 2*0.001 = 0.002 C. iM = 2*0.002 = 0.004. Posm will be the highest. D. iM = 1*0.002 = 0.002 Q11: Change in glucose regulation leading to hyperglycemia Q11: • Glucose regulation mechanisms leading to hyperglycemia A. Suppression of insulin secretion B. Suppression of glucagon secretion C. Slowing of glycogen catabolism in liver D. Increased sensitivity of all pancreatic responses Q11: • Glucose regulation mechanisms leading to hyperglycemia A. Suppression of insulin secretion. Correct. Insulin lowers blood glucose. Suppressing it would help increase blood glucose. B. Suppression of glucagon secretion. Incorrect. Glucagon increases blood glucose. Suppressing it would not help. C. Slowing of glycogen catabolism in liver. Incorrect. Glycogen breakdown increases blood glucose. Similar to B. D. Increased sensitivity of all pancreatic responses. Incorrect. Some pancreatic responses raise blood glucose; some lower it. • A frog has not eaten a meal in 5 hours. Which of the following patterns of [glucagon]plasma and lipolysis would be expected? A. ^[glucagon] and ^ lipolysis B. ^[glucagon] and v lipolysis C. v[glucagon] and ^ lipolysis D. v[glucagon] and v lipolysis • The answer is A. A. Increased glucagon would mobilize nutrients; increased lipolysis would mobilize free fatty acids (ffa’s). B. More nutrient mobilization; decreased lipolysis would inhibit ffa mobilization. C. Decreased nutrient mobilization; increased lipolysis would not occur with decreased glucagon. D. Decreased nutrient mobilization and decreased lipolysis would not help nourish cells during fasting. Q12: Reason for persistence of HR Q13: Locations of ice Q13: • Location of ice? I. II. III. A. B. C. D. Cytoplasm Plasma Lymph II III I, II II, III Q13: • Location of ice? I. II. III. A. B. C. D. • I. II. III. IV. V. A. B. C. D. • Cytoplasm Plasma Lymph II III I, II II, III. Correct. Plasma and lymph fluid are extracellular. Cytoplasm is intracellular. Which of the following proteins will NOT be present in a frozen water medium? Albumin Tubulin Prothrombin Hemoglobin Cytochrome C II, IV, V I, III, IV I, II, IV II, IV, V The answer is D. I. II. III. IV. V. Albumin is extracellular and is the major osmoregulatory protein in the blood. Tubulin composes microtubules, which are intracellular/cytoskeletal. Prothrombin is a precursor to clotting protein thrombin present in the blood. Hemoglobin is located in the cytoplasm of RBCs. Cytochrome C is a mitochondrial protein essential to the ETC. Q14: Anaerobic respiration period Q14: • Time period of exclusive anaerobic metabolism A. Before 0 hours B. B/w 0 and 6 hours C. B/w 0 and 24 hours D. B/w 12 and 26 hours Q14: • Time period of exclusive anaerobic metabolism A. Before 0 hours B. B/w 0 and 6 hours C. B/w 0 and 24 hours D. B/w 12 and 26 hours. Correct. Heart rate slows to 0 around 12 hours. Aerobic respiration requires O2. O2 distribution requires hemoglobin movement from lungs to tissues, which requires pumping from the heart. • Which of the following species is most highly produced at hour 20? A. Glucagon B. Oxyhemoglobin C. Lactate A. Incorrect. Since glucagon serves to dehydrate cells via glucose osmosis, and cells are D. Acetyl-CoA already at minimum H2O levels near hour 20, glucagon levels are likely not high. • The answer is A. B. Incorrect. Since heart activity stops around hour 12, oxygenated hemoglobin is less likely to be found at hour 20. C. Correct. Since heart activity and thus aerobic respiration stops around hour 12, lactate is likely present in blood. D. Incorrect. Since aerobic respiration stops around hour 12, Acetyl-CoA would be low. Q15: Results of Fig 2 Now, to read passage 3: - Freeze tolerance - Ice in cells = bad - Slow cooling permits water redistribution out of cells such that only ecf water freezes - Accelerated glucose release from hepatic glycogen hyperglycemia - Hyperglycemia cellular dehydration Now, to read passage 3: - Body temperature – lowers after heart rate lowers - Heart rate – lowers around hour 12 (?) - Enable distribution of glucose in blood - Ice content – reaches 50% around 6 hours - Tissue glucose – reaches maximum around 3 hours (?) - Osmotically pull water out of cells - Tissue water – reaches minimum between 6 and 18 hours (?) - Makes freezing difficult – freezing point depression Now, to read passage 3: - Research question: Does plasma glucose prevent destruction of RBCs - Background: hyperglycemia cellular dehydration cryoprotection against cellular death - IV: Saline injection vs. 640 mM glucose vs. 1500 mM glucose - DV1: Survival % - DV2: Plasma hemoglobin (?) - Indicates RBC lysis(?) - From freezing - Results: - Lowest [Hb] with higher glucose injection - Higher [Hb] with no glucose injection - Conclusion: - Glucose prevents RBC death and lysis - H2O flows out, leading to shrunken cells but not lysis Q12: • Importance of pulse during ice formation A. Circulating blood distributes glucose B. Circulating blood equilibrates temperature C. Beating heart warms body tissues and slows ice formation D. Beating heart requires glucose energy source Q12: • Importance of pulse during ice formation A. Circulating blood distributes glucose. Correct. Hyperglycemia was described as the main cryoprotective mechanism due to the danger of intracellular ice. B. Circulating blood equilibrates temperature. Incorrect. Hyperglycemia was described as the main cryoprotective role of glucose. This answer choice does not mention glucose. C. Beating heart warms body tissues and slows ice formation. Incorrect. Same as C. D. Beating heart requires glucose energy source. Incorrect. This does not describe why glucose is cryoprotective. Q15: • Do Fig 2 results support glucose cryoprotective hypothesis? A. Yes; survival and protection against hemolysis are promoted by exogenous glucose B. Yes; death by freezing is directly proportional to hemolysis C. No; glucose lowered [Hb] survival levels unrelated to treatment D. No; saline promoted hemolysis, suggesting death related to circulatory collapse Q15: • Do Fig 2 results support glucose cryoprotective hypothesis? A. Yes; survival and protection against hemolysis are promoted by exogenous glucose B. Yes; death by freezing is directly proportional to hemolysis C. No; glucose lowered [Hb] survival levels unrelated to treatment D. No; saline promoted hemolysis, suggesting death related to circulatory collapse • The best answer is A A. Higher glucose leads to higher survival and lower [Hb]plasma, i.e. lower hemolysis. • Plasma Hb = hemolysis B. Higher death is opposite [Hb], suggesting lower death is related to lower hemolysis C. Injected glucose is related to survival rates. Higher glucose = higher survival. D. Hemolysis = rupture of RBCs. RBC destruction =/= circulatory collapse. Circulatory collapse occurs during v BP, e.g. during stroke. Passage 3 Takeaways • Hyper/hypoglycemia • Osmotic pressure • Equation • Insulin, glucagon; glycogenesis, glycogenolysis; lipogenesis, lipolysis • Some important MCAT proteins I. II. III. IV. V. Albumin Tubulin Prothrombin Hemoglobin Cytochrome C • Aerobic vs. anerobic respiration, relationship to blood flow • Hypoxia, anoxia, ischemia • Important metabolites – lactate, acetyl-CoA • Osmosis and cell lysis Q16: • A. B. C. D. Most effective method for increasing water lost through skin? Inhibiting kidney function Decreasing salt consumption Increasing water consumption Raising the environmental temperature Q16: • Most effective method for increasing water lost through skin? A. Inhibiting kidney function. Incorrect. Water excretion through skin does not depend on excretion through urinary system. B. Decreasing salt consumption. Incorrect. Water excretion through skin does depend on plasma salt. C. Increasing water consumption. Incorrect. Water excretion through skin does not depend on blood volume. D. Raising the environmental temperature. Correct. Sweating occurs to decrease body temperature. • The reason sweating decreases body temp is evaporation has A. (-)ΔS° C. (+)ΔH° B. (+)ΔS° D. (-)ΔH° • The answer is C. A. (-)ΔS°. Incorrect. Liquid to gas increases entropy. B. (+)ΔS°. Incorrect. This is true, but increasing entropy does not decrease Temp. C. (+)ΔH°. Correct. Breaking the H-bonds in a liquid requires thermal energy, which decreases surrounding heat (endothermic). D. (-)ΔH°. Incorrect. Evaporation is endothermic. • The spontaneity of vaporization for a substance… A. Is favorable at all temperatures B. Is unfavorable at all temperatures C. D. • • • Depends on the substance Depends on the temperature The answer is D. Vaporization, liquid becoming gas, always involves a (+)ΔS° and (+)ΔH° Via ΔG° = ΔH° - TΔS°, “like” signs always mean spontaneity if temperature-dependent. Q17: • A. B. C. Lipases illustrate the fact that Some enzymes are molecules other than proteins Most enzymes interact w/ only one specific substrate molecule Some enzymes interact w/ several different substrate molecules with similar chemical linkages D. Some enzymes interact with many diff bioactive substrates with dissimilar structures/linkages Q17: • Lipases illustrate the fact that A. Some enzymes are molecules other than proteins. Incorrect. Fats and carboxylic esters are the substrates. B. Most enzymes interact w/ only one specific substrate molecule. Incorrect. 2 different substrates are mentioned. C. Some enzymes interact w/ several different substrate molecules with similar chemical linkages. Correct. These represent diff substrates with similar linkages. D. Some enzymes interact with many diff bioactive substrates with dissimilar structures/linkages. Incorrect. See C. • Which of the following does NOT contain an ester? A. Triacylglycerols B. Amino acid linkages C. Phosphoacylglycerols D. Nucleic acid linkages • The answer is B. • Triglycerides, phospholipids, and phosphodiester bonds contain esters. Peptide bonds do not. • Which bond is NOT broken/formed during ribozymal RNase activity? A. P-(sp3)O B. P-(sp2)O C. O-H D. C-O • The answer is D. A. The free 2’-OH (sp3) of the ribozyme attacks the phosphodiester P. B. The phosphodiester linkage between ribonucleotides, P-(sp2)O is broken by the RNase. C. An O-H bond is formed during phosphodiester hydrolysis. D. No carbons are involved. Q18: • Process that involves F factor plasmid A. Transformation B. Transduction C. Conjugation D. Translocation Q18: • Process that involves F factor plasmid A. Transformation. Incorrect. Transformation is bacterial uptake of DNA from the external environment. B. Transduction. Incorrect. Transduction is when a virus inserts genes from a prior host into a new host’s DNA. C. Conjugation. Correct. Conjugation is horizontal gene transfer between bacteria when one has the F factor (fertility factor). D. Translocation. Incorrect. Translocation is gene exchange between chromosomes in the same organism. • The mechanism of acquired antibiotic resistance in B. cortus from strain Y is studied using two chemicals, chromothymine (Chr), which degrades genomic DNA, and mercaptocysteine (MeC), which degrades circular DNA under 1000bp in size. Media are prepared using a combination of both chemicals. • Results: Chr(+) MeC(+): No growth in either strain. Chr(+) MeC(-): No growth in either strain. Chr(-) MeC(+): Both strains are observed to grow. Chr(-) MeC(-): Both strains are observed to grow. What type of fertile bacterium is strain Y? A. F(+) containing the resistance gene on a plasmid. B. F(+) containing the resistance gene in the genomic DNA. C. Hfr containing the resistance gene on a plasmid. D. Hfr containing the resistance gene in the genomic DNA. • A. B. C. D. The answer is D. Both strains grow in the presence of MeC. F(+) is on a plasmid, not genomic. Hfr is genomic, not on a plasmid. Correct. Since neither strains grow in the presence of Chr, which degrades genomic DNA, strain Y is Hfr. • F+ = bacteria with the F factor located on a plasmid • Hfr = bacteria with the fertility genes located on its chromosome • F- = non-fertile bacteria • Conjugation: • Hfr or F+ cell forms sex pilus with F- cell • Hfr (shown left): replication of fertility genes • Sends to F- cell • May contain Hfr bacterial genes during longer conjugations (pro+ here, at right) • Recombination – donor DNA integrated into host chromosome • F+ (not shown): replication of F factor plasmid • Sends to F- cell Q19: • • A. B. C. D. Some offspring show recessive traits, some don’t Original genotypes? VVEE x vvee VvEe x VvEe vvEE x VVee vvee x vvee Q19: • • A. B. C. D. • A. B. C. D. • A. Some offspring show recessive traits, some don’t Original genotypes? VVEE x vvee. Incorrect. All F1 phenotypes dominant. VvEe x VvEe. Correct. 9:3:3:1 ratio in offspring. vvEE x VVee. Incorrect. All F1 phenotypes dominant. vvee x vvee. Incorrect. All F1 phenotypes recessive. If in a cross of fruit flies, 50 offspring had red eyes, 2 had white eyes; and 48 offspring had hairy legs, 4 had smooth legs, what conclusions can most reasonably be made? • Assume the genotypes were RRhh * rrHH White eyes are dominant to red, hairy legs are dominant to smooth, and both genes are on separate chromosomes. Red eyes are dominant to white, hairy legs are dominant to smooth, and both genes are 30 map units away. Red eyes are dominant to white, hairy legs are dominant to smooth, and both genes are located on the same chromosome. Red eyes are dominant to white, hairy legs are dominant to smooth, and both genes are located on separate chromosomes. The best answer is C. White eyes are likely not dominant to red. B. If the genes were 30 map units away, the recombination frequency would be 30%, not 4-8% as is observed. C. Correct. Both genes are likely located close together on the same chromosome, as seen by the low recombination frequencies. Red is dominant to white eyes, and hairy legs is dominant to smooth. D. The genes are not located on different chromosomes because they recombine. Q20: • Inflation of the lungs in mammals is accomplished by A. Diffusion of gases B. Active transport of gases C. Positive pressure D. Negative pressure Q20: • Inflation of the lungs in mammals is accomplished by A. Diffusion of gases. Incorrect. Diffusion is passive movement. Mammals breathe. B. Active transport of gases. Incorrect. Active transport requires proximal ATP hydrolysis. C. Positive pressure. Incorrect. Positive pressure is pushing. Mammals inhale to breathe. D. Negative pressure. Correct. Negative pressure is pulling. Mammals inhale to breathe. • Positive and negative pressure are analogous to either oncotic pressure or blood pressure. Mix and match: • Positive pressure is analogous to blood pressure. Blood pressure is a pushing force, i.e. a hydrostatic pressure, against the blood vessel endothelium. • Negative pressure is analogous to oncotic pressure (blood osmotic pressure). Osmosis is a pulling force that causes water to flow from low [solute] to high [solute]. • Between H2 and O2, which would diffuse best through cell membranes, and because of which property? A. H2, induced dipole-induced dipole forces B. O2, polarizability C. H2, dipole-dipole forces D. O2, London dispersion forces • The answer is A. • H2 and O2 are both small, nonpolar gases. H2 is smaller • Polarizability is the tendency of instantaneous dipole formation due to random electron cloud dispersion, and increases w/size and # of e-’s • ^Polarizability = ^LDFs • LDFs can be thought of as, and are aka induced dipole-induced dipole forces • Dipole-dipole forces occur in polar molecules only • London dispersion forces • By chance, random electron motion causes an instantaneous dipole moment to form in Atom 1 • This temporary dipole causes electron movement in Atom 2, opposed to that of Atom 1 • Cumulatively across many atoms, these temporary forces lead to a synchronous balancing of (+) and (-) charges of electrons and nuclei • This leads to a weak but cumulative attractive force between nonpolar molecules • Takeaway: • LDFs increase via • ^molecular size • ^# of e-’s • What are the standard phases of matter for Cl2, Br2, and I2? • Gas, liquid, solid • Rank the LDF strength for these diatomic molecules • I2 > Br2 > Cl2 because of atomic size. FSQ Takeaways • • • • • • Thermoregulation methods in humans Thermodynamics of physical changes (state changes) Common biological substrates Enzyme mechanisms RNA structure Methods of gene transfer • Transformation, conjugation, transfection, transduction • Genetics – Mendelian crosses • Important ratios: 3:1, 9:3:3:1 • Testcross • Transport – diffusion, facilitated diffusion, secondary active transport, primary active transport • Intermolecular forces – LDFs, dipole-dipole, H-bonding Passage 4 Intro: - 2 nuclei Diploid micronucleous 45-ploid macronucleous Conjugation Looks like we have a passage on microbiology/genetics! Q21: Function of extrachromosomal rRNA genes Q21: • Extrachromosomal rRNA genes are most likely? A. Nonlinear B. Nonfunctional C. Self-replicating D. Rearranged Q21: • Extrachromosomal rRNA genes are most likely? A. Nonlinear. Incorrect. The AAMC explanation literally says “all nucleic acids are linear rearrangements of their component nucleotides.” • I took this out because they mean “linear vs. branched” as opposed to “linear vs. circular.” mtDNA and plasmids are circular, for instance. B. Nonfunctional. Incorrect. rRNA is necessary for translation. C. Self-replicating. Correct. This is the best remaining answer. The genes likely replicate independently of chromosomal DNA. D. Rearranged. Incorrect. Chromosome rearrangement has nothing to do with chromosomal or extrachromosomal location. • RNA pol’s I, II, III correspond to which types of RNA in eukaryotes? • RNA pol I: rRNA • RNA pol II: mRNA • RNA pol III: tRNA • Possible mnemonic: Rate my teachers?? • DNA pol’s I, II, III correspond to which functions in bacteria? • DNA pol I: replaces RNA primers • DNA pol II: repair • DNA pol III: major replicative enzyme Q22: Reason for extra S phase Q23: Similarity between macronuclei and ova Q24: Heterozygous macronucleus undergoing repeated binary fission Q25: Purpose of DNA sequences eliminated Q26: Genetic probabilities of new system Now, to read passage 4: • Micronucleus • Diploid, germ-line • Macronucleus • 45-ploid • Gene expression during vegetative state • Sexual reproduction via conjugation • Step 1: Cell pair formation • Step 2: Meiosis of micronucleus • Destruction of 3 other meiotic nuclei • Step 3: Mitosis of remaining nucleus • Genetic exchange – trade 1 of the mitotic products • Step 4: fertilization of meiotic nuclei • Half filled circles = fertilization • Step 5: 2 mitotic divisions of fertilized nucleus How to read: Each diagram is the result of its step description!!!! Now, to read passage 4: • Step 6: Differentiation of 2 new micronuclei into macronuclei • Elimination of some micronuclear DNA sequences • Fragmentation of original micronuclei (X circle in step 7) • Idk what 2 means • Step 7: Destruction of old macronucleus (X square) and 1 new micronucleus (X circle) • Separation of mating cells • Each cell now has 2 macronuclei and 1 micronucleus • Step 8: 4 progeny cells, each with: • 1 macronucleus (no replication = amitotic) • A copy of the new micronucleus (mitotic) How to read: Each diagram is the result of its step description!!!! Now, to read passage 4: • 4 sexually produced progeny divide by binary fission • Each daughter cell receives: • Exact copy of micronucleus • Uneven (approx. equal) amount of DNA from amitotic macronucleus • To minimize fluctuations in DNA content • Small macronuclei = additional S phase • Large macronuclei = eliminate S phase How to read: Each diagram is the result of its step description!!!! Q22: • Reason for extra S phase during amitotic division? A. B. C. D. Low concentrations of DNA in macronucleus Centromeres in macronucleus High concentrations of DNA in micronucleus Mitotic enzymes in micronucleus Q22: • Reason for extra S phase during amitotic division? A. Low concentrations of DNA in macronucleus. Correct. An additional S phase would increase DNA concentration. B. Centromeres in macronucleus. Incorrect. No reason why centromeres would require extra S phase. C. High concentrations of DNA in micronucleus. Incorrect. Passage states large macronuclei eliminate an S phase. D. Mitotic enzymes in micronucleus. Incorrect. No mention in passage of mitotic enzymes. • If the [genomic DNA] in a primary spermatocyte in interphase is 288 pg/mL, what is the concentration in a spermatid? A. 72 pg/mL B. 144 pg/mL C. 216 pg/mL D. 288 pg/mL • The answer is B. During interphase, the DNA in a primary spermatocyte is 2n. After meiosis, each spermatid has 1n DNA. 288/2 = 144 pg/mL. Q23: • Similarity between macronuclei and ova? Their cytoplasm A. Undergo uneven division B. Contain uneven amounts of nuclear material C. Regulate their contents by adding/skipping an S phase D. Are apportioned at mitosis Q23: • Similarity between macronuclei and cytoplasm of ova? A. Undergo uneven division. Correct. Ova form polar bodies, in which the ova contains the cytoplasm of all 4 meiotic products but the genome of only one. B. Contain uneven amounts of nuclear material. Incorrect. Ova contain 1n of all chromosomes. C. Regulate their contents by adding/skipping an S phase. Incorrect. Not a thing in ova. D. Are apportioned at mitosis. Incorrect. Ova cytoplasm are apportioned during meiosis with formation of the first and second polar bodies. • What is the difference between a Barr body and a polar body? • Polar body – small cells that bud off from oocyte during meiosis • Barr body – inactivated X-chromosome in many mammalian females Q24: • Result of heterozygous macronucleus undergoing repeated binary fission A. Loss of macronuclear chromosomes B. Increased rate of crossing over C. Production of macronucleus with distinct genetic origin D. Variable allele distribution in macronucleus Q24: • Result of heterozygous macronucleus undergoing repeated binary fission A. Loss of macronuclear chromosomes. Incorrect. The macronucleus is 45-ploid, so this will not result in loss of chromosomes for many divisions. B. Increased rate of crossing over. Incorrect. Crossing over is during meiosis, not binary fission. C. Production of macronucleus with distinct genetic origin. Incorrect. Distinct genetic origin would mean that the macronucleus came from a different organism. D. Variable allele distribution in macronucleus. Correct. Heterozygosity in a 45-ploid nucleus that undergoes repeated fission would result in a variable allele distribution. • E.g. 23 dominant, 22 recessive • Then 12 dominant, 11 recessive or something • Etc etc. Q25: • Function of eliminated DNA sequences during macronuclear differentiation A. B. C. D. Transcription Translation Meiosis Ribosome production Q25: • Function of eliminated DNA sequences during macronuclear differentiation A. B. C. D. • Transcription. Incorrect. Necessary for gene expression. Translation. Incorrect. Necessary for gene expression. Meiosis. Correct. Micronucleus undergoes meiosis. Ribosome production. Incorrect. Necessary for gene expression. What are the small, large, and overall ribosomes in the ciliate described in the passage? • Small – 40S • Large – 60S • Overall – 80S • Ciliates are protists, not bacteria. Q26: • Mating of 2 Tetrahymena strains • Homozygous macronuclei • Heterozygous micronuclei • Recessive gene • Percentage of F1 generation that will express recessive phenotype? A. 0% B. 25% C. 50% D. 100% Q26: • Mating of 2 Tetrahymena strains • Homozygous macronuclei • Heterozygous micronuclei • Recessive gene • Percentage of F1 generation that will express recessive phenotype? A. 0% B. 25%. Correct. • Only micronucleus is involved in mating (germ-line) • Macronucleus is destroyed in step 7 • The cross ends up being a monohybrid Aa*Aa cross, where 75% express the dominant phenotype • 25% express the recessive phenotype C. 50% D. 100% Passage 4 Takeaways • Genetics – plasmids, linear vs circular DNA • Punnett squares • Stages of mitosis and meiosis, what happens during • X-chromosome inactivation • Polar bodies – ovum meiosis • Polyploidy • Central dogma of molecular biology • Ribosome structure in prokaryotes vs eukaryotes Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Passage 5 Intro: - Nucleic acid macromolecules Antisense nucleic acids Prevent production Looks like we have a passage on molecular biology! Q27: Purpose of antisense drugs Q27: • A. B. C. D. Purpose of antisense drugs is to prevent DNA replication RNA transcription RNA translation Cell replication Q27: • A. B. C. D. • A. B. C. D. • A. B. C. D. Purpose of antisense drugs is to prevent DNA replication RNA transcription RNA translation. Correct. mRNA is produced, but due to antisense binding, cannot be converted to protein. Cell replication Cellular injection of which of the following RNA strands would prevent translation of the following template strand sequence 5’-GAGCATCC-3’? 