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MCAT · Biological and Biochemical Foundations · Biochemistry

Metabolism and bioenergetics

Metabolism and bioenergetics is part of Biochemistry in the MCAT Biological and Biochemical Foundations section. The questions below are written in the style of the real test, each with the answer and a worked explanation.

Question types you will see here include glycolysis regulation, aTP and reducing-equivalent accounting, electron transport inhibitors and uncouplers and fed-to-fasted metabolic switch.

Common traps: treating hexokinase as the main control in liver; reversing the effect of citrate or AMP on PFK-1; missing tissue differences (liver versus muscle).

Sample questions

  1. Question 1

    During ischemic forearm exercise, a patient with deficiency of muscle glycogen phosphorylase shows almost no rise in venous lactate, whereas a healthy person shows a large rise. Which explanation is correct?

    • A.

      Muscle glycogen cannot be broken down to glucose 1-phosphate, so little substrate enters glycolysis and less lactate forms.

    • B.

      Glycolysis is blocked at phosphofructokinase-1, so glycogen accumulates in the muscle and glucose is not used for lactate formation.

    • C.

      Lactate is formed normally but is taken up by the liver faster in these patients.

    • D.

      Pyruvate cannot be reduced to lactate, because lactate dehydrogenase requires no NADH in muscle.

  2. Question 2

    During intense exercise, skeletal muscle converts pyruvate to lactate. What is the main purpose of this reaction?

    • A.

      To regenerate NAD⁺ so that glycolysis can continue

    • B.

      To convert pyruvate into glucose within the muscle

    • C.

      To produce additional ATP directly from pyruvate

    • D.

      To make FADH₂ for the electron transport chain

  3. Question 3

    An enzyme catalyzes a reaction with ΔG°′ = +15 kJ/mol. Which statement is correct?

    • A.

      The enzyme makes ΔG°′ negative by lowering the activation energy, so no coupling to another exergonic reaction is needed

    • B.

      The enzyme shifts the equilibrium toward products, so the reaction proceeds without any coupling in the cell

    • C.

      The enzyme makes the reaction spontaneous by adding free energy to the reaction from its active site

    • D.

      The enzyme does not change ΔG°′, so the reaction proceeds only if coupled to an exergonic reaction such as ATP hydrolysis

  4. Question 4

    After a meal, insulin raises fructose 2,6-bisphosphate in hepatocytes. What is the effect on phosphofructokinase-1 (PFK-1) and fructose 1,6-bisphosphatase (FBPase-1)?

    • A.

      PFK-1 is inhibited and FBPase-1 is activated, so gluconeogenesis is favored.

    • B.

      Both enzymes are activated, so the two pathways run together.

    • C.

      Both enzymes are inhibited, so the pathways stop.

    • D.

      PFK-1 is activated and FBPase-1 is inhibited, so glycolysis is favored over gluconeogenesis.

  5. Question 5

    The F₁ head of ATP synthase can be separated from the membrane-embedded F₀ portion. Which statement about isolated F₁ is correct?

    • A.

      It hydrolyzes ATP, because the catalytic sites lie in F₁, but cannot make ATP without proton flow through F₀ turning the stalk.

    • B.

      It makes ATP from ADP and Pi, because proton flow is needed only