5’-GAGCAUCC-3’ 3’-CTCGTAGG-5’ 5’-CUCGUAGG-3’ 3’-CUCGUAGG-3’ The answer is A. Correct. The template strand is antisense. An antisense strand is needed to suppress gene expression. • Compare this to the coding strand vs. mRNA, which also have the same sequence with T vs. U RNA does not contain T. This represents the mRNA produced by that sequence with its 5’ and 3’ ends swapped. This represents the mRNA produced by that sequence. Q28: Effectiveness of antisense gene therapy Q28: • To be effective, an antisense gene must be A. On the same chromosome as the target gene but not necessarily physically adjacent B. On the same chromosome as the target gene and physically distant C. Regulated in a similar manner as the target gene D. Coded on the same strand of DNA as the target gene Q28: • To be effective, an antisense gene must be A. On the same chromosome as the target gene but not necessarily physically adjacent. Incorrect. An antisense gene does not need to be on the same chromosome. B. On the same chromosome as the target gene and physically distant. Incorrect. Same as A. C. Regulated in a similar manner as the target gene. Correct. If the antisense gene gets expressed whenever the target gene does, it will always be present to inhibit the target gene’s translation. D. Coded on the same strand of DNA as the target gene. Incorrect. • Are the coding and template strands of DNA the same for every gene on a chromosome? • No, a coding strand may be a template strand for another gene. • Via C), the antisense gene must have the same A. Promoter B. Enhancer C. Activator C. Activators act on enhancers. A is a better answer. D. Second messenger D. Second messengers act broadly on gene expression • The answer is A. and are not sufficient to ensure simultaneous gene A. The best way to ensure similar regulation is using the same and antisense gene expression. promoter, which ensures RNA pol is recruited at the same time. B. Enhancers increase txn, but promoter is more essential for RNA pol recruitment. Q29: Antisense drug for phenylketonuria Q29: • Phenylketonuria is caused by mutation in phenylalanine hydroxylase that eliminates enzymatic activity • Could an antisense drug help? A. Yes, if it binds to enzyme’s mRNA, preventing translation B. Yes, if incorporated in chromosome, preventing expression C. No, b/c mRNA doesn’t persist in cytoplasm D. No, b/c blockage of enzyme does not remedy disorder Q29: • Phenylketonuria (PKA) is caused by mutation in phenylalanine hydroxylase that eliminates enzymatic activity. • Could an antisense drug help? A. Yes, if it binds to enzyme’s mRNA, preventing translation B. Yes, if incorporated in chromosome, preventing expression C. No, b/c mRNA doesn’t persist in cytoplasm D. No, b/c blockage of enzyme does not remedy disorder • PKA is a disorder in which a normal dietary amount of phenylalanine that cannot be metabolized leads to competition at blood-brain barrier transporters with other large, neutral amino acids (LNAAs). • Transport of which a.a. into the brain will NOT be inhibited in phenylketonuria? A. Tryptophan B. Histidine C. Methionine D. Arginine • The answer is D. W, H, and M are LNAAs. Arg is charged. • Production of which hormone is inhibited in PKA? A. Aldosterone B. Bicarbonate C. Triiodothyronine D. Oxytocin • The answer is C. Thyroid hormones and catecholamines are derived from tyrosine, which is structurally related to and derived from Phe. Q30: Hybridization Q30: • Which of the following can hybridize with • 5’-CGAUAC-3’ A. 5’-GCTATG-3’ B. 5’-GCUAUG-3’ C. 3’-GCUAUG-5’ D. 3’-GCAUAG-5’ Q30: • Which of the following can hybridize with • 5’-CGAUAC-3’ A. 5’-GCTATG-3’ B. 5’-GCUAUG-3’ C. 3’-GCUAUG-5’. Correct. This would hybridize to the given sequence. D. 3’-GCAUAG-5’ • The Duchenne muscular dystrophy (DMD) drug, eteplirsen, binds to exon 51 of the mutant DMD gene, a 30-bp exon. What is the likely mechanism of treatment for eteplirsen? A. Restores the improper reading frame in mutant DMD mRNA. B. Causes deletion of exon 51 from the DNA, leading to a functional protein. C. Triggers endogenous DNA repair, which restores the DNA for exon 51 to its original state. D. Prevents translation of exon 51, resulting in a truncated but functional protein. • The answer is D. A. 30-bp is a multiple of 3, so reading frame will not change. B. Eteplirsen cannot bind to dsDNA since hybridization is already complete with the other DNA strand. C. Similar to B. D. Eteplirsen binds to exon 51 in the mRNA, preventing its translation. Exon 51 is mutated, leading to a nonfunctional protein. By preventing its translation, the protein is shorter but still functional. Q31: Antisense gene delivery Q31: • Effective, efficient method for gene delivery of antisense gene A. Orally as an emulsified product B. Microinjection into individual body cells C. Intravenously as a nonantigenic, blood-stable product D. Infection of embryo by virus modified to carry the gene Q31: • Effective, efficient method for gene delivery of antisense gene A. Orally as an emulsified product. Incorrect. The gene would likely be destroyed in the stomach. B. Microinjection into individual body cells. Incorrect. This is inefficient (many injections) and not long-lasting. C. Intravenously as a nonantigenic, blood-stable product. Incorrect. No guarantee of uptake into body’s cells. D. Infection of embryo by virus modified to carry the gene. Correct. At the embryonic stage, there are fewer cells to transfect, and they would express the gene for life. • What type of virus would be the best choice for such a gene therapy? A. (-)-sense RNA virus B. (+)-sense RNA virus C. ssDNA virus D. dsDNA virus • The answer is B. Retroviruses integrate DNA into the host cell and are (+)-sense RNA viruses. Q32: Purpose of quick RNA degradation Passage 5 Takeaways • Central dogma of molecular biology • Replication, txn, trln, rev trln • Transcriptional elements – gene transduction, second messenger, enhancer, activator, promoter • RNA/DNA or DNA/DNA hybridization • RNA processing – 5’capping, 3’poly A tail, splicing • Degradation • Genetic diseases • Amino acids – class, structure • Drug delivery methods – examine physiology of various organs/compartments • Viral life cycles Passage 6 Intro: - Elevated pulse and ventilation rate - Diving, skiing - Looks like we have a “case study” type passage! Q33: Cause of increased HR and ventilation rates Q33: • A. B. C. Cause of initial increase in HR and ventilation rates? Activation of sympathetic NS by new exp Activation of parasympathetic NS Hypoxia from inability of blood hemoglobin to supply O2 for swimming at sea level D. Elevated core temperature from swimming in warm waters Q33: • Cause of initial increase in HR and ventilation rates? A. Activation of sympathetic NS by new exp. Correct. Since Sarah was already in excellent physical condition, the excitement of the new experience likely led to her symptoms. B. Activation of parasympathetic NS. Incorrect. Opposite. C. Hypoxia from inability of blood hemoglobin to supply O2 for swimming at sea level. Incorrect. Since Sarah was in excellent physical condition, this is likely not the cause. D. Elevated core temperature from swimming in warm waters. Incorrect. Neither symptom is related to thermoregulation. • Which of the following would NOT be related to sympathetic nervous activation? A. Dilation of pupils B. Vasodilation of GI blood supply C. Vasodilation of skeletal muscle blood supply D. Bronchodilation • The answer is B. A. Pupillary dilation helps vision during sympathetic activation. B. Vasoconstriction of GI blood supply occurs during sympathetic activation because digestion is less necessary in fight-or-flight. C. This helps feed skeletal muscle with more O . D. Bronchodilation helps get more O2 to the alveoli during fight-or-flight . Q34: Cause of increased HR and ventilation rates during skiing trip Q34: • Cause of increase in HR and ventilation rates during skiing trip? A. Activation of sympathetic NS by new exp B. Activation of parasympathetic NS C. Hypoxia from inability of blood hemoglobin to supply O2 for PO2 found at high altitudes D. Depressed core body temperature Q34: • Cause of increase in HR and ventilation rates during skiing trip? A. Activation of sympathetic NS by new exp. Incorrect. C is a better answer. B. Activation of parasympathetic NS. Incorrect. See C. C. Hypoxia from inability of blood hemoglobin to supply O2 for PO2 found at high altitudes. Correct. Since air pressure decreases as altitude increases, initial physiological adjustments include increased HR and ventilation rate. D. Depressed core body temperature. Incorrect. C is a better answer. • Which of the following would be seen at higher altitude? A. Higher Hb-O2 binding affinity in tissues due to 2,3-BPG B. Rightward Hb shift due to decreased Temp C. Slower breathing due to fresher mountain air D. Lower Hb-O2 binding affinity in tissues due to 2,3-BPG • The answer is D. A. Hb-O2 binding affinity decreases in tissues due to 2,3-BPG, enabling more oxygen delivery. B. Decreased Temp causes a leftward Hb shift. C. Breathing increases because of decreased pressure of O2. D. 2,3-BPG causes decreased Hb-O2 binding affinity in tissues. • Decreased unloading/increased loading in lung conditions • Increased unloading in tissue conditions • Tissues are metabolically active, produce acidic waste, higher Temp Q35: Increased urination Q35: • Cause of increased urine during initial dive session • ^HR and ventilation rate A. Increased BP from excitement/anxiety B. Reduced BP from excitement/anxiety C. Absorption of water from ocean D. Inability to cool skin through evaporative water loss Q35: • Cause of increased urine during initial dive session • ^HR and ventilation rate A. Increased BP from excitement/anxiety. Correct. ^BP = ^GFR = ^urine output. B. Reduced BP from excitement/anxiety. Incorrect. Opposite of A. C. Absorption of water from ocean. Incorrect. Humans cannot directly absorb water through their skin. D. Inability to cool skin through evaporative water loss. Incorrect. This would lead to increased body temperature and more sweating, but not more urine excretion. • As Sarah dives deeper and the water temperature decreases, O2 solubility in ocean water A. Decreases B. Increases • The answer is B. Higher temperatures give O2 greater thermal energy, which results in greater escape from H2O and lower solubility. • If Sarah dives in a mountain hot spring vs. the ocean at sea level, assuming same Temp, in which will O2 solubility be higher? A. Mountain spring B. Ocean at sea level • The answer is B. At sea level, the atmospheric PO2 is higher, so more O2 will be dissolved in water. Q36: Increased urination Q36: • Cause of myoglobin presence in urine I. Broken bone II. Damaged muscle III. Damaged kidney A. B. C. D. I III I and III II and III. Q36: • Cause of myoglobin presence in urine I. Broken bone II. Damaged muscle III. Damaged kidney A. B. C. D. • A. B. C. D. • A. B. C. D. I III I and III II and III. Correct. Myoglobin is usually intact in the muscle, so myoglobinuria would indicate damaged muscle. Proteins are usually kept out of the kidney by glomerular filtration, so myoglobinuria would also indicated damaged kidney. What is the purpose of myoglobin? Absorb O2 during periods of high muscle usage Provide equilibrium for hemoglobin in muscle Enable aerobic metabolism to occur for longer in active muscle Protect muscle tissue against damage during long periods of use The answer is C. Myoglobin enables O2 delivery during high muscle usage. This doesn’t really mean anything. Myoglobin is an O2 storage protein in muscle tissues for when actively contracting muscles prohibit blood flow. Myoglobin is not a protective protein. Q37: Nervous system structure vs. function Q37: • Control of HR, muscle coordination, and appetite is maintained by the A. Hypothalamus, cerebrum, and brain stem B. Brain stem, hypothalamus, and cerebrum C. Cerebellum, hypothalamus, and brain stem D. Brain stem, cerebellum, and hypothalamus Q37: • Control of HR, muscle coordination, and appetite is maintained by the A. Hypothalamus, cerebrum, and brain stem B. Brain stem, hypothalamus, and cerebrum C. Cerebellum, hypothalamus, and brain stem D. Brain stem, cerebellum, and hypothalamus. Correct. This is the only answer choice that correctly matches the nervous system structure with its function. • Which of the following pathways does NOT give the correct hormonal products by organ, from hypothalamus to anterior pituitary to target organ? A. Thyrotropin-releasing hormone, thyroid hormone, growth hormone B. Corticotropin-releasing hormone, adrenocorticotropic hormone, cortisol C. Gonadotropin releasing hormone, FSH/LH, estradiol/testosterone D. Growth hormone-releasing hormone, GH, insulin-like growth factor-I • The answer is A A. Thyroid hormone results in release of T3, T4 B. CRH ACTH cortisol C. GnRH FSH/LH estradiol/testosterone D. GHRH GH IGF-I (this last part is unnecessary to memorize) Q38: Reason for periodic vasodilation Q38: • Reason for periodic vasodilation A. Maintain normal skin tone B. Maintain sufficient oxygenation of cells C. Reduce excessive blood pressure D. Maintain normal muscle tone Q38: • Reason for periodic vasodilation A. Maintain normal skin tone. Incorrect. Skin tone is usually understood as skin color, i.e. melanin levels. B. Maintain sufficient oxygenation of cells. Correct. Vasoconstriction leads to less oxygenation of cells; vasodilation ensures they are oxygenated. C. Reduce excessive blood pressure. Incorrect. Blood pressure is not regulated directly in this manner. D. Maintain normal muscle tone. Incorrect. Blood vessel tone is not understood as muscle tone. Blood vessel muscle tone is regulated in response to O2 and CO2. • Similarly to vasodilation, which would occur periodically at high elevation to keep tissue oxygenation constant? A. Tachypnea (higher ventilation rate) B. Polyuria (higher urine output) C. Hypernatremia (higher serum sodium) D. Ischemia (lower blood perfusion) • The answer is A. A. Periodic tachypnea would help keep blood oxygenated similarly to how periodic vasodilation would help keep O2 distributed. B. Incorrect. No reason to suspect higher blood pressure or lower salt reabsorption at higher elevation. C. Incorrect. No reason to suspect higher [Na+]serum at high elevation D. Incorrect. Ischemia would not help keep tissue oxygenation constant. Passage 6 Takeaways • Nervous system organization • Autonomic – sympathetic vs. parasympathetic • Hemoglobin role and effects • Gas solubility – concentration and pressure effects • Myoglobin • Neurophysio – role of brain parts • Hormone axes – hypothalamic-pituitary axis • Cardiovascular-respiratory system – effect of changing one variablef Q39: • Placement of additional neurons to represent pathway involved in feeling pain A. At II and III B. At II and IV C. At III and IV D. At I and IV Q39: • Placement of additional neurons to represent pathway involved in feeling pain A. At II and III. Correct. Additional neurons cannot be placed at the sensory or motor neuron (I and IV, respectively). They can be placed at the interneuronal junctions (II and III). B. At II and IV C. At III and IV D. At I and IV • A. B. C. D. • A. B. C. A tyrosine deficiency would most affect signaling by the Preganglionic neuron of the parasympathetic nervous system Postganglionic neuron of the parasympathetic nervous system Motor neuron of the somatic nervous system Postganglionic neuron of the sympathetic nervous system The answer is D. The preganglionic and postganglionic neurons of the PNS use ACh. Same as A. ACh is the neurotransmitter at the NMJ of the somatic nervous system. D. Correct. Norepinephrine (and epinephrine) are derived from tyrosine. ACh is the NT released by the preganglionic neuron of the SNS; NE is the NT released by the postganglionic neuron of the SNS. Q40: • Characteristic that most marks fungi as eukaryotes: A. Cell walls B. Ribosomes C. Mitochondria D. Sexual reproduction Q40: • Characteristic that most marks fungi as eukaryotes: A. Cell walls. Incorrect. Plants and fungi have cell walls. B. Ribosomes. Incorrect. All living organisms have ribosomes. C. Mitochondria. Correct. Only eukaryotes have mitochondria (and any membrane-bound organelles). D. Sexual reproduction. Incorrect. Bacterial sexual reproduction is called conjugation. • Fungi are remarkable in their ability to grow in a variety of environments, including irradiated environments that many other organisms cannot. Fungi growing in environments containing ionizing radiation e.g. gamma rays are found to contain high levels of melanin. Gamma rays can cause the photoelectric effect in cellular molecules. The most likely role of melanin is A. To absorb charged particles from the photoelectric effect and add them to melanin atom nuclei, preventing damage. B. To provide oxidizing agent molecules that can absorb particles from the photoelectric effect, preventing damage. C. To scatter photoelectric particles into nearby cells, distributing any damage across multiple tissues. D. To promote photoelectric particles into higher-energy states, so they can be subsequently converted to more harmless photons. • The answer is B. A. Electrons cannot be added to nuclei. B. Oxidizing agents can be reduced by accepting electrons (e.g. photoelectrons). Melanin contains stable ROS’s that can be reduced by photoelectrons, protecting against gamma radiation. C. The cumulative damage would not help a fungus grow against high environmental gamma radiation. D. Photoelectrons are ambient electrons and cannot be promoted, as they do not belong to an atom. Q41: • A. B. C. D. Which occurs during mitosis but not meiosis I? Synapsis Splitting of centromeres Pairing of homologous chromosomes Breaking down of nuclear membrane Q41: • Which occurs during mitosis but not meiosis I? A. Synapsis. Incorrect. Synapsis, where crossing-over takes place, occurs during meiosis I but not mitosis. Opposite. B. Splitting of centromeres. Correct. Centromeres connect sister chromatids. Sister chromatids are split during telophase of mitosis and telophase of meiosis II. Homologous chromosomes are split during telophase of meiosis I. C. Pairing of homologous chromosomes. Incorrect. Homologous chromosomes are only paired during prophase I of meiosis. D. Breaking down of nuclear membrane. Incorrect. Breaking down of nuclear membrane occurs during both. • During which cell cycle phase is the pentose phosphate pathway most active? A. Telophase of mitosis B. Telophase of meiosis II C. S before mitosis and meiosis D. G2 before mitosis and meiosis • The answer is C. The PPP is responsible for • NADPH production, which is used in • Cellular detoxification (esp free radicals) • Fatty acid/sterol synthesis • Ribose-5-phosphate synthesis, which can be used in production of nucleotides. Q42: • Which is NOT a function of mammalian skin? A. Sensation B. Respiration C. Protection from disease D. Protection against internal injury Q42: • Which is NOT a function of mammalian skin? A. Sensation. Incorrect. The skin has sensory receptors. B. Respiration. Correct. Mammals do not perform gas exchange upon their skin. C. Protection from disease. Correct. The skin is a barrier to pathogen entry as part of innate immunity. D. Protection against internal injury. Correct. Dead skin serves as a barrier that protects the more sensitive inner layers and bloodstream from injury. • Skin respiration is common in amphibious vertebrates, who often additionally have pulmonary respiration. Which of the following is NOT an advantage of skin respiration in these animals? A. The capability to inhale CO2 underwater during the cold months. B. The capability to breathe in low-oxygen conditions, e.g. being coated in hypoxic mud during the hot months. C. Reduced energy expenditure associated with gas exchange compared to pulmonary. D. Greater overall surface area for gas exchange. • The answer is A. A. Animals do not require CO2; they exhale CO2 as a metabolic byproduct. B. Frogs coat themselves in mud during hot months and use skin respiration to enhance gas exchange. C. Skin respiration occurs via diffusion (does not require breathing). D. Skin respiration adds more surface area compared to lungs alone. Q43: • A. B. C. D. Why does inbreeding reduce population fitness? ^ in Genetic diversity Levels of aggression Rate of spontaneous mutations Incidence of expression of deleterious recessive traits Q43: • Why does inbreeding reduce population fitness? ^ in A. Genetic diversity. Incorrect. Inbreeding decreases genetic diversity. B. Levels of aggression. Incorrect. This would only be true if aggression were tied to a specific recessive allele disproportionately present in the inbreeding population. C. Rate of spontaneous mutations. Incorrect. The rate of spontaneous mutations depends mainly on DNA polymerase and DNA repair mechanisms, not inbreeding. D. Incidence of expression of deleterious recessive traits. Correct. Any deleterious recessive trait that is overrepresented in an inbreeding population will be overexpressed. • While inbreeding is associated with a reduction in fitness, outbreeding can sometimes also result in depression of offspring fitness. Which of the following would represent outbreeding depression? A. Three generations after a bottleneck event resulting in 1 male and 1 female, a male turkey with a recessive colorblindness allele mates with a female with the same genotype, resulting in a colorblind turkey. B. A hummingbird mates with a member of another hummingbird species, resulting in a non-viable resulting embryo. C. A horse mates with a donkey, producing a sterile hybrid mule offspring. D. A sickle-cell human carrier with no symptoms reproduces with an unaffected partner, resulting in a child who is a sickle-cell carrier. • The answer is C. A. This is inbreeding; both parents stem from the same pair. B. Outbreeding requires a viable offspring. C. Correct. Since the organism produced from 2 unrelated parents is sterile, this represents an extreme case of outbreeding depression. D. Since sickle-cell trait usually results in no symptoms, this case does not represent outbreeding depression. FSQ Takeaways • Functions of skin • EvoBio – inbreeding vs outbreeding From last week: • Nervous structure – interneurons • Tyrosine-derived hormones: catecholamines, thyroid hormones, dopamine • Tryptophan-derived hormones: serotonin, melatonin • Differences between prokaryotes and eukaryotes • Mitosis and meiosis • • • • Steps Ploidy Homologous chromosomes vs sister chromatids in each Synapsis • Pentose phosphate pathway – products (NADPH and ribose-5-Pi, important intermediates and enzymes NOW vs. LATER recap • Some questions are “Now” questions, because they rely exclusively or primarily on outside-passage information. • We do now questions before reading, only looking up a line or two max! • Some questions are “Later” questions, because they require extensive passage analysis • Remember, the now vs. later technique is designed to minimize the number of questions you worry about for AFTER reading a CP/BB passage. • Conserve brainpower, conserve willpower! • If a question takes more than 15-30s to determine its now/later classification, it’s a LATER! • Let’s analyze passage 1 for now/later questions. Passage 7 Intro: - Plasma clearance Tubular transport Glomerular filtrate Looks like we have a kidney physiology passage! Q44: Definition of Tm Q44: • Definition of Tm • A. B. C. D. Rate of plasma filtration that just exceeds Rate of concentration of substance in glomerular filtrate Rate of concentration of substance in urine Capacity of kidney tubules to reabsorb substance Capacity of bladder to store and excrete substance Q44: • Definition of Tm • Rate of plasma filtration that just exceeds A. Rate of concentration of substance in glomerular filtrate. Incorrect. This is filtration rate, which may be less than or exceed Tm, leading to the presence of the substance in the urine. B. Rate of concentration of substance in urine. Incorrect. See A. C. Capacity of kidney tubules to reabsorb substance. Correct. Tm represents the Vmax of transport of a reabsorbed substance at saturation. D. Capacity of bladder to store and excrete substance. Incorrect. The bladder stores fluid, not solutes, and excretes everything when it fills and the person urinates. • Which cardiovascular variable most determines glomerular filtration rate? A. Heart rate B. Systolic blood pressure C. Capillary resistance D. Stroke volume • The answer is B. A. CO = HR*SV. This determines blood flow, not GFR. B. BP = CO*TVR (total vascular resistance). Correct. Blood pressure “squeezes” water and some solutes through the glomerular membrane. C. BP = CO*TVR. BP determines GFR moreso. D. CO = HR*SV. B is a better answer. Q45: Amount of glucose in urine Q45: • Amount of glucose in urine when Tm is 125 mg/min A. B. C. D. 0 mg/min 125 mg/min 195 mg/min 515 mg/min Q45: • Amount of glucose in urine when Tm is 125 mg/min A. B. C. D. • A. B. C. D. • A. B. C. D. 0 mg/min. Correct. If 125 mg/min 195 mg/min 515 mg/min If substance B is found in urine at a rate of 12 mg/min but the rate of glomerular filtration is 14 mg/min, what is its Tm? 2 mg/min 6 mg/min 13 mg/min 26 mg/min The answer is A. Rateurine can be thought of as Rategf - Tm (where gf = rate of glomerular filtration). 14 mg/min – 12 mg/min = 2 mg/min. Correct. Tubular maximum is the maximum for reabsorption, so at a 14 mg/min GFR and a 2 mg/min Tm, 12 mg/min will end up in the urine. Incorrect. This answer comes from nowhere. Incorrect. This answer comes from taking the average of GFR and rate of appearance in urine. See A. Incorrect. This answer comes from adding the two rates. See A. Q46: vBP effect on plasma clearance of Substance A Q46: • Effect of vBP on clearance of Substance A A. Increase, because ^[A]urine B. Increase, because vADH C. Decrease, because decreased rate of urine output will allow more reabsorption D. Decrease, because ^ADH Q46: • Effect of vBP on clearance of Substance A A. Increase, because ^[A]urine. Incorrect. Water and substance A are simultaneously filtered, so concentration of A should not change with changes in blood pressure. B. Increase, because vADH. Incorrect. ADH affects water reabsorption, not solute excretion. C. Decrease, because decreased rate of urine output will allow more reabsorption. Correct. Via kinetics, lower filtration rate will mean less saturation and more time for tubular membrane transporters to reabsorb A. D. Decrease, because ^ADH. Incorrect. See B. Q47: Which clears faster – A or glucose? Q47: • Given equal [A] and [glucose] in plasma, which clears more rapidly? A. Substance A, higher slope B. Substance A, lower Tm C. Glucose, higher Tm D. Glucose, lower slope Q47: • Given equal [A] and [glucose] in plasma, which clears more rapidly? A. Substance A, higher slope B. Substance A, lower Tm. Correct. Glucose will be completely reabsorbed since it reaches its Tm at 10 mg/mL. Substance A will be partly secreted, as 8 mg/mL surpasses its Tm. C. Glucose, higher Tm D. Glucose, lower slope • At 20 mg/mL of each in plasma, (2 options) A. Substance A will have a higher clearance fraction B. Glucose will have a higher clearance fraction • The answer is B. Since glucose has a higher slope, at a 20 mg/mL plasma concentration, more glucose will be seen in urine. Glucose will have the higher clearance fraction. Q48: [glu]pl when Tm reached Q48: • Tm of glucose A. 6.5 mg/mL B. 10.0 mg/mL C. 11.5 mg/mL D. 12.5 mg/mL Q48: • Tm of glucose A. 6.5 mg/mL B. 10.0 mg/mL. Correct. Tm is defined as the concentration at which the substance begins appearing in the urine. C. 11.5 mg/mL D. 12.5 mg/mL • Assuming 100% dietary absorption, how much glucose would an individual with 4.8 L of blood need to consume to reach the Tm of glucose? A. 48 mg B. 480 mg C. 4.8 g D. 48 g The answer is D. • 10 mg/mL can be simplified as 10 g/L • If the individual has 4.8 L of blood, it would take 10 g/L*4.8 L = 48 g to reach the Tm Q49: Q49: • Effect on urinary output of A from high ADH A. ^GFR B. ^Tm of solutes C. ^H2O reabsorption D. ^concentrating ability of loop of Henle Q49: • Effect on urinary output of A from high ADH A. ^GFR. Correct. Blood pressure increases GFR. B. ^Tm of solutes. Incorrect. Tm is a property of transport proteins. C. ^H2O reabsorption. Incorrect. Higher blood pressure leads to lower water reabsorption. D. ^concentrating ability of loop of Henle. Incorrect. Concentrating ability of such a countercurrent system increases with length of the system (loop of Henle). • The major glucose transporter in the kidney is SGLT2, which cotransports Na+ and glucose in the proximal tubule. Gliflozins are drugs that inhibit SGLT2. Which best reflects their physiological outcomes? A. Increased blood pressure and hyperglycemia. B. Decreased blood pressure and hyperglycemia. C. Increased blood pressure and hypoglycemia. D. Decreased blood pressure and hypoglycemia. • The answer is D. Due to inhibition of Na+ reabsorption, less H2O will be reabsorbed, leading to decreased blood pressure. Due to inhibition of glucose reabsorption, hypoglycemia is more likely. Passage 7 Takeaways • Kidney functions: filtration, secretion, reabsorption • Structures: glomerulus, proximal/distal tubule, loop of Henle, collecting duct • Effect *of* blood pressure (filtration) and effect *on* blood pressure (H2O reabsorption or secretion) • Interpreting new concept: Tm • Density = mass/vol Passage 8 Intro: - Vasodilation Arterial smooth muscle Acetylcholine Sounds like we have a passage on cardiovascular/smooth muscle contraction! Q50: Observation implying endothelium necessary for smooth muscle relaxation Q50: • Observation that implied intact endothelium is necessary for smooth muscle relaxation in presence of ACh A. Tension initially changes when norepinephrine is added B. Tension decrease occurs more quickly in ring w/o endothelium C. Tension decreases w/10-7 ACh only in ring w/o endothelium D. Tension decreases during washout in ring w/o endothelium Q50: • Observation that implied intact endothelium is necessary for smooth muscle relaxation in presence of ACh A. Tension initially changes when norepinephrine is added. Incorrect. NE causes contraction. B. Tension decrease occurs more quickly in ring w/o endothelium. Incorrect. Opposite. C. Tension decreases w/10-7 ACh only in ring w/o endothelium. Correct. Relaxation upon addition of ACh only occurs in the ring with endothelium. Relaxation in the ring w/o endothelium requires washout of NE. D. Tension decreases during washout in ring w/o endothelium. Incorrect. This observation supports C, because washout is removal of NE, not application of ACh. Q51: Sensitivity of smooth muscle to ACh is Q51: • Sensitivity of aortic smooth muscle to ACH is A. Decreased by NE B. Increased by NE C. Increased by endothelium D. Greatest at 10-8 M w/ or w/o endothelium Q51: • Sensitivity of aortic smooth muscle to ACH is A. Decreased by NE. Incorrect. NE is applied in both cases. B. Increased by NE. Incorrect. Same as A. C. Increased by endothelium. Correct. The ring with endothelium relaxed at 10-7 M ACh, whereas the ring w/o didn’t relax until washout after 10-6 M ACh, indicating at least 10x less sensitivity to ACh without endothelium. D. Greatest at 10-8 M w/ or w/o endothelium. Incorrect. Both samples continued to contract beyond 10-8 M ACh. Q52: Most sensitive to ACh Q52: • Concentration range most sensitive to ACh A. < 10-8 M B. 10-7 M C. > 10-6 M D. Wider in ring without endothelium vs ring with endothelium Q52: • Concentration range most sensitive to ACh A. < 10-8 M B. 10-7 M. Correct. The ring with endothelium is most sensitive to ACh around 10-7 M. C. > 10-6 M D. Wider in ring without endothelium vs ring with endothelium. Incorrect. The ring without endothelium is never shown to be sensitive to ACh at all, only contracting when NE is washed out. Q53: Factors that determine BP Q53: • Factors that determine blood pressure A. B. C. D. [L-NMMA] and norepinephrine Cardiac output and resistance to blood flow Blood volume and dietary L-arginine HR and SV Q53: • Factors that determine blood pressure A. [L-NMMA] and norepinephrine. Incorrect. L-NMMA is synthetic (described as “developed”). B. Cardiac output and resistance to blood flow. Correct. BP = CO * TVR. C. Blood volume and dietary L-arginine. Incorrect. L-arginine supply does not regulate NO synthase activity. D. HR and SV. Incorrect. HR * SV = CO. • The structure of NO is shown at right. NO synthase (NOS) has an inducible isoform, iNOS. Which of the following is the most likely function of iNOS? A. DNA repair B. Skeletal muscle contraction C. Immune defense D. Water balance • The answer is C. A. Since NO has a free radical, it is unlikely to aid in DNA repair. C. Correct. NO can use its free radical to generate ROSs B. No reason to suspect a role in skeletal muscle contraction. NO has a e.g. superoxide, which can damage pathogens. iNOS role in smooth muscle relaxation. is induced by proinflammatory molecules. D. No reason to suspect a role in water balance. Q54: Effect of vasoconstriction Q54: • Effect of vasoconstriction A. Decrease in BP associated with fainting B. ^blood flow to muscle during exercise C. ^blood flow to skin during blushing D. Maintaining blood pressure during hemorrhage Q54: • Effect of vasoconstriction A. Decrease in BP associated with fainting. Incorrect. Vasoconstriction increases blood pressure and counteracts fainting (syncope). B. ^blood flow to muscle during exercise. Incorrect. Vasoconstriction would decrease blood flow to muscle. C. ^blood flow to skin during blushing. Incorrect. Same as B. D. Maintaining blood pressure during hemorrhage. Correct. Vasoconstriction would ^BP, maintaining oxygenation during hemorrhage. • Which of the following would MOST lead to D) A. Increase in liver products such as albumin B. Increase in inflammatory molecules such as TNF-alpha C. Consumption of diuretic molecules such as caffeine D. Administration of beta-blockers, which are antagonists for betaadrenergic receptors • The answer is A. A. Albumin is an osmoregulatory protein that maintains blood Vol. B. Inflammation leads to increased vascular permeability, i.e. greater water loss from the bloodstream. C. Diuretics cause water loss and decrease in BP. D. Beta-adrenergic receptors cause vasoconstriction, so beta-blockers would decrease BP. They are commonly used to treat hypertension. Q55: NO, L-NMMA, ring tension Q55: • Saturating L-NMMA on relaxing aortic ring w/endothelium A. B. C. D. ^ACh sensitivity Ring dilation Ring contraction Prevent NE from increasing ring tension Q55: • Saturating L-NMMA on relaxing aortic ring w/endothelium A. ^ACh sensitivity. Incorrect. NO mediates relaxation downstream from ACh. L-NMMA would decrease ACh sensitivity by inhibiting NO synthase. B. Ring dilation. See C. C. Ring contraction. Correct. If NO is relaxing and L-NMMA is an NO synthase inhibitor, L-NMMA would cause contraction. D. Prevent NE from increasing ring tension. Incorrect. By inhibiting NO, NE would have no opposition to increasing tension. • Supplementation of which of the following amino acids would LEAST decrease local blood pressure? A. Asp B. Glu C. Lys D. Ala • The answer is C. Lys would most compete with Arg on the enzyme that produces NO. Less NO would lead to higher blood pressure. Passage 8 Takeaways • Graphical interpretation: NE/ACh in ring w/ and w/o endothelium • Cardiovascular equations • CO = HR * SV • BP = CO * TVR • ROSs • Vascular dynamics: vasoconstriction vs. vasodilation • Albumin – osmoregulatory protein • Inflammation – increase vascular permeability • Effects of sympathetic vs. parasympathetic nervous system • Inferring relationships from a passage: L-NMMA vs. NO synthase vs. NO vs. blood vessel diameter • Amino acids Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Passage 9 Intro: - Uncouples oxidative metabolism Accumulates in adipose tissue Na+ diffuse thru axonal membranes Looks like we have a kidney physiology passage! Q56: Result of testicular uncoupling Q56: • Uncoupling of oxidative metabolism from ATP production v fertility because reduces A. Glucose concentration of semen B. Testosterone concentration of semen C. Blood circulation in testes D. Sperm motility Q56: • Uncoupling of oxidative metabolism from ATP production v fertility because reduces A. Glucose concentration of semen. Incorrect. Though aerobic ATP production will be reduced by uncoupling, aerobic metabolism will not switch to anaerobic. B. Testosterone concentration of semen. Incorrect. ATP production is less of a limiting factor in testosterone production than D. C. Blood circulation in testes. Incorrect. Blood circulation does not depend on tissue-specific ATP production. D. Sperm motility. Correct. Sperm need lots of ATP for flagella. • Semen carries energetic substrate in the form of fructose. When in the cell, fructose is converted by fructokinase to fructose-1phosphate, which is then broken down into 2 molecules. What are they? A. Glyceraldehyde-3-phosphate and dihydroxyacetone phosphate B. 3-phosphoglycerate and dihydroxyacetone phosphate C. Phosphoenolpyruvate and glycerol D. Dihydroxyacetone phosphate and glyceraldehyde • The answer is D. A. Too many phosphates B. Same as A C. Less analogous to fructose-1,6-bisphosphate than D. D. Analogous to aldolase reaction with 1 less phosphate. Q57: Reason for skin sensation Q57: • Cause of burning, itching, pain from DDT absorption A. B. C. D. Motor neurons are depolarized Motor neurons are hyperpolarized Sensory neurons are depolarized Sensory neurons are hyperpolarized Q57: • Cause of burning, itching, pain from DDT absorption A. Motor neurons are depolarized. Incorrect. Motor neurons don’t cause burning/itching/pain. B. Motor neurons are hyperpolarized. Incorrect. See B. C. Sensory neurons are depolarized. Correct. Depolarization of sensory neurons could cause inappropriate sensations. D. Sensory neurons are hyperpolarized. Incorrect. See C. • Rheobase is the minimum voltage stimulus needed to reach a depolarization threshold. Which of the following best describes the effect of pro-inflammatory mediator bradykinin and morphine withdrawal, respectively, on nociceptor (pain receptor) rheobase? A. Increase, increase B. Increase, decrease C. Decrease, increase D. Decrease, decrease • The answer is D. • Inflammation is associated with pain. Bradykinin decreases rheobase, i.e. lowers voltage requirement to reach threshold, making nociceptor AP easier to reach (i.e. more pain) • A person chronically on morphine (an analgesic) may also have a lower pain threshold in withdrawal, i.e. lower rheobase, due to tolerance. Q58: Liver function Q58: • If DDT accumulates in liver, all functions impaired EXCEPT A. Absorption of fats in small int B. Bile production C. Detoxification D. BP regulation Q58: • If DDT accumulates in liver, all functions impaired EXCEPT A. Absorption of fats in small int. Incorrect. Bile production would be impaired, so fat absorption would also be impaired. B. Bile production. Incorrect. See A. C. Detoxification. Incorrect. Detoxification is a major liver fxn. D. BP regulation. Correct. BP regulation is primarily via aldosterone, ADH, and atrial natriuretic peptide. • Albumin is an osmoregulatory protein produced by the liver, but this is still the best (worst) answer choice. • The structure of DDT and one of its metabolites, DDA, are shown at right. What would be the best solvent system for extraction? A. Cyclohexanol, diethyl ether B. 5% aqueous HCl, water C. Ethyl acetate, 5% bicarbonate D. Ammonia, water • The answer is C. • Since DDA is acidic, the best system is polar/basic. DDT will end up in the polar solvent, and DDA will end up in the bicarbonate layer. • Ammonia/H2O is not a better system than C because DDT will have poor solubility in both and DDA will have good solubility in both due to H-bonding. DDT DDA Q59: Cancer Q59: • Damage of which most leads to cancer/cause mutation A. Nuclear envelope B. Chromosome C. Ribosome D. Histone Q59: • Damage of which most leads to cancer/cause mutation A. Nuclear envelope. Incorrect. This could lead to DNA damage if reactive cytoplasmic molecules enter nucleus, but see B. B. Chromosome. Correct. DNA is carried on the chromosomes. C. Ribosome. Incorrect. Ribosome damage would impair translation. D. Histone. Incorrect. Though this could lead to chromosomal instability, see B. • Global distillation is the process by which a pollutant shifts from region to region, often affecting animals far from where the chemical was originally released. DDT is an example of global distillation. In which animal population would DDT most likely be found 40 years after being outlawed? (Structure is seen at right) A. Polar bears B. Arctic seals C. Toucans (seen close to equator) D. Galapagos turtles (seen in warm water) • The answer is B. • Land vs. aquatic: DDT is found more in aquatic species due to its poor solubility in their habitat, water • I.e. it is uptook into the animal because insoluble in the medium • Arctic vs. equatorial: Distillation is evaporation of a substance in higher temperature and condensation in lower • DDT is found in Arctic despite never being used there! Passage 8 Takeaways • Sperm function – motility largest energy consumption • Glycolysis intermediates and enzymes • Sensory vs. motor neurons • Tolerance vs. sensitization • Liver functions • Extractions • Cancer – DNA mutations • Distillations • IMFs Q60: • A. B. C. D. Why is pepsin inhibited in excess acid Pepsin is feedback-inhibited Pepsin synthesis is reduced Peptide bonds in pepsin are more stable 3-D structure of pepsin changed Q60: • Why is pepsin inhibited in excess acid A. Pepsin is feedback-inhibited. Incorrect. Pepsin does not produce H+, so no reason to suspect feedback inhibition at low pH. B. Pepsin synthesis is reduced. Incorrect. “Pepsin catalysis occurs very slowly” does not necessarily mean that pepsin levels are lower. C. Peptide bonds in pepsin are more stable. Incorrect. Peptide bonds are likely less stable and potentially prone to hydrolysis. D. 3-D structure of pepsin changed. Correct. Extreme pH denatures protein. • A. B. C. D. • • A. B. C. D. Which amino acid is most likely in the active site of pepsin? Tryptophan Aspartic acid Phenylalanine Glutamine The answer is B. Pepsin is a protease, and an acidic amino acid is most likely involved in hydrolysis to donate a proton to the peptide bond. Pepsin is implicated in damage caused by acid reflux. Why? The esophageal pH is normally acidic with a pH of 1.5-2. Pepsin diffuses through mucosal cell membranes and degrades cellular proteins. Pepsin is reactivated by mucus secretions and degrades phospholipids. Mucus secretions contain protein, so pepsin leads to damage by H+. • The answer is D. A. The esophagus has a pH ~7.0 close to physiological pH. The stomach has a pH of 1.5-2. B. Pepsin is a protein and cannot diffuse through cell membranes. C. Pepsin is a protease. D. Pepsin degrades mucin, a glycoprotein, which exposes the esophageal epithelium. Q61: • ^Albumin A. ^Immune response B. ^Tissue albumin C. Outflow of blood fluid to tissues D. Influx of tissue fluid to bloodstream Q61: • ^Albumin A. ^Immune response. Incorrect. Albumin should not trigger an immune response. B. ^Tissue albumin. Incorrect. Albumin is a protein that remains in the bloodstream under normal conditions. C. Outflow of blood fluid to tissues. Incorrect. An increased osmotic pressure would not lead to more fluid entering tissues. D. Influx of tissue fluid to bloodstream. Correct. Increased osmotic pressure would lead to an influx of tissue fluid into the bloodstream. • A. B. C. D. • A. B. C. D. Increased serum albumin is known as hyperalbuminemia. Which of the following would cause hyperalbuminemia? A hormone-secreting adrenal tumor Prolonged hepatitis Dehydration 3rd-degree burns leading to plasma loss The answer is C. Increased aldosterone would lead to increased blood volume, so hypoalbuminemia. Hepatitis would impair albumin secretion, similar effect as A. Dehydration would lead to decreased blood volume, so hyperalbuminemia. Plasma loss from burns would result in loss of fluids and albumin. No change in albumin concentration. Q62: • Would ^NaCl ingestion ^aldosterone A. No; aldosterone causes Na+ reabsorption. B. No; aldosterone causes Na+ secretion. C. Yes; aldosterone causes Na+ reabsorption. D. Yes; aldosterone causes Na+ secretion. Q62: • Would ^NaCl ingestion ^aldosterone A. No; aldosterone causes Na+ reabsorption. Correct. Aldosterone causes increased reabsorption of Na+ (and therefore H2O) to raise blood pressure. Decreased [NaCl]serum would lead to ^aldosterone. B. No; aldosterone causes Na+ secretion. C. Yes; aldosterone causes Na+ reabsorption. D. Yes; aldosterone causes Na+ secretion. • A. B. C. D. • A. B. C. D. Addison’s disease is characterized by insufficient secretion of adrenal cortex hormones. Which of the following would NOT be a symptom of Addison’s disease? Increased adrenocorticotropic hormone levels Dizziness upon standing Hyponatremia (low serum sodium) Decreased immune system activity The answer is D. ACTH levels are expected to be higher due to low adrenal cortex hormones. Decreased aldosterone leads to decreased blood pressure (orthostatic hypotension), which lead to decreased blood flow to the brain when standing due to blood pooling in the lower body. Decreased aldosterone would lead to less Na+ reabsorption in kidney. Decreased cortisol would not lead to decreased immune system activity. Q63: • Liver regeneration is from A. Fission B. Meiosis C. Mitosis D. Cell growth Q63: • Liver regeneration is from A. Fission. Incorrect. Fission is prokaryotic cell division. B. Meiosis. Incorrect. Only germ-line cells do meiosis. C. Mitosis. Correct. Many organs can have cell growth (hypertrophy), but the liver is somewhat unique in its ability to have increased cell division (hyperplasia) to regenerate. D. Cell growth. Incorrect. Many organs can have cell growth. • A. B. C. D. • A. B. C. D. Which of the following organs or tissues canonically exhibits hyperplasia (increased cell division)? Nervous Adipose Muscle Epithelium The answer is D. Nervous tissue is canonically terminally differentiated and amitotic. Same as A. Muscle tissue is terminally differentiated and amitotic. Epithelium. Epithelial cells regularly slough off and are replaced by division of stem cells. Q63: • Mechanism for cyclin oscillation A. Replication of cyclin gene during S phase B. Segregation of chromosomes carrying cyclin genes C. Translation of cyclin mRNA in interphase, degradation during mitosis D. Translation of cyclin mRNA in mitosis, degradation during interphase Q63: • Mechanism for cyclin oscillation A. Replication of cyclin gene during S phase. Incorrect. Replication would not lead to ^cyclin protein. B. Segregation of chromosomes carrying cyclin genes. Incorrect. Same as A. C. Translation of cyclin mRNA in interphase, degradation during mitosis. Correct. Translation would lead to higher cyclin in interphase, proteolysis would lead to lower cyclin during mitosis. D. Translation of cyclin mRNA in mitosis, degradation during interphase. Incorrect. Opposite of C. • Match the following with G1 cyclins, G1/S cyclins, S cyclins, M cyclins: A. Promote centrosome duplication B. Induce DNA replication C. Coordinate cell growth D. Induce spindle assembly A. G1/S cyclins B. S cyclins C. G1 cyclins D. M cyclins FSQ Takeaways • Protein expression and structure • Effects of pH, osmolarity, heat, reducing agents, chaotropic agents (disrupt Hbonding) • Reason a protein conc increases/decreases • Blood osmotic pressure (oncotic pressure) • Role of albumin • Water/salt balance • Role of aldosterone • Types of tissues that don’t exp cell division Passage 10 Intro: - Stomach ulcers HCl H. pylori Looks like we have a gastric/microbio passage! Q65: Prevention of stomach ulcers Q66: Evidence for H. pylori in ulcers Q66: • Proof H. pylori causes ulcers A. People with stomach ulcers have antibodies to H. pylori B. Healthy individuals have antibodies to H. pylori C. Ulcers induced by infection with H. pylori D. Organism can be passed from mother to fetus Q66: • Proof H. pylori causes ulcers A. People with stomach ulcers have antibodies to H. pylori. Incorrect. Not as direct evidence as C. B. Healthy individuals have antibodies to H. pylori. Incorrect. This would not support the H. pylori theory of ulcers. C. Ulcers induced by infection with H. pylori. Correct. The change in an independent variable (H. pylori infection) leading to a change in dependent variable (ulcer formation) is best causal evidence. D. Organism can be passed from mother to fetus. Incorrect. No connection to ulcers. • Which of the following would provide the best additional evidence for the H. pylori hypothesis of stomach ulcers? A. Taking antibiotics leads to healing of the stomach lining. B. H. pylori contains urease, which converts urea to NH3. C. 5% of people with stomach ulcers do not have H. pylori in their stomach. D. H. pylori has a flagella used to bury into stomach epithelial cells. • The answer is A. A. Eradication of bacteria leading to ulcers healing is the best evidence. B. Survival mechanisms for living in acidic environments is weak evidence. C. This does not support the role of H. pylori in ulcer formation. D. Same as B. Q67: Explanation for results of figure 1 Q68: Comparison b/w bacteria and human cells Q68: • Similarity between bacterial and human cells A. Ability to produce ATP via ATP synthase B. Chemical composition of their ribosomes C. Enclosure within cell walls D. Shape of DNA Q68: • Similarity between bacterial and human cells A. Ability to produce ATP via ATP synthase. Correct. Both use ATP synthase to produce ATP. B. Chemical composition of their ribosomes C. Enclosure within cell walls D. Shape of DNA • Follow-up: A. Where do bacteria vs. human cells produce ATP in their cells? • Bacteria: cell membrane • Humans: mitochondrial inner membrane B. What is the composition of the ribosomes in each? • Bacteria: 30S/50S = 70S • Humans: 40S/60S = 80S C. What types of eukaryotes have cell walls? • Plants, fungi D. Describe the DNA structure in both • Bacteria: 1 circular chromosome • Humans: 46 chromosomes Q69: Confirm urease required for stomach colonization Q69: • Which expt best tests hypothesis of urease as required for H. pylori infection? A. Exposing ulcer patients to antibodies to urease B. Exposing uninfected animals to H. pylori lacking urease C. Exposing ulcer patients to radioactive urea D. Measuring urease activity in ulcer biopsies Q69: • Which expt best tests hypothesis of urease as required for H. pylori infection? A. Exposing ulcer patients to antibodies to urease. Incorrect. Antibodies likely degraded in stomach environment. B. Exposing uninfected animals to H. pylori lacking urease. Correct. If urease is necessary for stomach infection, the animals should not be susceptible. C. Exposing ulcer patients to radioactive urea. Incorrect. Radioactive urea metabolites (NH3, CO2) would show urease activity not necessity. D. Measuring urease activity in ulcer biopsies. Incorrect. Presence of urease does not show necessity of urease to infection. • In a urea breath test, either radioactive C-14 or nonradioactive C-13 isotopically labeled urea is administered, and the presence of isotopic C is detected by scintillation counting or isotopic ratio mass spectrometry, respectively. C-14 can be detected as it emits subatomic particles as it becomes N-14. What type of radioactivity does C-14 exhibit? A. Alpha-decay B. Beta-decay C. Gamma-decay D. Positron emission • The answer is B. If C-14 decays to N-14, resulting in an increase in charge (protons), a corresponding decrease in charge must occur (loss of e-). Now, to read the passage: • Ulcers prev thought to be from ^HCl • Drugs that neutralize/reduce acid prod ulcer recurrence • H. pylori found in >95% of ulcer patients • Combination of antibiotics and anti-acid drugs ulcer cure Now, to read the passage: • H. pylori produces urease • Urea NH3 and CO2 • Test for H. pylori: radioactive urea radioactive CO2 exhalation • H. pylori has • Inhibitor of acid secretion • Enzyme destroying mucin lining • Protein cytotoxic to gastric cells Now, to read the passage: • H. pylori strains A & B • Culture initiation 2 hours • Subcultures – one of each exposed to streptomycin • Research question: Does streptomycin inhibit growth of strains A/B? • IV1: Time • IV2: Strain • IV3: Presence of streptomycin • DV: Number of cells • Results: Strain A and B in absence of streptomycin grow. • Strain A grows faster • Strain A inhibited by streptomycin • Strain B grows normally w/antibiotic Q65: • Which method prevents stomach ulcer recurrence A. Drugs preventing acid production B. Drugs neutralizing stomach acid C. Drugs inhibiting bacterial protein synthesis D. C + A Q65: • Which method prevents stomach ulcer recurrence A. Drugs preventing acid production. Incorrect. Passage states ulcers recur. B. Drugs neutralizing stomach acid. Incorrect. Same as A. C. Drugs inhibiting bacterial protein synthesis. Incorrect. Passage doesn’t specify about antibiotics alone. D. C + A. Correct. Passage states that antibiotics + anti-acid drugs cure ulcers. • A. B. C. D. • A. B. C. D. Prilosec (generic name omeprazole) is a proton pump inhibitor used in conjunction with chlarithromycin to treat stomach ulcers. It binds to the stomach’s H+/K+ ATPase pump in a site away from the active site. Prilosec’s effects on the H+/K+ ATPase most likely are ^Km, =Vmax v Km, v Vmax =Km, v Vmax v Km, =Vmax The answer is C. This describes a competitive inhibitor. This describes an uncompetitive inhibitor. This describes a noncompetitive inhibitor. Since Prilosec binds to a site away from the active site, it is most likely a noncomp inhibitor. Noncompetitive inhibitors do not alter enzyme-substrate affinity but do decrease enzyme activity. Not a thing, this would not be an inhibitor. Q67: • Which accounts for figure 1 results? A. Strain A growth > strain B. B. Strain A growth > strain B, strain A streptomycin-resistant. C. Strain B growth > strain A, strain B streptomycin-resistant. D. Strain A growth > strain B, strain B streptomycin-resistant. Q67: • Which accounts for figure 1 results? A. Strain A growth > strain B. B. Strain A growth > strain B, strain A streptomycin-resistant. C. Strain B growth > strain A, strain B streptomycin-resistant. D. Strain A growth > strain B, strain B streptomycin-resistant. Correct. Strain A results in higher cell count earlier than strain B, and strain B growth is not inhibited by streptomycin. Passage 10 Takeaways • Experimental design: • Best way to establish a causal relationship is to change only one variable directly tied to the hypothetical cause & observe the effects on the organism/system • For any given complex experiment, define research question, IVs, DVs, methods, results, conclusion • Prokaryotic/eukaryotic cells is high yield – know all major differences • Enzyme kinetics and types and effects of inhibitors Passage 11 Intro: - Bone tissue Resorption/formation PTH, VitD, Calcitonin, VitC Looks like we have a bone passage! Q70: Which conditions produce rickets? Q70: • Which could cause rickets? (Look up rickets in passage) I. v PTH II. Impairment of vitD conversion active form III. Inability of active vitD act on target tissue A. B. C. D. I I, II I, III II, III Q70: • Which could cause rickets? (Look up rickets in passage) A. B. C. D. • A. B. C. D. • I. v PTH II. Impairment of vitD conversion active form III. Inability of active vitD act on target tissue I. I, II I, III II, III. Correct. Both would result in insufficient vitamin D activity. In advanced rickets, PTH and calcitonin levels would be expected to be… Low, high High, normal High, high Normal, low The answer is B. Since vitD activity is insufficient, plasma [Ca] is low due to inadequate absorption, leading to rickets symptoms such as bowed legs, stunted growth, and bone pain. PTH is expected to be high, although its effect is weaker due to lack of vitD. Calcitonin is normal, since [Ca]serum does not need to be lowered. Q71: Why Ca supplements contain VitD Q71: • Why do calcium supplements often include vitD? A. VitD needed to prevent rickets B. Activated vitD stimulates Ca absorption C. Activated vitD enhances calcitonin action D. Activated vitD enhances uptake of Ca by bone tissue Q71: • Why do calcium supplements often include vitD? A. VitD needed to prevent rickets. Incorrect. This may be true, but doesn’t explain its inclusion in Ca supplements as well as B. B. Activated vitD stimulates Ca absorption. Correct. VitD stimulates Ca uptake in the small int. C. Activated vitD enhances calcitonin action. Incorrect. Should be PTH. D. Activated vitD enhances uptake of Ca by bone tissue. Incorrect. Uptake is into the blood. Osteoblasts uptake Ca into bone tissue. • A. B. C. D. • Calcium supplements include calcium (Ca2+) and a counterion. Which of the following calcium compounds would have the highest solubility? Calcium carbonate (CaCO3, Ksp = 3.3x10-9) Calcium hydroxide (Ca(OH)2, Ksp = 5.5x10-6) Calcium sulfate (CaSO4, Ksp = 9.1x10-6) Calcium fluoride (CaF2, Ksp = 5.3x10-9) The answer is B. The problem includes two AB salts (Ksp = x2) and two AB2 salts (Ksp = 4x3). The best strategy is to narrow down to the highest solubility AB and AB2 salts, B and C. The solubility, x, of calcium sulfate is √(9.1x10-6), which is ~3x10-3 M. The solubility of calcium hydroxide is 3√(5.5x10-6/4), which is ~1x10-2 M. Q72: Low Ca increase… Q72: • Low [Ca]serum would trigger increase of I. Osteoclast activity II. PTH III. VitC A. B. C. D. I I, II I, III II, III Q72: • Low [Ca]serum would trigger increase of I. Osteoclast activity II. PTH III. VitC A. B. C. D. I I, II. Correct. PTH acts to ^Caserum by stimulating osteoclast activity. I, III. Incorrect. No clear role of vitamin C. II, III • To resorb bone matrix, osteoclasts secrete H+ ions, collagenase, and hydrolytic enzymes. The process involves 2 steps: 1) creation of an acidic microenvironment increasing solubility of bone mineral, which is then taken up by osteoclasts and delivered to the capillaries; and 2) degradation of organic matrix materials such as collagen, which are absorbed in cellular transport vesicles, degraded, and released back to the bloodstream. Based on this information, which cell type are osteoclasts most similar to? Astrocytes Macrophages Renal tubular cells Chemoreceptor cells A. B. C. D. • The answer is B. The secretive function (acid hydrolases, proteinases) and phagocytic function (uptake of organic matrix molecules) resemble macrophages. • In fact, osteoclasts are considered a member of the mononuclear phagocyte family. Q73: What would cause ^calcitonin Q73: • What would cause ^calcitonin? A. Dietary deficiency of Ca B. Dietary deficiency of vitD C. High [Ca]serum D. Low PTH Q73: • What would cause ^calcitonin? A. Dietary deficiency of Ca. Incorrect. This would cause increased PTH. B. Dietary deficiency of vitD. Incorrect. This would cause [Ca]serum to decrease, which would lead to increased PTH activity. C. High [Ca]serum . Correct. Calcitonin acts to decrease [Ca]serum. D. Low PTH. Incorrect. This would lead to decreased [Ca]serum, so calcitonin would not be able to compensate. • Calcitonin is a 32-amino acid protein with sequence as follows: • Cys-Gly-Asn-Leu-Ser-Thr-Cys-Met-Leu-Gly-Thr-Tyr-Thr-Gln-AspPhe-Asn-Lys-Phe-His-Thr-Phe-Pro-Gln-Thr-Ala-Ile-Gly-Val-Gly-AlaPro • What is the charge of calcitonin at physiological pH? A. -1 B. 0 C. +1 D. +2 • The answer is B. • N-Cys-Gly-Asn-Leu-Ser-Thr-Cys-Met-Leu-Gly-Thr-Tyr-Thr-Gln-AspPhe-Asn-Lys-Phe-His-Thr-Phe-Pro-Gln-Thr-Ala-Ile-Gly-Val-Gly-AlaPro-C • Two acidic groups = -2 • Two basic residues = +2. Net charge = 0. • His has a neutral charge at phys pH (pKa = 6) – the MCAT expects you to know this! Q74: Effect of removal of PTH glands Q74: • Effect of PTH glands removal A. Severe neural and muscular problems due to deficiency of plasma Ca B. Increase in calcitonin production to compensate for calcium deficiency C. Drastic change in ratio of mineral to matrix tissue in bones D. Calcification of some organs due to Ca accumulation in plasma Q74: • Effect of PTH glands removal A. Severe neural and muscular problems due to deficiency of plasma Ca. Correct. Ca is involved in neurons (neurotransmitter release) and muscle contraction, and lack of PTH would lead to inability to raise Caserum. B. Increase in calcitonin production to compensate for calcium deficiency. Incorrect. Calcitonin acts to decrease plasma Ca. C. Drastic change in ratio of mineral to matrix tissue in bones. Incorrect. Answer doesn’t specify the direction of the change; A is more specific. D. Calcification of some organs due to Ca accumulation in plasma. Incorrect. If anything, plasma Ca would be lower. • Parathyroidectomy is sometimes necessary in secondary hyperparathyroidism. What might be the primary cause? A. Calciphylaxis (calcium deposition in small blood vessels) B. Osteoporosis C. Chronic kidney disease D. Nephrolithiasis (kidney stones) • The answer is C. A. This can be a result of hyperparathyroidism, not a cause. B. Similar to A. C. Insufficient Ca reabsorption in kidney disease can lead to secondary hyperparathyroidism to raise serum Ca. D. Similar to A. Passage 11 Takeaways • Bone • Composition – hydroxyapatite (Ca, OH-, PO43-) • Effect of osteoclasts and osteoblasts • Ca regulation (small intestine, kidney) • VitD, calcitonin, PTH • Class of hormone, organ secreted by, effect on blood Ca and bone, mechanism Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Passage 12 Intro: - Visual communication UV photoreceptors 5 lizard species Looks like we have a genetics passage! Q75: Disadvantage from mutation Q76: Type of inheritance Q77: Speciation Q78: A. B. C. D. Neighboring lizard populations are diff species if One lived in forest, other lived in field One population had dewlap, other did not They did not communicate They did not interbreed and produce fertile offspring Q78: A. B. C. D. Neighboring lizard populations are diff species if One lived in forest, other lived in field One population had dewlap, other did not They did not communicate They did not interbreed and produce fertile offspring. Correct. The other answer choices may be true regarding different species, but this is the definition of separate species. • Anolis is a very large genus of American lizards, and some come to occupy separate ecological niches, especially regarding the types of vegetation they forage. Morphological changes accompany changes in nutritional niches, e.g. twig ecomorphs have short limbs while trunk ecomorphs have long limbs. This is an example of Speciation Directional selection Adaptive radiation Outbreeding The answer is C. Speciation = populations that cannot breed to produce viable offspring Directional selection = evolution towards an extreme trait e.g. height Morphological changes with divergent niche describes adaptive radiation Outbreeding = mating with non-relatives within a species A. B. C. D. • A. B. C. D. Q78: Conclusion about dewlap reflectance Q79: Natural selection Q79: A. B. C. D. UV-reflecting dewlaps would evolve by natural selection if Individuals with dewlaps produced more offspring Individuals with dewlaps were better able to communicate Individuals with dewlaps were less susceptible to predation Individuals with dewlaps mated more frequently Q79: - UV-reflecting dewlaps would evolve by natural selection if A. Individuals with dewlaps produced more offspring. Correct. Natural selection favors the genotype of individuals that have produce the most number of offspring who likewise can successfully produce *fit* offspring. B. Individuals with dewlaps were better able to communicate C. Individuals with dewlaps were less susceptible to predation D. Individuals with dewlaps mated more frequently • The UV-reflective dewlap most likely evolved when (2 choices) A. Anolis lizards with a dewlap mutated to express a UV-reflective pigment in it B. Anolis lizards with a UV-reflectance gene mutated to express a dewlap • Dewlaps are only found in males and are brightly colored, making the males more visible to predators. The evolutionary explanation for this is • The sexual advantage of the dewlap must outweigh the disadvantage of increased predation. • Dewlaps in different species are colored differently. The purpose of this is most likely • To discourage inter-species mating, which would be futile Now, to read passage 12: • • • • 5 species of Anolis lizard UV photoreceptors discovered in lizards – hypothesis = involved in communication 3 species (A, B, C) live in open unshaded fields, 2 (D, E) live in forest understory Male lizards have dewlap – fanlike skin flap • Functions in communication – territory, warning signals, courtship Now, to read passage 12: • Cameras to measure UV reflectance • 2 species reflected UV light highly (?) • A and B – live in open fields • 2 species reflected UV light lowly (?) • D and E – live in forest • 1 species = intermediate • C – live in open fields • Conclusion: relationship between UV reflectance and habitat Q75: A. B. C. D. Which species least needs UV light reflectance for communication? Species A Species B Species D Species E Q75: A. B. C. D. • A. B. C. D. Which species least needs UV light reflectance for communication? Species A Species B Species D Species E. Correct. This species has the lowest reflectance for UV light (<400 nm). Which species’s dewlap has the highest reflectance for green light? Species A Species B Species D Species E The answer is D. Green light is around 550 nm. • Which species’s dewlap has the lowest reflectance for red light? • Species D. Red light is around 700 nm. • Note: The MCAT expects you to know the visible light spectrum is between • 400 (violet) • 700 (red) • And they do expect you to know that green is in the middle (550 nm). Q76: • • A. B. C. D. Only male lizards have dewlaps Locus for gene for UV reflectance pigment is on X-chromosome Y-chromosome Autosome Sex chromosome or autosome Q76: • • A. B. C. D. Only male lizards have dewlaps Locus for gene for UV reflectance pigment is on X-chromosome Y-chromosome Autosome Sex chromosome or autosome. Correct. Only males express genes located on the Y-chromosome, but certain genes on other chromosomes may also be only expressed by males. • If female Anolis lizards also contain the dewlap UV reflectance gene, it most likely exists in their Euchromatin Heterochromatin mtDNA Telomeric DNA The answer is B. Euchromatin is open (histones are not methylated) and likely to be actively expressed Heterochromatin is not actively expressed (histones are methylated) Nothing to suggest a mitochondrial locus Telomeres do not contain active genes A. B. C. D. • A. B. C. D. Q78: - Conclusion about dewlap reflectance A. Lizard habitat is determined by dewlap reflectance B. High UV dewlap reflectance is most important in bright habitats C. High dewlap reflectance is most important in dim habitats D. Dewlap reflectance is highest at the blue end of the visible spectrum Q78: - Conclusion about dewlap reflectance A. Lizard habitat is determined by dewlap reflectance. Incorrect. It is likely the lizards evolved different reflectances based on their habitats. B. High UV dewlap reflectance is most important in bright habitats. Correct. Lizards A and B had the highest reflectance, followed by C; all live in open fields. Lizards D and E had the lowest reflectances and lived in forest understory. C. High dewlap reflectance is most important in dim habitats. Incorrect. See B. D. Dewlap reflectance is highest at the blue end of the visible spectrum. Incorrect. Only some dewlaps are UV-reflective, and being UVreflective does not necessarily mean reflecting blue light. • The dewlaps of Anolis lizards with high dewlap absorbance of visible red light would appear A. Violet in color B. Blue in color C. Green in color D. Red in color • The answer is C. • The color(s) most strongly reflected by a pigment = its perceived color • The color(s) most strongly absorbed by a pigment = complementary to its perceived color • Tip: Memorize the color wheel with “ROY G. BV” • E.g. if a pigment absorbs orange light, it will appear blue Passage 12 Takeaways • Evolutionary biology – less represented on the new MCAT but still important • • • • Speciation Fitness Natural selection Several other terms – see Khan Academy and Jack Westin articles • Light – visible light spectrum, reflectance vs. absorbance • Genetics – sex-specific gene expression does not = gene locus on sex chromosome Q80: A. B. C. D. Aldosterone deficiency would lead to ^V ^P ^V vP vV ^P vV vP Q80: A. B. C. D. • A. B. C. D. • A. B. C. D. Aldosterone deficiency would lead to ^V ^P. Incorrect. Would more indicate elevated aldosterone ^V vP. Incorrect. Internally inconsistent. vV ^P. Incorrect. Internally inconsistent. vV vP. Correct. Aldosterone deficiency would lead to decreased Na+ absorption and decreased H2O retention, which would lead to decreased blood volume and pressure. Hypoaldosteronism is often associated with diabetic patients. What is the most likely cause of this? Kidney damage from chronic hyperglycemia leads to impaired renin secretion. Excess urination leads to excretion of aldosterone. Hyperglycemia leads to osmotic retention of water and sodium, eliminating the need for aldosterone secretion. Hyperglycemia exceeds kidneys’ reabsorption capacity leads to osmotic excretion of water, causing the patient to drink water excessively. The answer is A. Chronic hyperglycemia damages the kidney (diabetic kidney disease, DKD), leading to impaired renin secretion and hypoaldosteronism. Aldosterone in urine would indicate hyperaldosteronism. Hyperglycemia would not lead to osmotic sodium retention. If the patient drank water to replace urinary water loss, this would lead to normal aldosterone levels. Q81: A. B. C. D. Which organs coordinate in the menstrual cycle? Hypothalamus-thyroid-ovary Hypothalamus-pituitary-ovary Pituitary-thyroid-ovary Pituitary-adrenal glands-ovary Q81: - Which organs coordinate in the menstrual cycle? A. Hypothalamus-thyroid-ovary B. Hypothalamus-pituitary-ovary. Correct. The hypothalamus secretes GnRH, the pituitary secretes FSH and LH, and the ovary responds. C. Pituitary-thyroid-ovary D. Pituitary-adrenal glands-ovary • A. B. C. D. • A. B. C. D. GnRH is released by the hypothalamus in a pulsatile fashion. Too frequent GnRH secretion is seen in polycystic ovarian syndrome (PCOS), leading to a LH/FSH ratio that is too high and causes many PCOS symptoms. What is the most likely reason for pulsatile secretion of GnRH? Fluctuating need for FSH and LH throughout one menstrual cycle. Sensitization of target organs to GnRH. Negative feedback from FSH and LH on the hypothalamus. Delay between GnRH synthesis and secretion. The answer is B. The fluctuating need for FSH and LH is periodic, not pulsatile. GnRH is secreted in a pulsatile fashion to avoid receptor downregulation, i.e. to sensitize the pituitary to receive it. GnRH is regulated by negative feedback by the sex hormones, not by FSH and LH. This would not explain “pulsatile” secretion. GnRH synthesis and secretion could be coordinated synchronously, so this not explain “pulsatile” secretion. Q82: - If a dsDNA with a 3:1 AT:GC ratio is replicated, what is the AT:GC ratio of the daughter dsDNA? A. 1:3 B. 1:1 C. 2:1 D. 3:1 Q82: - If a dsDNA with a 3:1 AT:GC ratio is replicated, what is the AT:GC ratio of the daughter dsDNA? A. 1:3 B. 1:1 C. 2:1 D. 3:1. Correct. The daughter dsDNA should be identical to the parent. • If a ssDNA molecule with a 3:1 AT:GC ratio is treated with DNA polymerase and dNTPs, what would its AT:GC ratio be? • 3:1. • A’s will be converted to T’s and vice versa; G’s will be converted to C’s and vice versa. The AT:GC ratio will remain the same. • If a dsDNA containing 30% adenine is replicated, what will be the percentage cytosine of the daughter dsDNA? • 20%. • The % adenine should = % thymine, i.e. 30% A and 30% T. • The remaining 40% should be equally C and G. • C and G will be 20% each. Q83: A. B. C. D. In which organelle is uracil incorporated into nucleic acid? Nucleus Golgi body Ribosomes ER Q83: - In which organelle is uracil incorporated into nucleic acid? A. Nucleus. Correct. Uracil is incorporated into nucleic acid during transcription, which occurs in the nucleus. B. Golgi body C. Ribosomes D. ER • A. B. C. D. • In which of the following cellular compartments will tRNAGly NOT be found? I. Nucleus II. Cytoplasm III. Rough ER IV. Mitochondria I and IV I, II, and III I and III III and IV The answer is C. tRNAGly will not be found in the nucleus or in the rough ER (translation occurs in the cytoplasm, rough ER membrane, and mitochondria) • tRNAGly will be found in the cytoplasm and mitochondria for translation. Q83: A. B. C. D. Which is NOT derived from mesoderm? Circulatory Bone Dermal Nerve Q83: A. B. C. D. Which is NOT derived from the mesoderm? Circulatory Bone Dermal Nerve. Correct. Nerve tissue is derived from the ectoderm. • A. B. C. D. • Which of the following is derived from the ectoderm? Triceps muscle Renal tubule Alveoli Pituitary epithelium The answer is D. All epithelium are derived from the endoderm or ectoderm. Muscle and kidney are derived from the mesoderm. Alveoli (and respiratory lining) are derived from the endoderm. • A. B. C. D. • Which of the following is NOT derived from the endoderm? Testes Hepatocytes Pancreatic Beta-cells Parathyroid The answer is A. Other than the germ cells, the reproductive system is derived from the mesoderm. The liver, pancreas, and parathyroid (as well as thyroid) are derived from the endoderm. FSQ Takeaways • Hormones • Aldosterone – renin-angiotensin-aldosterone system • Menstrual cycle – role of GnRH, FSH, LH, estrogen; cellular and physical changes • DNA – Watson-Crick-Franklin model • A=T, C=G • Be able to handle basic math problems using the bases • Cell structure – organelle function • Relationship to central dogma of molecular biology • Germ layers – high-yield Passage 13 Intro: - Mitochondria – endosymbiotic hypothesis/theory DNA, tRNAs, ribosomes Inner membranes – ETC Looks like we have a passage about mitochondria! Q85: Function of mitochondria Q85: - What function were mitochondria able to carry out that primitive eukaryotic cells could not? A. Glycolysis B. Krebs cycle & ETC C. Cell division D. Txn and trln Q85: - What function were mitochondria able to carry out that primitive eukaryotic cells could not? A. Glycolysis B. Krebs cycle & ETC. Correct. These functions are carried out in the mitochondria. C. Cell division D. Txn and trln • A. B. C. D. • Mitochondria have their own DNA and carry out transcription and translation from it. Which of the following are LEAST likely coded for by mtDNA? I. rRNA II. Pyruvate carboxylase III. Lactate dehydrogenase IV. Cytochrome c oxidase I. rRNA – mitochondria code rRNA because they have their own ribosomes. V. Fatty acid synthase II. Pyruvate carboxylase – this gluconeogenic enzyme is not coded by mtDNA I, II, V (gluconeogenesis occurs in the cytoplasm) I, III, V III. Lactate dehydrogenase – this fermentation enzyme is not coded by mtDNA II, III, IV (fermentation occurs in the cytoplasm) II, III, V IV. Cytochrome c oxidase – this ETC enzyme is coded by the mtDNA. The answer is D. V. Fatty acid synthase – this fatty acid synthesis enzyme is not coded by mtDNA (fatty acid synthesis occurs in the cytoplasm) Q86: Endosymbiotic hypothesis Q86: - Can the fact that most mitochondrial proteins are made using nuclear DNA and cytoplasmic ribosomes be reconciled with the endosymbiotic hypothesis? A. Yes – transfer of genes to eukaryotic nucleus could have occurred B. Yes – similarities outweigh the contradiction C. No – this fact is convincing that mitochondria do not have bacterial origin D. No – bacteria can make all their proteins, so this disproves the hypothesis Q86: - Can the fact that most mitochondrial proteins are made using nuclear DNA and cytoplasmic ribosomes be reconciled with the endosymbiotic hypothesis? A. Yes – transfer of genes to eukaryotic nucleus could have occurred during evolution. Correct. This answer choice doesn’t attempt to dismiss the discrepancy but provides an answer, making it better than B. B. Yes – similarities outweigh the contradiction. Incorrect. While this might be true, A goes a step further by attempting to explain the contradiction. C. No – this fact is convincing that mitochondria do not have bacterial origin. Incorrect. This answer choice means the examinee is rejecting the endosymbiotic theory, which is widely accepted. D. No – bacteria can make all their proteins, so this disproves the hypothesis. Incorrect. Similar to C. • Which of the following best suggests mitochondria entered eukaryotic cells evolutionarily long ago? A. Mitochondria have a double membrane structure B. Mitochondria, like bacteria, possess a circular DNA C. Mitochondrial ribosomes have 28S and 39S subunits, totaling 55S. D. Mitochondria divide by binary fission • The answer is C. A. The outer mitochondrial membrane is hypothesized to be of host origin. B. This is a similarity between mitochondria and bacteria. C. Since most modern bacteria have 30S/50S subunits and 70S ribosomes, it is plausible that bacteria continued to evolve after endosymbiosis occurred. D. This is a similarity between mitochondria and bacteria. Q87: Gramicidin effects on ATP synthesis Q87: - What effect would a chemical that provides an alternative H+ pathway have on ATP synthesis? A. Increase – increased proton movement back into matrix B. Decrease – decreased rate of H-atom donation by NADH C. Decrease – proton gradient will rapidly reach equilibrium D. Not change – sufficient proton gradient will remain to generate ATP Q87: - What effect would a chemical that provides an alternative H+ pathway have on ATP synthesis? A. Increase – increased proton movement back into matrix. Incorrect. Proton movement only generates ATP if it is through ATP synthase. B. Decrease – decreased rate of H-atom donation by NADH. Incorrect. Hydride (H:) is donated by NADH, not H+. C. Decrease – proton gradient will rapidly reach equilibrium. Correct. A pathway that doesn’t generate ATP will be more thermodynamically favorable. D. Not change – sufficient proton gradient will remain to generate ATP. Incorrect. The gradient will be dissipated since an easier H+ pathway is available. • Gramicidin is a peptide molecule. Which amino acids likely line its pore? • Acidic amino acids, D/E. The negative charge will favor H+ transport. • Gramicidin was the first commercial antibiotic and is a nonribosomal peptide (NRP), meaning that no gene encodes for it. What can be inferred about the enzyme that synthesizes gramicidin? A. The enzyme only synthesizes one peptide molecule, gramicidin. B. The gene for the enzyme is located extrachromosomally on a plasmid. C. Daughter cells lack the enzyme to synthesize gramicidin. D. Bacteria do not have enzymes to synthesize gramicidin, only eukaryotes. • The answer is A. A. NRP synthetases contain their own template and only synthesize 1 peptide. B. The gene for the enzyme cannot be inferred to be extrachromosomal. C. Since chromosomal DNA codes for the enzyme, it should be heritable. D. Bacillus brevis originally produced gramicidin as defense against other bacteria. Q88: Mitochondria similarity to bacteria Q87: - Which of the following should be true about mitochondria? A. 80S ribosomes B. Incapable of binary fission C. Circular DNA D. Capable of anaerobic respiration Q87: A. B. C. D. Which of the following should be true about mitochondria? 80S ribosomes. Incorrect. This describes eukaryotic ribosomes. Incapable of binary fission. Incorrect. Bacteria do binary fission. Circular DNA. Correct. Bacteria have circular DNA. Capable of anaerobic respiration. Incorrect. The eukaryotic cells that mitochondria entered were already capable of anaerobic respiration. • If all of a eukaryotic cell’s mitochondria were removed, which of the following would NOT be true? The cell would produce much fewer ATP per molecule of glucose. The cell would synthesize additional mitochondria to offset the metabolic disadvantage. Its daughter cell would lack mitochondria. The cell would lose the ability to metabolize fats. The answer is B. Since the cell would only be capable of anaerobic respiration, it would produce 2 net ATP per glucose instead of 32 ATP. Mitochondria divide by binary fission. Eukaryotic cells have no means to synthesize mitochondria, particularly because they contain unique DNA. Since no mitochondria would be present in the parent cell, the daughter cell would have no mitochondria. Beta oxidation occurs in the mitochondria. A. B. C. D. • A. B. C. D. Q89: Effects of valinomycin Q89: - What effect on ATP synthesis would movement of K+ into the mitochondria have? A. Decrease – K+ compete with protons in ATP synthase B. Decrease – K+ will disrupt proton movement C. Increase – increase in positive charge will cause increased H+ movement. D. Increase – additional positive charge will activate ATP synthase. Q89: - What effect on ATP synthesis would movement of K+ into the mitochondria have? A. Decrease – K+ compete with protons in ATP synthase. Incorrect. K+ is much larger than H+ and would not be expected to occupy the ATP synthase active site. B. Decrease – K+ will disrupt proton movement. Correct. The mitochondrial membrane gradient is electrochemical, i.e. movement of H+ resulting in ATP synthesis relies on differences in [H+] as well as positive charge. Increased positive charge will diminish the electrical gradient less ATP synthesis. C. Increase – increase in positive charge will cause increased H+ movement. Incorrect. Electrostatic repulsion between H+ and K+ will not outweigh the disruption the electrical part of the gradient described in B. D. Increase – additional positive charge will activate ATP synthase. Incorrect. ATP synthase runs on H+ movement, not presence of positive charge. Passage 13 Takeaways • Mitochondria – Function – Citric acid cycle, ETC and ATP synthesis • Endosymbiotic theory – similarities to bacterial cells • Ends up being the classic bacteria vs. eukaryote type question • H+ electrochemical gradient, effects that would increase/decrease ATP synthesis • Passage-based reasoning • If an answer choice leads you to refute a known theory, triple-check it against the other answer choices • Better answer choices will attempt to explain discrepancies rather than ignore them Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Passage 14 Intro: - X-linked genes Sex ratios Chromosomal inversions Looks like we have a (Drosophila) genetics passage! Q90: Hardy-Weinberg? Q90: - Sounds like H-W equilibrium – look for more on these alleles - Assuming all genotypes equally fit - Fate of population with 50% Xi and 50% Xs? • These alleles seem to be the main focus of the passage… A. B. C. D. Extinction Stable population size, predominance of females Stable population size, all individuals produce 50:50 sex ratio Stable population size, some individuals produce >females, some produce >males Q91: Proportion of XiY in next gen Q92: Explanation for Xi genetic behavior Q93: Another question about Xi and Xs Q94: Another question about Xi and Xs Now, to read passage 14: • e and f genes are X-linked • Affect sex ratios of individuals’ offspring if brought together by inversion • XsY male = standard – equal male/daughter offspring • XiY male = “sex ratio trait” – offspring only daughters • Both sire equal number of offspring Now, to read passage 14: • If no Xi genotypes are selected against, Xi 100% • Unless other genes act to suppress expression of e and f • XiY males occasionally sire viable but sterile sons (normal appearance) • These sons are XO (inherit X from mom, no Y) • Similar to what condition in humans? • Turner syndrome (not MCAT prerequisite knowledge) Q90: - Passage: If no Xi genotypes are selected against, Xi 100% - Passage: Both XiY and XsY males sire equal number of offspring - Assuming all genotypes equally fit - Fate of population with 50% Xi and 50% Xs? A. B. C. D. Extinction Stable population size, predominance of females Stable population size, all individuals produce 50:50 sex ratio Stable population size, some individuals produce >females, some produce >males Q90: - Passage: If no Xi genotypes are selected against, Xi 100% - Passage: Both XiY and XsY males sire equal number of offspring - Assuming all genotypes equally fit - Fate of population with 50% Xi and 50% Xs? A. Extinction. Correct. If Xi increases to 100%, then all males will only produce daughters, prohibiting mating. B. Stable population size, predominance of females. Incorrect. This accounts for the “equal number of offspring” but not the Xi 100% C. Stable population size, all individuals produce 50:50 sex ratio. Incorrect. Same as B. D. Stable population size, some individuals produce >females, some produce >males. Incorrect. Same as B. Q91: - Males: XsY (equal numbers of sons and daughters) - Females: - 15% XiXi - 50% XiXs - 35% XsXs - What proportion of male flies in next generation will be XiY? A. 12% B. 30% C. 40% D. 65% Q91: - Males: XsY (equal numbers of sons and daughters) - Females: - 15% XiXi - 50% XiXs - 35% XsXs - What proportion of male flies in next generation will be XiY? A. 12% B. 30% C. 40%. Correct. Males get their X chromosome from mom. All male progeny from the XsY * XiXi will inherit the Xi chromosome, so XiY = 15%. • Half the male progeny from the XsY * XiXs will inherit the Xs chromosome from mom and be XsY = 25%; and half will be XiY = 25% • No XiY males will be produced from the XsY * XsXs mating = 0%. • 15% + 25% = 40% D. 65% Q91, cntd.: - Follow-up: Eye color in Drosophila is determined by a single gene, of which R denotes red eyes and r denotes brown eyes. If 9% of a Drosophila population has red eyes, what percentage has brown eyes? - The answer is 49%. This is a Hardy-Weinberg equilibrium question. Recall: - p + q = 1, where p is the frequency of the dominant allele and q that of the recessive allele - p2 + 2pq + q2 = 1 - p2 denotes dominant homozygotes - 2pq denotes homozygotes - q2 denotes recessive heterozygotes - p2 = 0.09, so p = √0.09 = 0.3. Therefore, q must be 0.7. The frequency of p is 30%, and the frequency of q is 70%. - Brown eyes = recessive heterozygotes = q2 = 0.72 = 0.49 = 49%. - What is the population percentage that are heterozygotes? - 2pq = 2(0.3)(0.7) = 2(0.21) = 0.42 = 42%. - Note: The math can be checked by adding up 9% + 49% + 42% = 58% + 42% = 100%. Q92: - Which explains why Xi has the potential to increase to 100% frequency? A. XiXs flies have the highest fitness B. XiXi flies migrate and introduce the Xi chromosomes into new populations C. XiXi flies pass X chromosomes to all offspring, but XsXs flies pass to only half of offspring D. XiY flies pass X chromosome to all offspring, but XsY flies pass X chromosome to only half their offspring Q92: - Which explains why Xi has the potential to increase to 100% frequency? A. XiXs flies have the highest fitness. Incorrect. Heterozygote advantage does not explain Xi 100%. B. XiXi flies migrate and introduce the Xi chromosomes into new populations. Incorrect. Question specifies within gene pools. C. XiXi flies pass X chromosomes to all offspring, but XsXs flies pass to only half of offspring. Incorrect. Passage never states any funky Xinheritance ratios for females. D. XiY flies pass X chromosome to all offspring, but XsY flies pass X chromosome to only half their offspring. Correct. Since females get 1 chromosome from mom and 1 from dad, and XiY males only sire females, then all female progeny will have at least 1 Xi. Since XsY males produce equal sons and daughters, and since sons only inherit a Y chromosome from dad, only half the progeny will get an Xi chromosome from dad (i.e., all the daughters). Q92: - Follow-up: ABO blood typing in humans is based on A and B antigens on RBCs’ cell surface. Blood type A, for instance, indicates the presence of an A antigen that is tolerated by people with type A and AB, but not type B or type O. The latter individuals will experience an immune reaction if exposed to blood containing the A antigen. Type O individuals have neither antigen, so their blood can be tolerated by all blood types. The A and B alleles are inherited autosomally. - What kind of inheritance pattern describes the ABO system? A. Imprinting B. Incomplete dominance C. Codominance D. Epistasis • The answer is B. A. Imprinting. Incorrect. The question never mentions parent-specific inheritance. B. Incomplete dominance. Incorrect. This describes an intermediate property (e.g. red + white = pink). C. Codominance. Correct. Since both A and B can be simultaneously expressed with each producing a different effect (tolerance to A and B blood, respectively), ABO blood typing is an example of codominance. Note: O describes a recessive homozygote. D. Epistasis. Incorrect. This describes gene expression that is dependent on expression of another gene. Q92: - Follow-up: ABO blood typing in humans is based on A and B antigens on RBCs’ cell surface. Blood type A, for instance, indicates the presence of an A antigen that is tolerated by people with type A and AB, but not type B or type O. The latter individuals will experience an immune reaction if exposed to blood containing the A antigen. Type O individuals have neither antigen, so their blood can be tolerated by all blood types. The A and B alleles are inherited autosomally. - If a female has blood type B, which of the following could NOT be the genotypes of her parents? - (IA = A antigen, IB = B antigen, and i = neither antigen. Blood type O results from the ii genotype). A. IAIA * IBi B. IAIB * ii C. IAi * IBIB D. IAIB * IAIB • The answer is A. A. IAIA * IBi. Correct. This cross can only produce type AB or A. B. IAIB * ii. Incorrect. This cross can produce type A or type B. C. IAi * IBIB. Incorrect. This cross can produce type A or type B. D. IAIB * IAIB. Incorrect. This cross can produce type A, type B, or type AB. Q93: - Female Drosophila produces 34 daughters and 38 sons. - 18 of the sons produce only daughters. - Remainder produce equal daughters/sons. - Genotype of original female and male? A. XiXs and XsY B. XiXs and XiY C. XiXi and XsY D. XsXs and XiY Q93: - Female Drosophila produces 34 daughters and 38 sons. - 18 of the sons produce only daughters. - Remainder produce equal daughters/sons. - Genotype of original female and male? A. XiXs and XsY. Correct. Since half the sons sire only daughters, they must be XiY. The sons who sire equal sons/daughters must be XsY. Since males get their X-chromosome from mom, she must therefore be a heterozygote. B. XiXs and XiY. Incorrect. There would be no sons from the original cross. C. XiXi and XsY. Incorrect. All of the sons from the original cross would produce only daughters. D. XsXs and XiY. Incorrect. There would be no sons from the original cross. Q94: - What prevents the Xi chromosome from reaching 100% frequency? A. XsXs flies have the lowest fitness B. XsXs flies have the highest fitness C. XiY flies and XsY flies have equal fitness D. XiXi flies and XsXs flies have equal fitness Q94: - What prevents the Xi chromosome from reaching 100% frequency? A. XsXs flies have the lowest fitness B. XsXs flies have the highest fitness. Correct. If Xi is selected against, this would explain why it can persist in the population without extinction occurring, as in the earlier question. C. XiY flies and XsY flies have equal fitness D. XiXi flies and XsXs flies have equal fitness • A. B. C. D. • A. B. Which of the following best explains why the Xi genotype is selected against? When the inversion occurs, the SRY gene gets interrupted When the inversion occurs, a gene important for flight gets interrupted When the inversion occurs, the reading frame for several important genes becomes unreadable to DNA polymerase When the inversion occurs, the reading frame for several important genes becomes unreadable to RNA polymerase The answer is B. The SRY gene, which determines male sex, is located on the Y chromosome. This would not explain decreased fitness. Correct. This would decrease fitness. C. DNA polymerase would still be able to read and replicate the DNA. D. RNA polymerase would still be able to transcribe RNA from the DNA. Passage 14 Takeaways Passage 15 Intro: - BMI Leptin Two hypotheses Looks like we have a metabolism/2 competing hypotheses passage! Q95: Type of chemical messenger Q95: - Class of chemical messenger traveling in the blood, links brain with digestive tract/fat cells A. NTs B. Digestive enzymes C. Protein receptors D. Hormones Q95: - Class of chemical messenger traveling in the blood, links brain with digestive tract/fat cells A. NTs. Incorrect. NTs do not travel in the blood. B. Digestive enzymes. Incorrect. Do not travel in blood. C. Protein receptors. Incorrect. Do not travel in blood. D. Hormones. Correct. Hormones link organs and travel in blood. • A. B. C. D. • • A. B. C. D. • Which of the following correctly describes the release route of a peptide hormone? Rough ER exosome extracellular fluid (ecf) Rough ER Golgi apparatus vesicle ecf Smooth ER Golgi apparatus exosome ecf Cytoplasm rough ER Golgi vesicle ecf The answer is B. The presence of digestive enzymes in the blood is associated with acute pancreatitis. Which of the following enzymes would NOT be found in the blood during pancreatitis? Pepsin Trypsin Amylase Lipase The answer is A. Pepsin is a gastric enzyme, not a pancreatic enzyme. Q96: Hypotheses from passage Q97: Hypotheses from passage Q98: Organ that breaks down glycogen Q98: - Which organ breaks down glycogen? A. Stomach B. Liver C. Pancreas D. Small intestine Q98: - Which organ breaks down glycogen? A. Stomach B. Liver C. Pancreas D. Small intestine • A. B. C. D. • • • A. B. C. D. • Loss of function mutations to which of the following enzymes would most directly impact glycogenolysis? Hexokinase Glucokinase Glycogen branching enzyme Glycogen phosphorylase The answer is D. Glycogen phosphorylase hydrolyzes glycogen to free individual glucose-1-phosphate molecules. Between hexokinase and glucokinase, which likely has a higher Km? • Glucokinase. Glycolysis needs to operate even in conditions of low glucose, whereas glycogenesis operates in high glucose. Hexokinase and glucokinase both catalyze the conversion of glucose to glucose-6-phosphate. They are most likely... Structural isomers Isozymes Isoforms Zymogens The answer is B. A. Structural isomers are molecules with the same net molecular formula but diff connectivity. B. Isozymes are different enzymes that catalyze the same reaction. C. Isoforms are alternatively spliced proteins from the same gene. D. Zymogens are enzyme precursors. Now, to read passage 15: • BMI = w/h2 • Genes account for 40% of factors determining BMI • Leptin – hormone required for maintaining normal weight • Ob = codes for leptin • Db = leptin receptor • Stable weight regulated by metabolic feedback loops • Brain, fat cells, digestive tract, muscles involved Now, to read passage 15: • Set point hypothesis • Dictated by inheritance • Metabolism and behavior adjusted by brain to maintain predetermined weight • Diet and exercise cannot change set point • Settling point hypothesis • Metabolism and genes interact with environment to determine body weight • Feedback loops may allow weight to be stabilized at different level Q96: - What do the hypotheses attempt to explain? - Set point: Dictated by inheritance, metabolism/behavior adjusted by brain, exercise cannot change set point - Settling point: Metabolism and genes interact with environment to determine body weight A. B. C. D. How multiple, interacting factors determine body weight How individual factors alone influence body weight How metabolism and environment influence body weight How environment and behavior influence body weight Q96: - What do the hypotheses attempt to explain? - Set point: Dictated by inheritance, metabolism/behavior adjusted by brain, exercise cannot change set point - Settling point: Metabolism and genes interact with environment to determine body weight A. How multiple, interacting factors determine body weight. Correct. Both hypotheses mention multiple factors that interact. B. How individual factors alone influence body weight. Incorrect. Neither hypothesis looks at independent factors. C. How metabolism and environment influence body weight. Incorrect. Only the settling point hypothesis argues that metabolism/environment can influence body weight. D. How environment and behavior influence body weight. Incorrect. Both hypotheses mention genes and metabolism. • • According to the settling point hypothesis, what might happen to a person’s body weight when they live in a cold climate? • It might decrease, as metabolism increases in response to cold temperatures in order to keep body temperature up. According to the set point hypothesis, what might happen to an individual who begins a strenuous exercise routine? • They may eat more to maintain the same set body weight. Q96: - Which hypothesis implies a person can deliberately alter their body weight? - Set point: Dictated by inheritance, metabolism/behavior adjusted by brain, exercise cannot change set point - Settling point: Metabolism and genes interact with environment to determine body weight A. Set point – a thermostat can be reset B. Set point – the set point can change with age C. Settling point – with correct genotype, one’s metabolism may allow weight to stabilize at a different level D. Settling point – diet and exercise cannot reset the set point Q96: - Which hypothesis implies a person can deliberately alter their body weight? - Set point: Dictated by inheritance, metabolism/behavior adjusted by brain, exercise cannot change set point - Settling point: Metabolism and genes interact with environment to determine body weight A. Set point – a thermostat can be reset. Incorrect. The set point hypothesis says body weight is predetermined. B. Set point – the set point can change with age. Incorrect. A person cannot deliberately alter their age. C. Settling point – with correct genotype, one’s metabolism may allow weight to stabilize at a different level. Correct. The settling point hypothesis says weight is a result of interaction between metabolism and genes with environment. D. Settling point – diet and exercise cannot reset the set point. Incorrect. This describes the set point hypothesis. Passage 15 Takeaways Q99: - Which of the following would NOT interfere with repeated impulse transmission at the NMJ? A. B. C. D. Cholinesterase blocker Toxin that blocks ACh release ^ACh receptor sites on motor end plate Substance that binds ACh receptor sites Q99: - Which of the following would NOT interfere with repeated impulse transmission at the NMJ? A. Cholinesterase blocker. Incorrect. High ACh would interfere with repeated transmission by inhibiting ACh-receptor dissociation. B. Toxin that blocks ACh release. Incorrect. This would impair impulse transmission. C. ^ACh receptor sites on motor end plate. Correct. This might increase the signal, but it would not interfere with transmission. D. Substance that binds ACh receptor sites. Incorrect. This could impede transmission (e.g. if it were an antagonist). • Black widow spiders inject latrotoxin in their bites, which causes ACh release, leading to muscle pain and spasms. The effects can be mediated by the muscle relaxant tubocurarine. What is the most likely mechanism of tubocurarine? A. Facilitates Ca2+ entry into the postsynaptic terminal. B. Degrades latrotoxin. C. Increases nicotinic receptors at the NMJ D. Blocks ACh receptors at the motor end plate. • The answer is D. A. This would cause more ACh release, which would not relax muscles. B. This would not explain its role as a muscle relaxant. C. Activation of nicotinic ACh receptors lead to muscle contraction, so this would not cause muscle relaxation. D. Correct. Prevention of ACh binding its NMJ receptors would cause muscle relaxation. Q100: - Which has striated muscle fibers? A. Heart B. Uterus C. Arteries and veins D. Small intestine Q100: - Which has striated muscle fibers? A. Heart. Correct. Cardiac muscle is striated (has organized, repeating sarcomere units). B. Uterus. Incorrect. The uterus is smooth muscle. C. Arteries and veins. Incorrect. Smooth muscle. D. Small intestine. Incorrect. Smooth muscle. • Considering smooth, cardiac, and skeletal muscle: • Which is/are striated? • Cardiac and skeletal • Which is/are multinucleated? • Skeletal • Which contain(s) gap junctions? • Cardiac and smooth. They are described as “functional syncytia” – i.e., functionally they are multiple cells acting together • Which contain(s) troponin? • Cardiac and skeletal. Smooth contain calmodulin and myosin light chain kinase. • Which rely on calcium for contraction? • All • Which rely on autonomic innervation? • Cardiac and smooth • Which contain(s) sarcoplasmic reticula/T-tubules? • Cardiac and skeletal • Which contain(s) intercalated disks? • Cardiac Q101: - Respiratory dead space vs. ventilation: - What is dead space? - Volume of air that reaches trachea, bronchioles, but not alveoli. - Breathing rate = 10 breaths/min - Tidal volume = 800 mL/breath - Dead space = 150 mL A. B. C. D. 65 mL 95 mL 6,500 mL 7,850 mL Q101: - Respiratory dead space vs. ventilation: - What is dead space? - Volume of air that reaches trachea, bronchioles, but not alveoli. - Breathing rate = 10 breaths/min - Tidal volume = 800 mL/breath - Dead space = 150 mL A. 65 mL B. 95 mL C. 6,500 mL. • Air reaching alveoli = intake – dead space = 800 mL – 150 mL = 650 mL • Breathing rate = 10 breaths/min • 650 mL/breath * 10 breaths/min = 6,500 mL/min D. 7,850 mL Q102: A. B. C. D. Which describes actin and myosin? Both shorten, causing contraction Both catalyze reactions that result in muscle contraction Actin is disassembled by myosin shortening of sarcomeres Bridges form, break, and re-form shortening of sarcomeres Q102: A. B. C. D. • A. B. C. D. • A. B. C. D. Which describes actin and myosin? Both shorten, causing contraction Both catalyze reactions that result in muscle contraction Actin is disassembled by myosin shortening of sarcomeres Bridges form, break, and re-form shortening of sarcomeres Myosin storage myopathy is a rare genetic disease caused by a mutation in the myosin heavy chain beta gene (MYH7). The mutant myosin can form clumps that crowd out sarcomeres, leading to delayed walking during development, waddling gait, and generalized weakness. Which would be the best treatment? Administration of siRNA targeting the MYH7 gene. Administration of restriction enzymes that target a specific amino acid sequence in the mutant myosin protein for degradation. Administration of antibodies specific to the mutant myosin-myosin binding interface. Gene therapy that inserts a wild-type MYH7 sequence into the DNA. The answer is C. This would result in no production of the myosin protein. Restriction enzymes target DNA sequences, not proteins. Correct. This would dissolve the myosin clumps, which the question implies are the root cause of the pathology. This doesn’t take care of the myosin clumps; additionally, no promoter was mentioned. Q103: A. B. C. D. When the optic cup fails to develop, the lens also fails. This implies Neurulation follows gastrulation The eye develops early in morphogenesis Cells may induce neighboring cells to differentiate Cell differentiation is an “all or none” phenomenon Q103: - When the optic cup fails to develop, the lens also fails. This implies A. Neurulation follows gastrulation. Incorrect. Formation of nervous tissue was not mentioned. B. The eye develops early in morphogenesis. Incorrect. No information on timeline was mentioned. C. Cells may induce neighboring cells to differentiate. Correct. The question stem implies that optic cup differentiation is necessary for that of the lens. D. Cell differentiation is an “all or none” phenomenon. Incorrect. “All or none” does not imply to differentiation of adjacent tissue. • Which of the following could be corrected by a diverging lens? A. Myopia B. Hyperopia C. Astigmatism D. Presbyopia, in which the eye loses the ability to focus on nearby objects with age. • The answer is A. A. In myopia, the lens focuses the image prior to the retina. This can be corrected by a diverging lens. B. In hyperopia, the lens focuses the image behind the retina. This is corrected with a converging lens. C. In astigmatism, the optical power of the eye differs for light coming from different directions. This is corrected using a lens with the opposite irregularity of the eye. D. Presbyopia is corrected with a converging lens, similar to hyperopia. Passage 16 Intro: - Ectopic pregnancy Human chorionic gonadotropin Hemorrhaging Looks like we have a passage on ectopic pregnancy! Q104: Tubal prengancy Q104: • This a NOW question because we studied normal implantation in content review. • Drug that increases risk of tubal pregnancy most likely inhibits A. Contraction of the uterus. B. Secretion of FSH. C. Onset of menstruation. D. Transport of the ovum from ovary to uterus. Q104: • This a NOW question because we studied normal implantation in content review. • Drug that increases risk of tubal pregnancy most likely inhibits A. Contraction of the uterus. Incorrect. • Uterine contractions occur during vaginal birth. B. Secretion of FSH. Incorrect. • FSH causes follicular development before an egg gets released, so inhibiting FSH secretion shouldn’t increase the risk of tubal pregnancy. C. Onset of menstruation. Incorrect. • Menstruation is monthly shedding of unfertilized egg and endometrial lining. • Inhibition of the onset of menstruation would not increase the chances of a tubal pregnancy. D. Transport of the ovum from ovary to uterus. Correct. • If a drug inhibits transport of the ovum from ovary to uterus, which occurs via the fallopian tube, a fertilized egg could get stuck in the fallopian tube • This would cause an ectopic pregnancy in the fallopian tube. Q104 Challenge Question: • Benzodiazepine use before conception is associated with a 47% increase in the risk of ectopic pregnancy. One hypothesis suggests that the mechanism involves binding to the GABA-A receptor in fallopian smooth muscle. • Which best describes the effect of benzodiazepines binding GABA receptors in the fallopian tube? A. Depolarization and contraction. B. Repolarization and relaxation. C. Hyperpolarization and relaxation. D. Graded depolarization and relaxation. Q104 Challenge Question: • Benzodiazepine use before conception is associated with a 47% increase in the risk of ectopic pregnancy. One hypothesis suggests that the mechanism involves binding to the GABA-A receptor in fallopian smooth muscle. • Which best describes the effect of benzodiazepines binding GABA receptors in the fallopian tube? A. Depolarization and contraction. Incorrect. • If benzodiazepines caused fallopian smooth muscle contraction, they would not increase the risk of ectopic pregnancy in the fallopian tube. B. Repolarization and relaxation. Incorrect. • Repolarization occurs after potassium voltage-gated channels open, causing K+ ions to flow out of the cell. • Repolarization is not due to ligand-gated channels. C. Hyperpolarization and relaxation. Correct. • For the MCAT, GABA receptors cause an increase in permeability to Cl-, allowing Cl- to flow down its concentration gradient into the cell. • Causing hyperpolarization, which makes action potential initiation more difficult. • In a muscle, this would promote relaxation. • If benzodiazepines are GABA agonists in fallopian smooth muscle, it would follow that they would cause relaxation, which would increase the risk of an egg getting stuck. D. Graded depolarization and relaxation. Incorrect. • Graded depolarization promotes contraction, and GABA-gated ion channels (i.e. GABA receptors) do not cause depolarization. Q105: Cause of death from ectopic pregnancy Q105: • This could be a NOW question provided we can find some passage info about complications of ectopic pregnancy. • A. B. C. D. Cause of death from ectopic pregnancy is Severe hormonal imbalance. Loss of blood when the fallopian tube ruptures. Infection in the region of the pregnancy. Inadequate nutrition due to fetal use of maternal nutrients. Q105: • This could be a NOW question provided we can find some passage info about complications of ectopic pregnancy. • Cause of death from ectopic pregnancy is A. Severe hormonal imbalance. Incorrect. • While this can be an issue during pregnancy, it’s not directly life-threatening. B. Loss of blood when the fallopian tube ruptures. Correct. • Passage states that internal hemorrhage can follow tubal pregnancy. C. Infection in the region of the pregnancy. Incorrect. Not specific enough/no passage support. D. Inadequate nutrition due to fetal use of maternal nutrients. Incorrect. • Fallopian tube rupture will occur before the embryo grows large enough to require substantial nutrition. Q105 Challenge Question: • Following tubal rupture, the embryo can be found in which body cavity? A. Peritoneal cavity B. Uterine cavity C. Thoracic cavity D. Vertebral cavity Q105 Challenge Question: • Following tubal rupture, the embryo can be found in which body cavity? A. Peritoneal cavity. Correct. • The peritoneal cavity, also known as the abdominopelvic cavity, contains 2 regions: • Abdominal cavity, which contains the GI and GI accessory organs, as well as spleen and kidneys. • Pelvic cavity, which contains the bladder, lower colon, and internal reproductive organs. B. Uterine cavity. Incorrect. • The uterine cavity is inside of the uterus, so this would not result from a tubal rupture. C. Thoracic cavity. Incorrect. • The thoracic cavity contains the heart and lungs, and is above the peritoneal cavity. D. Vertebral cavity. Incorrect. • Also known as the spinal cavity or spinal canal, this cavity contains the spinal cord. Q106: Hormone involved in delayed ovulation Q106: • This should be a NOW question because we studied these hormones in content review, and we should be able to look up delayed ovulation in the passage.. • A. B. C. D. Delayed ovulation associated with delayed secretion of which hormone? Progesterone Estrogen HCG LH Q106: • This should be a NOW question because we studied these hormones in content review, and we should be able to look up delayed ovulation in the passage.. • A. B. C. D. Delayed ovulation associated with delayed secretion of which hormone? Progesterone. Incorrect. • Progesterone prepares the uterus for implantation of a fertilized egg in the second half of the cycle, after ovulation. • Progesterone does not cause ovulation. Estrogen. Incorrect. • Estrogen causes the LH surge that triggers ovulation, so this is a better answer choice than A. • Estrogen also promotes thickening of the endometrium in the luteal phase. • D is better. HCG. Incorrect. • hCG would indicate fertilization and uterine implantation have already occurred. LH. Correct. • LH directly causes ovulation, so delayed secretion of LH is the best answer causing delayed ovulation. Q106 Challenge Question: • In November 2012, a man posted on Reddit that he had jokingly took a pregnancy test for hCG left behind by an exgirlfriend, which came back positive. hCG is normally secreted by the placenta during pregnancy. Upon urging by other users, he underwent a screening for and was diagnosed with testicular cancer. • The most likely reason testicular tumors can secrete hCG is A. Tumors can randomly overexpress genes unrelated to their tissue type. B. The male testes are homologous structures to the female ovaries. C. Tumors can express genes from another tissue type in order to disguise themselves from immune system recognition. D. Dysregulation of the cell cycle can lead to differentiation into another tissue type. Q106 Challenge Question: • In November 2012, a man posted on Reddit that he had jokingly took a pregnancy test for hCG left behind by an ex-girlfriend, which came back positive. hCG is normally secreted by the placenta during pregnancy. Upon urging by other users, he underwent a screening for and was diagnosed with testicular cancer. • The most likely reason testicular tumors can secrete hCG is A. Tumors can randomly overexpress genes unrelated to their tissue type. Correct. • Tumors often overproduce normal tissue secretions and express genes unrelated to the tissue type whose transcription would normally be downregulated. B. The male testes are homologous structures to the female ovaries. Incorrect. • While this is true, it does not explain hCG secretion. C. Tumors can express genes from another tissue type in order to disguise themselves from immune system recognition. Incorrect. • While it is true that tumors express “self” cell surface antigens that make immune recognition difficult, • hCG is a secreted protein, so it would not help disguise the tumor. D. Dysregulation of the cell cycle can lead to differentiation into another tissue type. Incorrect. • While tumors by definition do have a dysregulated cell cycle, they cannot de-differentiate and re-differentiate into a different type of tissue type. Q107: Common aspect to ectopic pregnancy Q107: • This should be a NOW question because we studied normal implantation in content review and should be able to look up any additional necessary info. • A. B. C. D. One aspect common to all causes of ectopic pregnancy is that the zygote fails to Implant in the uterus. Leave the ovary. Reach the fallopian tube. Begin its development. Q107: • This should be a NOW question because we studied normal implantation in content review and should be able to look up any additional necessary info. • A. B. C. D. One aspect common to all causes of ectopic pregnancy is that the zygote fails to Implant in the uterus. Correct. • By definition, all ectopic pregnancies involve implantation in a location other than the uterus. Leave the ovary. Incorrect. • The zygote is formed in the fallopian tube, and can only form after the egg has left the ovary. Reach the fallopian tube. Incorrect. • The egg enters the fallopian tube after release by the ovary. • The problem with most ectopic pregnancies is that implantation occurs in the fallopian tube, not the uterus. Begin its development. Incorrect. • Development in the ectopic location does begin. Q107 Challenge Question: • hCG pregnancy tests are used to rule out other conditions during diagnosis of ectopic pregnancy. A urine test draws urine through a series of regions, giving 1 or 2 “lines,” depending on whether the user is pregnant. • A typical hCG urine test is composed of the following: • A sample pad for application of urine, • A reaction zone containing mobile enzyme-linked antibodies that bind hCG, • A test zone containing fixed antibodies that bind hCG, • A control zone antibodies that bind other antibodies • Dye molecules in both test and control zones that react with the enzyme on the mobile antibodies • Which of the following does NOT correctly describe a urine hCG test? A. 1 line only in the control zone allows ectopic pregnancy to be ruled out. B. 2 faint lines indicate pregnancy and may indicate dehydration. C. The antibodies in the control zone bind to excess mobile antibodies that did not bind hCG. D. The mobile antibodies and the fixed antibodies in the test zone must bind to different epitopes of hCG. Q107 Challenge Question: • hCG pregnancy tests are used to rule out other conditions during diagnosis of ectopic pregnancy. A urine test draws urine through a series of regions, giving 1 or 2 “lines,” depending on whether the user is pregnant. • A typical hCG urine test is composed of the following: • A sample pad for application of urine, • A reaction zone containing mobile enzymelinked antibodies that bind hCG, • A test zone containing fixed antibodies that bind hCG, • A control zone antibodies that bind other antibodies • Dye molecules in both test and control zones that react with the enzyme on the mobile antibodies Q107 Challenge Question: • hCG pregnancy tests are used to rule out other conditions during diagnosis of ectopic pregnancy. A urine test draws urine through a series of regions, giving 1 or 2 “lines,” depending on whether the user is pregnant. • A typical hCG urine test is composed of the following: • A sample pad for application of urine, • A reaction zone containing mobile enzyme-linked antibodies that bind hCG, • A test zone containing fixed antibodies that bind hCG, • A control zone antibodies that bind other antibodies • Dye molecules in both test and control zones that react with the enzyme on the mobile antibodies • Which of the following does NOT correctly describe a urine hCG test? A. 1 line only in the control zone allows ectopic pregnancy to be ruled out. Incorrect. • If a line only appears in the control zone, there is no hCG detected and the individual is not pregnant, so this would allow ectopic pregnancy to be ruled out. B. 2 faint lines indicate pregnancy and may indicate dehydration. Correct. • It is true that 2 lines indicates pregnancy because hCG was detected in the test zone. • Faint lines on a pregnancy test more likely indicate overhydration, as the concentration of hCG is low. C. The antibodies in the control zone bind to excess mobile antibodies that did not bind hCG. Incorrect. • This is true. The purpose of the control zone is to ensure proper use of the test by the user. • Excess mobile antibodies from the reaction zone that do not contain hCG, and consequently pass over the test zone, will bind to antibodies in the control zone. D. The mobile antibodies and the fixed antibodies in the test zone must bind to different epitopes of hCG. Incorrect. • This is also true. In this antibody “sandwich,” the mobile antibody has bound to one epitope of hCG. • In order for the test zone fixed antibodies to also bind hCG, they must be specific to a different epitope. Passage 16 Takeaways • Fertilization, pregnancy and birth - anatomy, oogenesis, hormones, placental development, zygote/embryo/fetus, uterine contractions • Reproductive hormones - FSH, LH, GnRH, inhibin, testosterone/androgens, estrogen, progesterone, hCG • Menstrual cycle - hormonal and structural changes • GABA • Anatomy - body cavities and organs that reside in them • Tumors and cancer - overexpression of genes, dysregulation of cell cycle, immune system • Biotechnology - diagnostic antibodies, antigens/epitopes Passage 17 Intro: - Vasodilation Homeostasis Sweating Looks like we have a passage on thermoregulation! Q108: Vasodilation Q108: • This is a NOW question because we studied thermoregulation in content review. • When environmental temp is 33°C, vasodilation of cutaneous blood vessels helps to regulate the body temperature of a human by? A. Slowing blood flow through the skin. B. Maintaining an even distribution of heat throughout the body. C. Radiating excess body heat into the environment. D. Preventing needed body heat from being lost to the environment. Q108: • This is a NOW question because we studied thermoregulation in content review. • When environmental temp is 33°C, vasodilation of cutaneous blood vessels helps to regulate the body temperature of a human by? A. Slowing blood flow through the skin. Incorrect. • This answer choice doesn’t attempt to explain how body temperature is regulated as a result. B. Maintaining an even distribution of heat throughout the body. Incorrect. • Since 33°C approaches physiological temperature, warmblooded animals that radiate heat to the environment must find strategies to not overheat as the temperature gradient between body and environment approaches 0. C. Radiating excess body heat into the environment. Correct. • Vasodilation in hot temperatures assists thermoregulation by allowing blood to more closely contact the cooler outside environment. D. Preventing needed body heat from being lost to the environment. Incorrect. • This is true in cold temperatures, not hot. Q108 Challenge Question: • Which of the following terms does NOT correctly describe a phenomenon of electromagnetic radiation (EMR)? A. Diffraction – light waves spread out after passing through a small gap, leading to constructive or destructive interference. B. Dispersion – different frequencies of EMR refract to different degrees after passing to another medium. C. Convection – heat is transferred from one place to another due to movement of fluid. D. Wave-particle duality – the photoelectric effect demonstrates EMR as a particle, while refraction demonstrates EMR as a wave. Q108 Challenge Question: • Which of the following terms does NOT correctly describe a phenomenon of electromagnetic radiation (EMR)? A. Diffraction – light waves spread out after passing through a small gap, leading to constructive or destructive interference. Incorrect. • This is the textbook definition of diffraction. B. Dispersion – different frequencies of EMR refract to different degrees after passing to another medium. Incorrect. • This is the textbook definition of dispersion. C. Convection – heat is transferred from one place to another due to movement of fluid. Correct. • While this correctly describes convection, convection does not apply to light/EMR. D. Wave-particle duality – the photoelectric effect demonstrates EMR as a particle, while refraction demonstrates EMR as a wave. Incorrect. • This is true. Light does have wave-particle duality. • The photoelectric effect is an example of light acting as a particle (photon). • Refraction is a property of waves, and light refraction demonstrates light acting as a wave. Q109: Highest body temperature Q109: • This is a NOW question because we may have background knowledge of these animals and/or we should be able to look them up in the passage easily. • When the environmental temperature is 45°C, which organism would have highest body temp? A. Human B. Kangaroo rat C. Camel D. Lizard Q109: • This is a NOW question because we may have background knowledge of these animals and/or we should be able to look them up in the passage easily. • When the environmental temperature is 45°C, which organism would have highest body temp? A. Human B. Kangaroo rat C. Camel D. Lizard. Correct. • This answer choice can be arrived at a few different ways: 1. Knowing that lizards are cold-blooded, so their body temperature fluctuates according to the outside environment. 2. “One of these things is not like the others.” 3. Passage states that lizards have an impermeable integument (skin), meaning they cannot sweat. • Thus, they have less ways to cool down than mammals in hot temps. Q109 Challenge Question: • Warm-blooded animals, endotherms, regulate their body temperature by metabolic processes. Cold-blooded animals, ectotherms, rely on environmental heat sources. Which of the following correctly describes endotherms or ectotherms? A. Endotherms have constant body temperature across their circadian clocks. B. Ectotherms require more nourishment than endotherms. C. Endotherms are more likely to engage in active foraging behavior, while ectotherms are more likely to be ambush predators. D. A local habitat can have a higher carrying capacity for endotherms than ectotherms. Q109 Challenge Question: • Warm-blooded animals, endotherms, regulate their body temperature by metabolic processes. Cold-blooded animals, ectotherms, rely on environmental heat sources. Which of the following correctly describes endotherms or ectotherms? A. Endotherms have constant body temperature across their circadian clocks. Incorrect. • Endotherms such as humans have near-constant body temperatures, but they do fluctuate. • “Constant” is an extreme word here • Humans have lower body temp in the morning than in the evening. B. Ectotherms require more nourishment than endotherms. Incorrect. • Endotherms require more nourishment, as the question states they regulate their body temperature by metabolic processes. C. Endotherms are more likely to engage in active foraging behavior, while ectotherms are more likely to be ambush predators. Correct. • Since ectotherms have lower metabolic activity, they can lie in wait for prey. Endotherms have greater metabolic requirements and must actively forage. D. A local habitat can have a higher carrying capacity for endotherms than ectotherms. Incorrect. • Similar to C, since endotherms have greater metabolic requirements, a region will have a lower carrying capacity for endotherms. Q110: Kidney failure Q110: • Cause of kidney failure during severe dehydration? A. Inadequate blood volume for effective filtration. B. Inability to produce sufficient urine. C. Buildup of salts in the distal tubules. D. Increased body temperature. Q110: • Cause of kidney failure during severe dehydration? A. Inadequate blood volume for effective filtration. Correct. • During severe dehydration, a person will go into hypovolemic shock. • Glomerular filtration, which relies on blood pressure, will be ineffective, and the kidneys will fail to perform most normal functions. B. Inability to produce sufficient urine. Incorrect. • This is not a cause of kidney failure but a result. C. Buildup of salts in the distal tubules. Incorrect. • Similar to B. D. Increased body temperature. Incorrect. • This is a result of decreased blood volume during dehydration, but not a cause of kidney failure. Q110 Challenge Question: • Which of the following does NOT correctly describes a mechanism for regulating blood pressure? A. Prorenin is cleaved to renin and released into the bloodstream by the juxtaglomerular apparatus in response to low pressure of the filtrate. B. Angiotensinogen is secreted by the liver and cleaved into angiotensin I by renin, then into angiotensin II by ACE2 receptors in the kidneys, brain, endothelial cells, and lungs. C. Atrial natriuretic peptide is released by atrial cardiac muscle cells in response to mechanical stretching and increases sodium excretion in the nephron. D. Aldosterone causes release of vasopressin from the posterior pituitary, which causes increased Na+ reabsorption in the distal convoluted tubule and cortical collecting duct of the nephron. Q110 Challenge Question: • Which of the following does NOT correctly describes a mechanism for regulating blood pressure? A. Prorenin is cleaved to renin and released into the bloodstream by the juxtaglomerular apparatus in response to low pressure of the filtrate. Incorrect. • This is true. B. Angiotensinogen is secreted by the liver and cleaved into angiotensin I by renin, then into angiotensin II by ACE2 receptors in the kidneys, brain, endothelial cells, and lungs. Incorrect. • This is true. C. Atrial natriuretic peptide is released by atrial cardiac muscle cells in response to mechanical stretching and increases sodium excretion in the nephron. Incorrect. • This is true. • “Natri” = sodium, “ur” = urine, “etic” = pertaining to an action of process D. Aldosterone causes release of vasopressin from the posterior pituitary, which causes increased Na+ reabsorption in the distal convoluted tubule and cortical collecting duct of the nephron. Correct. • Angiotensin II causes vasopressin release from the posterior pituitary. • Vasopressin causes increased synthesis of aquaporins in the distal tubule and collecting duct, not increased Na+ reabsorption. • Aldosterone itself causes increased Na+ reabsorption in the distal tubule and collecting duct. Q111: Heat stroke and sweat glands Q111: • People born w/o sweat glands are likely to die of heat stroke in the tropics. • This indicates that under tropical conditions, the human body may A. Gain, rather than lose, heat by evaporation. B. Gain, rather than lose, heat by radiation. C. Need to use different mechanisms than in temperate zones to maintain body temperature. D. Be better able to regulate body temperature than under temperate conditions. Q111: • People born w/o sweat glands are likely to die of heat stroke in the tropics. • This indicates that under tropical conditions, the human body may A. Gain, rather than lose, heat by evaporation. Incorrect. • Evaporation is endothermic, so it will not cause the body to gain heat. B. Gain, rather than lose, heat by radiation. Correct. • Since people without sweat glands cannot use evaporative cooling, the fact that they are likely to die of heat stroke indicates that they are unable to sufficiently radiate heat by vasodilation. C. Need to use different mechanisms than in temperate zones to maintain body temperature. Incorrect. • The question stem does not indicate that humans need to rely on different mechanisms in temperate vs. tropical conditions. • Instead, the mechanisms are the same, but people without sweat glands are unable to use evaporation. D. Be better able to regulate body temperature than under temperate conditions. Incorrect. • The fact that people without sweat glands are likely to die of heat stroke in tropical conditions suggests that the human body is less able to regulate temperature under these conditions. Q111 Challenge Question: • Anhidrosis is a congenital or acquired inability to sweat. Sjogren’s syndrome, the second-most common rheumatic disorder, is an autoimmune anhidrotic condition caused by inflammation of lacrimal (sweat) and salivary glands. It is associated with a significantly higher risk of non-Hodgkin lymphoma. • Which of the following does NOT describe Sjogren’s syndrome? A. ACTH and cortisol levels are lower than in healthy individuals. B. Treatment with immune suppressing drugs can alleviate symptoms of dryness and decrease risk of lymphoma. C. Sjogren’s patients must see a dental hygienist frequently for teeth cleanings. D. Viral infection may help trigger the onset of Sjogren’s syndrome by molecular mimicry toward antigen-presenting cells. Q111 Challenge Question: • Anhidrosis is a congenital or acquired inability to sweat. Sjogren’s syndrome, the second-most common rheumatic disorder, is an autoimmune anhidrotic condition caused by inflammation of lacrimal (sweat) and salivary glands. It is associated with a significantly higher risk of non-Hodgkin lymphoma. • Which of the following does NOT describe Sjogren’s syndrome? A. ACTH and cortisol levels are lower than in healthy individuals. Incorrect. • ACTH and cortisol levels are lower in many autoimmune diseases such as Sjogren’s. • Cortisol downregulates immune system activity. B. Treatment with immune suppressing drugs can alleviate symptoms of dryness and decrease risk of lymphoma. Correct. • While immune suppressing drugs are useful for decreasing immune activity towards the lacrimal and salivary glands, and this can alleviate symptoms, • The problem with using them is an increased risk of cancer, since the immune system is less able to respond to tumors. C. Sjogren’s patients must see a dental hygienist frequently for teeth cleanings. Incorrect. • Decreased salivation provides a more ideal environment for bacteria. • This is true. D. Viral infection may help trigger the onset of Sjogren’s syndrome by molecular mimicry toward antigenpresenting cells. Incorrect. • This is the hardest answer choice to eliminate, but answer choice B is more clearly wrong. • In fact, viral infections are implicated in many autoimmune disorders, as viral antigens can sometimes look similar to self antigens. Passage 17 Takeaways • Thermoregulation - hair, vasodilation/constriction, metabolic changes, sweating • Properties of light - reflection, refraction, diffraction, dispersion, waveparticle duality, photoelectric effect • Warm-blooded/cold-blooded, maybe? • Circadian clock basics • Kidneys - filtration, osmolarity gradient, effect of hormones • Blood pressure regulatory hormones - RAAS system, vasopressin/ADH, atrial natriuretic peptides • ACTH and cortisol • Cancer and the immune system Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes Q111: Heat stroke and sweat glands Q111: • People born w/o sweat glands are likely to die of heat stroke in the tropics. • This indicates that under tropical conditions, the human body may A. Gain, rather than lose, heat by evaporation. B. Gain, rather than lose, heat by radiation. C. Need to use different mechanisms than in temperate zones to maintain body temperature. D. Be better able to regulate body temperature than under temperate conditions. Q111: • People born w/o sweat glands are likely to die of heat stroke in the tropics. • This indicates that under tropical conditions, the human body may A. Gain, rather than lose, heat by evaporation. Incorrect. • Evaporation is endothermic, so it will not cause the body to gain heat. B. Gain, rather than lose, heat by radiation. Correct. • Since people without sweat glands cannot use evaporative cooling, the fact that they are likely to die of heat stroke indicates that they are unable to sufficiently radiate heat by vasodilation. C. Need to use different mechanisms than in temperate zones to maintain body temperature. Incorrect. • The question stem does not indicate that humans need to rely on different mechanisms in temperate vs. tropical conditions. • Instead, the mechanisms are the same, but people without sweat glands are unable to use evaporation. D. Be better able to regulate body temperature than under temperate conditions. Incorrect. • The fact that people without sweat glands are likely to die of heat stroke in tropical conditions suggests that the human body is less able to regulate temperature under these conditions. Q111 Challenge Question: • Anhidrosis is a congenital or acquired inability to sweat. Sjogren’s syndrome, the second-most common rheumatic disorder, is an autoimmune anhidrotic condition caused by inflammation of lacrimal (sweat) and salivary glands. It is associated with a significantly higher risk of non-Hodgkin lymphoma. • Which of the following does NOT describe Sjogren’s syndrome? A. ACTH and cortisol levels are lower than in healthy individuals. B. Treatment with immune suppressing drugs can alleviate symptoms of dryness and decrease risk of lymphoma. C. Sjogren’s patients must see a dental hygienist frequently for teeth cleanings. D. Viral infection may help trigger the onset of Sjogren’s syndrome by molecular mimicry toward antigen-presenting cells. Q111 Challenge Question: • Anhidrosis is a congenital or acquired inability to sweat. Sjogren’s syndrome, the second-most common rheumatic disorder, is an autoimmune anhidrotic condition caused by inflammation of lacrimal (sweat) and salivary glands. It is associated with a significantly higher risk of non-Hodgkin lymphoma. • Which of the following does NOT describe Sjogren’s syndrome? A. ACTH and cortisol levels are lower than in healthy individuals. Incorrect. • ACTH and cortisol levels are lower in many autoimmune diseases such as Sjogren’s. • Cortisol downregulates immune system activity. B. Treatment with immune suppressing drugs can alleviate symptoms of dryness and decrease risk of lymphoma. Correct. • While immune suppressing drugs are useful for decreasing immune activity towards the lacrimal and salivary glands, and this can alleviate symptoms, • The problem with using them is an increased risk of cancer, since the immune system is less able to respond to tumors. C. Sjogren’s patients must see a dental hygienist frequently for teeth cleanings. Incorrect. • Decreased salivation provides a more ideal environment for bacteria. • This is true. D. Viral infection may help trigger the onset of Sjogren’s syndrome by molecular mimicry toward antigenpresenting cells. Incorrect. • This is the hardest answer choice to eliminate, but answer choice B is more clearly wrong. • In fact, viral infections are implicated in many autoimmune disorders, as viral antigens can sometimes look similar to self antigens. Passage 17 Takeaways • Thermoregulation - hair, vasodilation/constriction, metabolic changes, sweating • Properties of light - reflection, refraction, diffraction, dispersion, waveparticle duality, photoelectric effect • Warm-blooded/cold-blooded, maybe? • Circadian clock basics • Kidneys - filtration, osmolarity gradient, effect of hormones • Blood pressure regulatory hormones - RAAS system, vasopressin/ADH, atrial natriuretic peptides • ACTH and cortisol • Cancer and the immune system Passage 18 Intro: - Toxic shock Staph aureus Superantigens Looks like we have a passage on microbio and bacterial infections! Q112: Main cause of problems in TSS Q112: • This should be a NOW question because we studied these properties of bacteria in content review and/or should be able to easily look for context clues from the passage. • A. B. C. D. Staphylococcus and Streptococcus bacteria cause problems in acute infections such as toxic shock syndrome primarily by Multiplying to produce large numbers of bacteria. Stimulating exaggerated immune responses. Causing autoimmune reactions. Inhibiting metabolic enzymes with toxins. Q112: • This should be a NOW question because we studied these properties of bacteria in content review and/or should be able to easily look for context clues from the passage. • A. B. C. D. Staphylococcus and Streptococcus bacteria cause problems in acute infections such as toxic shock syndrome primarily by Multiplying to produce large numbers of bacteria. Incorrect. • This may occur, but is not the direct cause of complications. Stimulating exaggerated immune responses. Correct. • Superantigens nonspecifically activate polyclonal T cells, causing a cytokine storm that the passage says is responsible for many of the problems in TSS. Causing autoimmune reactions. Incorrect. No mention of autoimmunity or attacking self antigens. Inhibiting metabolic enzymes with toxins. Incorrect. No mention of toxins inhibiting metabolic enzymes. Q112 Challenge Question: • Bafilomycin A1 is a macrolide antibiotic produced from fungi that in eukaryotes inhibits vacuolar-type H+-ATPases, which are present in the plasma and lysosomal membranes, and itself also serves as a K+ ionophore in the mitochondrial inner membrane, conducting K+ into the matrix. • Which of the following describes the effects of bafilomycin A1? A. Acidification of the lysosome and mitochondrial swelling. B. Basification of the lysosome and mitochondrial shrinkage. C. Acidification of the cytoplasm and mitochondrial swelling. D. Acidification of the extracellular fluid and mitochondrial swelling. Q112 Challenge Question: • Bafilomycin A1 is a macrolide antibiotic produced from fungi that in eukaryotes inhibits vacuolar-type H+-ATPases, which are present in the plasma and lysosomal membranes, and itself also serves as a K+ ionophore in the mitochondrial inner membrane, conducting K+ into the matrix. • Which of the following describes the effects of bafilomycin A1? A. Acidification of the lysosome and mitochondrial swelling. Incorrect. • The lysosome has an acidic pH. H+-ATPases should normally pump protons into the lysosome. If the ATPase is inhibited, the lysosome will not get acidified. B. Basification of the lysosome and mitochondrial shrinkage. Incorrect. See C. C. Acidification of the cytoplasm and mitochondrial swelling. Correct. • If plasma membrane H+-ATPases are inhibited, H+ from metabolism cannot be exported to the ecf, resulting in acidification of the cytoplasm. • If more K+ enters the matrix, this would lead to swelling not shrinkage, as H2O follows ions osmotically. • The extra K+ also disrupts the mitochondrial membrane potential, decreasing ATP synthesis, and even leading to apoptosis. D. Acidification of the extracellular fluid and mitochondrial swelling. Incorrect. • The ecf will not receive protons via the H+-ATPase. Q113: Organ systems Q113: • This is a NOW question because we studied these organ systems in content review and should be able to connect the cause of TSS to one of them. • A. B. C. D. In addition to skin and circulatory systems, which organ system affected by TSS? Musculoskeletal system Digestive system Lymphatic system Respiratory system Q113: • This is a NOW question because we studied these organ systems in content review and should be able to connect the cause of TSS to one of them. • A. B. C. D. In addition to skin and circulatory systems, which organ system affected by TSS? Musculoskeletal system Digestive system Lymphatic system. Correct. High levels T-cell activation would involve the lymphatic system. Respiratory system Q113 Challenge Question: • Mucormycosis is a rare but serious opportunistic infection by a family of molds called Mucormycetes. Following a Streptococcus pyogenes TSS, a previously healthy 53-year old French woman’s condition deteriorated despite no detection of residual S. pyogenes bacteria. During ileostomy, a black margin suggested mucormycosis, and a culture of peritoneal fluid examined microscopically revealed characteristic spores of Rhizopus. • Why did the woman most likely develop mucormycosis? A. Antibiotics used to treat her TSS only worked on bacteria, not fungi. B. The woman had an underlying immune compromising disorder. C. Her immune system was weakened by the TSS, allowing colonization by Rhizopus. D. The infection was nosocomial (hospital-acquired) due to improper operating room sterilization before the ileostomy. Q113 Challenge Question: • Mucormycosis is a rare but serious opportunistic infection by a family of molds called Mucormycetes. Following a Streptococcus pyogenes TSS, a previously healthy 53-year old French woman’s condition deteriorated despite no detection of residual S. pyogenes bacteria. During ileostomy, a black margin suggested mucormycosis, and a culture of peritoneal fluid examined microscopically revealed characteristic spores of Rhizopus. • Why did the woman most likely develop mucormycosis? A. Antibiotics used to treat her TSS only worked on bacteria, not fungi. Correct. • Antibiotic treatment likely killed off normal gut bacteria, allowing for the opportunistic fungal infection. B. The woman had an underlying immune compromising disorder. Incorrect. • This contradicts the question stem, as the woman was described as “previously healthy.” C. Her immune system was weakened by the TSS, allowing colonization by Rhizopus. Incorrect. • The immune system is not weakened by infections unless the targeted cell/tissue by the pathogen is immune. • On the contrary, the immune system may be stronger towards non-Strep infections as well, due to buildup of innate immune cells. D. The infection was nosocomial (hospital-acquired) due to improper operating room sterilization before the ileostomy. Incorrect. • The question states that the mucormycosis was found during the ileostomy procedure. This answer choice contradicts the timeline. Q114: Calculation of activated T cells Q114: • This is a NOW question because we should be able to find numbers in the passage to easily crunch for the answer. • A. B. C. D. Superantigens increase number of activated T cells by a factor of? 20 5,000 20,000 100,000 Q114: • This is a NOW question because we should be able to find numbers in the passage to easily crunch for the answer. • Superantigens increase number of activated T cells by a factor of? A. 20 B. 5,000 C. 20,000. Correct. • 20% = 1/5 • 𝟏 𝟓 𝟏 𝟏𝟎𝟎,𝟎𝟎𝟎 D. 100,000 = 𝟏𝟎𝟎,𝟎𝟎𝟎 𝟓 = 𝟏𝟎∗𝟏𝟎,𝟎𝟎𝟎 𝟓 = 𝟐 ∗ 𝟏𝟎, 𝟎𝟎𝟎 = 𝟐𝟎, 𝟎𝟎𝟎 Q114 Challenge Question: • Theralizumab is an immunomodulatory drug developed at the University of Würzburg in Germany that showed in vitro activation of Tregulatory cells, which downregulate T-cell activity. It is a potent monoclonal antibody agonist of CD28, a protein involved in costimulation during T-cell activation. Researchers thought it could be used to treat autoimmune diseases like rheumatoid arthritis. • However, in the first human clinical trial, subjects exhibited systemic inflammation, cytokine release syndrome, angioedema, and catastrophic systemic organ failure, and theralizumab development was halted. • What was the most likely cause of the complications? A. Theralizumab caused downregulation of the immune system, leading to superantigens exerting powerful inflammatory activity on the body. B. T-reg cells actually stimulated effector T cells instead of downregulating them. C. T cells did not receive the second costimulatory signal for activation. D. Once T-regulatory activity is induced, T cells eventually downregulate their regulatory capabilities and become effector T cells. Q114 Challenge Question: • Theralizumab is an immunomodulatory drug developed at the University of Würzburg in Germany that showed in vitro activation of T-regulatory cells, which downregulate T-cell activity. It is a potent monoclonal antibody agonist of CD28, a protein involved in costimulation during T-cell activation. Researchers thought it could be used to treat autoimmune diseases like rheumatoid arthritis. • However, in the first human clinical trial, subjects exhibited systemic inflammation, cytokine release syndrome, angioedema, and catastrophic systemic organ failure, and theralizumab development was halted. • What was the most likely cause of the complications? A. Theralizumab caused downregulation of the immune system, leading to superantigens exerting powerful inflammatory activity on the body. Incorrect. • The immune system operates in an inflammatory environment. The purpose of inflammation is to assist in the immune response. • If the immune system were downregulated, there would not be inflammation. Further, as described in the passage, superantigens cause harm specifically by overstimulating the immune system. B. T-reg cells actually stimulated effector T cells instead of downregulating them. Incorrect. • While this is a tempting answer choice because it could explain the symptoms, it directly contradicts information in the question stem. • D is a better answer. C. T cells did not receive the second costimulatory signal for activation. Incorrect. • If this were true, the high immune activation described in the symptoms would not have occurred. D. Once T-regulatory activity is induced, T cells eventually downregulate their regulatory capabilities and become effector T cells. Correct. • This is the only answer choice that both explains the symptoms observed and does not contradict the question stem. Given 2 answer choices like B and D, always go with the one that doesn’t contradict information given. • This is actually the hypothesized cause of the complications in the human trial. Q115: Strain potency Q115: • This is a NOW question because it’s a classic pseudodiscrete. • Strain A dose to cause infection: 1x105 bacteria • Strain B dose to cause infection: 5x104 bacteria • Which statement describes the relative potencies? A. Strain A is five times as potent as Strain B. B. Strain A is one-fifth as potent as Strain B. C. Strain A is twice as potent as Strain B. D. Strain A is half as potent as Strain B. Q115: • This is a NOW question because it’s a classic pseudodiscrete. • Strain A dose to cause infection: 1x105 bacteria • Strain B dose to cause infection: 5x104 bacteria • Which statement describes the relative potencies? A. Strain A is five times as potent as Strain B. B. Strain A is one-fifth as potent as Strain B. C. Strain A is twice as potent as Strain B. D. Strain A is half as potent as Strain B. Correct. • Strain A requires twice as many bacteria to cause infection, so it is half as potent. • Strain A bacteria conjugate with Strain B bacteria at a rate of 8 per mL per second. Suppose 1 x 105 Strain A bacteria are inoculated in enough LB liquid agar to produce a concentration of 1000 bacteria/mL, and the procedure is repeated to the same concentration for 5 x 104 Strain B bacteria. How many conjugations will occur in one minute? Q115 Challenge Question: • Strain A bacteria conjugate with Strain B bacteria at a rate of 8 per mL per second. Suppose 1 x 105 Strain A bacteria are inoculated in enough LB liquid agar to produce a concentration of 1000 bacteria/mL, and the procedure is repeated to the same concentration for 5 x 104 Strain B bacteria. How many conjugations will occur in one minute? • This is a complicated calculation question, more than you would have to do for an average MCAT quantitative question. • The conjugation rate was described as “8 per mL per second” and we were given a time of one minute, 60 s. • So, to find the number of conjugations, we need the volume of solution. • Volume for Strain A: • 1 𝑚𝐿 1000 𝑏𝑎𝑐𝑡𝑒𝑟𝑖𝑎 1𝑥105 𝑏𝑎𝑐𝑡𝑒𝑟𝑖𝑎 1 105 103 1 𝑚𝐿 1000 𝑏𝑎𝑐𝑡𝑒𝑟𝑖𝑎 5𝑥104 𝑏𝑎𝑐𝑡𝑒𝑟𝑖𝑎 1 5∗104 103 ∗ = = 100 𝑚𝐿 • We had to divide the number of bacteria by the (bacteria/mL) to cancel bacteria and get mL as the final unit. • At this point, we could repeat the calculation for Strain B, though if we consider that there are half as many bacteria for Strain B, we can simply divide the necessary volume by 2 to get the same concentration. • ∗ = = 5 ∗ 10 = 50 𝑚𝐿 • So, our total volume is 150 mL. 8 𝑐𝑜𝑛𝑗𝑢𝑔𝑎𝑡𝑖𝑜𝑛𝑠 60 𝑠 150 𝑚𝐿 • ∗ 1 ∗ 1 = 8 ∗ 60 ∗ 150 = 4 ∗ 60 ∗ 300 = 60 ∗ 1200 = 72 ∗ 1000 = 1 𝑚𝐿∗𝑠 72,000 𝑐𝑜𝑛𝑗𝑢𝑔𝑎𝑡𝑖𝑜𝑛𝑠 Now, to read the passage: - Toxic shock syndrome (?) - Shock is when the circulatory system cannot adequately perfuse tissues, causing ischemia and hypoxia and tissue death - TSS involves high fever, hypotension, and a rash resulting in skin desquamation - Affects at least three organ systems - Increased risk linked to high-absorbency tampons (?) - Left in the user too long, allowing bacterial overgrowth - Two bacteria that cause TSS are Staphylococcus aureus and Streptococcus pyogenes - These bacteria produce superantigen proteins Now, to read the passage: - Superantigens bypass a processing step normally performed by APCs - Bind to T cells outside standard antigen binding site (?) - T-cell receptor - Activates ~20% of the T-lymphocytes (i.e. nonspecifically) - Negative effects of superantigens occur b/c ^^T-cell activation ^^cytokines - Increased cytokine release cause for many acute problems seen in TSS - As well as some autoimmune diseases Passage 18 Takeaways • Immune system - important cells, be familiar with cytokines and interleukins as messenger molecules, inflammation, lymphatic system • Lysosome - acidic • Osmosis • Gut microbiome • Concentrations • Dimensional analysis Q116: • If a person’s gallbladder is removed, the person should restrict the consumption of A. Proteins. B. Polysaccharides. C. Triglycerides. D. Lactose. Q116: • If a person’s gallbladder is removed, the person should restrict the consumption of A. Proteins. B. Polysaccharides. C. Triglycerides. Correct. The gallbladder stores bile, which is used to emulsify lipids. D. Lactose. • • A. B. C. D. Lactose intolerance occurs as most mammals wean off mother’s milk due to genetic programming, although lactase persistence is common in many human populations. The most accurate test for lactose intolerance is the hydrogen breath test, which examines an individual’s breath for bacterially produced H2 and CH4 after taking lactose on an empty stomach. Which of the following does NOT correctly describe the hydrogen breath test? Gut bacteria can metabolize lactose since they do not downregulate their lactase gene with age. The test would be less accurate if the individual were not fasting since bacteria would downregulate their lactase enzyme. Hydrogen and methane are produced via reduction and oxidation, respectively. The electrons extracted from glucose and galactose are given to hydrogen and carbon since the bacterial ETC is inactive in the gut. Q116 Challenge Question: • Lactose intolerance occurs as most mammals wean off mother’s milk due to genetic programming, although lactase persistence is common in many human populations. The most accurate test for lactose intolerance is the hydrogen breath test, which examines an individual’s breath for bacterially produced H2 and CH4 after taking lactose on an empty stomach. • Which of the following does NOT correctly describe the hydrogen breath test? A. Gut bacteria can metabolize lactose since they do not downregulate their lactase gene with age. Incorrect. • This is true. Unlike mammals, which wean off their mother’s milk and downregulate their lactase gene, bacteria would not lose ability to digest lactose. B. The test would be less accurate if the individual were not fasting since bacteria would downregulate their lactase enzyme. Incorrect. • This is true. For instance, we know that bacteria prefer glucose from our background on the lac operon, and will downregulate their lactase enzyme if glucose is present. C. Hydrogen and methane are produced via reduction and oxidation, respectively. Correct. • Methane, CH4, is the most reduced form of carbon. It could not be produced by oxidation. D. The electrons extracted from glucose and galactose are given to hydrogen and carbon since the bacterial ETC is inactive in the gut. Incorrect. • This is true. The gut is an anaerobic environment, so ETCs are shut down in gut microbes. Thus, gut bacteria rely mainly on anaerobic fermentation. • The H2 and CH4 in this question are fermentation byproducts. • Gut bacteria also provide the host with nutrients such as short-chain fatty acids (SCFAs – propionate and butyrate) from food molecules indigestible to the host. Q117: • The posttranslational modification of some of the eukaryotic cell’s most abundant proteins is thought to affect the ability of these proteins to condense DNA into 30-nm fibers. • Given this, these proteins are most likely A. Tubulins. B. Histones. C. Transcription activators. D. DNA polymerase subunits. Q117: • The posttranslational modification of some of the eukaryotic cell’s most abundant proteins is thought to affect the ability of these proteins to condense DNA into 30-nm fibers. • Given this, these proteins are most likely A. Tubulins. B. Histones. Correct. Histones are the proteins that DNA wraps around to condense DNA into nucleosomes and then chromosomes. C. Transcription activators. D. DNA polymerase subunits. • A. B. C. D. The DNA polymerase(s) in prokaryotes with 5’ to 3’ exonuclease activity is/are: I. DNA pol I II. DNA pol II III. DNA pol III I only I and III III only I, II, and III Q117 Challenge Question: • The DNA polymerase(s) in prokaryotes with 5’ to 3’ exonuclease activity is/are: I. DNA pol I. Correct. • DNA pol I is the enzyme that removes RNA primers before DNA ligase joins Okazaki fragments. • In order to do this, it excises ribonucleotides while laying down new deoxyribonucleotides, both in the 5’ to 3’ direction. • This is exonuclease activity, as well. • DNA pol I also has 3’ to 5’ exonuclease activity for proofreading. II. DNA pol II. Incorrect. • DNA pol II is primarily involved in DNA repair, and it has 3’ to 5’ exonuclease activity for proofreading. III. DNA pol III. Incorrect. • DNA pol III is the major replicative enzyme in prokaryotes, and it has 3’ to 5’ exonuclease activity for proofreading. A. I only. Correct. B. I and III C. III only D. I, II, and III Q118: • When viewing an X ray of the bones of a leg, a doctor can tell if the patient is a growing child, because the X ray shows: A. Cartilaginous areas in the long bones. B. Bone cells that are actively dividing. C. The presence of haversian cells. D. Shorter-than-average bones. Q118: • When viewing an X ray of the bones of a leg, a doctor can tell if the patient is a growing child, because the X ray shows: A. Cartilaginous areas in the long bones. Correct. • Children have cartilage that hasn’t fully ossified yet. B. Bone cells that are actively dividing. Incorrect. • Osteoprogenitor cells can produce new osteoblasts in childhood and adulthood. C. The presence of haversian cells. Incorrect. • Child and adult bones have haversian canals for nourishment of bone cells. Haversian cells are not a thing. D. Shorter-than-average bones. Incorrect. • This is a weird answer choice, but “average” should be taken for a person’s age. This would just be a short person. • A. B. C. D. Which of the following statements does NOT correctly describe bones and bone marrow? Mobility is primarily facilitated by the long bones, and protection of the internal organs by the flat bones. B- and T-lymphocyte development occurs in hematopoietic bone marrow. Most hematopoiesis in adult humans occurs in flat bones such as the ribs and skull. Yellow marrow is mostly fat and red marrow contains hematopoietic stem cells. Q118 Challenge Question: • Which of the following statements does NOT correctly describe bones and bone marrow? A. Mobility is primarily facilitated by the long bones, and protection of the internal organs by the flat bones. Incorrect. • This is true. B. B- and T-lymphocyte development occurs in hematopoietic bone marrow. Correct. • B-cell development occurs in hematopoietic bone marrow, which is red marrow. • T-cell development occurs in the thymus. C. Most hematopoiesis in adult humans occurs in flat bones such as the ribs and skull. Incorrect. • This is true. Hematopoiesis in adults occurs in flat bones (and the ends of long bones). D. Yellow marrow is mostly fat and red marrow contains hematopoietic stem cells. Incorrect. • This is true. Q119: • In eukaryotic cells, the process of incorporating uridine nts into nucleic acid polymers occurs in which of the following structures of the cell? A. Nucleus B. Lysosome C. Ribosome D. Golgi body Q119: • In eukaryotic cells, the process of incorporating uridine nts into nucleic acid polymers occurs in which of the following structures of the cell? A. Nucleus. Correct. • Uridine nts incorporating into polymers describes transcription. Transcription occurs in the nucleus. B. Lysosome C. Ribosome. Incorrect. • Ribosomes use mRNA as a template for protein synthesis, but uridine isn’t incorporated into polymers here. D. Golgi body • A. B. C. D. Which of the following structures would NOT contain uridine in the absence of substrate/ligand? Histones The immediate precursor of glycogen Ribosomes Telomerase Q119 Challenge Question: • Which of the following structures would NOT contain uridine in the absence of substrate/ligand? A. Histones. Correct. • Histones are entirely made of protein. Their ligand is DNA, which also does not contain uridine. B. The immediate precursor of glycogen. Incorrect. • The immediate precursor of glycogen is UDP-glucose. C. Ribosomes. Incorrect. • The catalytic portion of ribosomes is rRNA. D. Telomerase. Incorrect. • This may be hard to eliminate, though A is the more obvious best answer. • Telomerase reverse transcribes a repeating sequence of DNA at the ends of telomeres. • It carries around its own RNA template, which contains uridine in organisms that have adenosine in their telomere sequence. Q120: • The outer layers of human skin are composed of dead cells impregnated with keratin and oil, which make the epidermis relatively impermeable to water • Yet humans sweat freely in hot temperatures. This occurs because A. The salt in sweat allows it to diffuse through the skin. B. Sweat glands have special channels through the skin. C. An osmotic gradient in sweat moves it through the skin. D. Sweating occurs in only those areas of the body where the skin is water permeable. Q120: • The outer layers of human skin are composed of dead cells impregnated with keratin and oil, which make the epidermis relatively impermeable to water • Yet humans sweat freely in hot temperatures. This occurs because A. The salt in sweat allows it to diffuse through the skin. Incorrect. This is not a thing. B. Sweat glands have special channels through the skin. Correct. • Sweat pores extend to the outer layer of the skin. C. An osmotic gradient in sweat moves it through the skin. Incorrect. • This doesn’t solve the problem of keratin and oil making epidermis impermeable to water. D. Sweating occurs in only those areas of the body where the skin is water permeable. Incorrect. • This contradicts the question stem and common sense, since we sweat in a lot of different places. Q120 Challenge Question: • Hypohidrotic epidermal dysplasia is inherited through three separate genetic patterns: autosomal dominant, autosomal recessive, and X-linked recessive. • Karen’s dad has the disorder, and concerned about their potential children, her fiancée gets screened without telling her. The lab informs him he has two wild-type alleles. They have three children, with one affected with the condition. • The pedigree is shown. What is the inheritance pattern? A. Autosomal dominant B. Autosomal recessive C. X-linked recessive D. Not enough information to determine Q120 Challenge Question: • Hypohidrotic epidermal dysplasia is inherited through three separate genetic patterns: autosomal dominant, autosomal recessive, and X-linked recessive. • Karen’s dad has the disorder, and concerned about their potential children, her fiancée gets screened without telling her. They have three children, with one affected with the condition. The pedigree is shown. What is the inheritance pattern? A. Autosomal dominant. Incorrect. • If the inheritance was autosomal dominant, a child could never have the condition unless a parent had it. B. Autosomal recessive. Incorrect. • If Karen’s fiancée was not a carrier, and the inheritance was autosomal recessive, there would be no way for their son to have the condition. C. X-linked recessive. Correct. • This checks out with Karen and her fiancée’s children. A female can carry an X-linked allele and pass it on to her male children only. • Note that the grandmother also must be a carrier for the male in the middle to have the condition. • The affected female (homozygote) on the right would pass the condition on to all her male children. D. Not enough information to determine FSQ Takeaways • • • • • • • • • • • • Gallbladder and bile Lac operon Fermentation Metabolism - redox Histones 3 prokaryotic DNA pols, 3 eukaryotic RNA pols Bone - cartilage in childhood, haversian canals, long vs flat bones, red vs yellow marrow, hematopoiesis Transcription and translation - locations, enzymes Telomeres and telomerase Glycogenesis and glycogenolysis Skin - epidermis, keratin, sweat glands Pedigree analysis Thank you! Questions? Source: Biochemistry Memes Depicting Intracellular Scenes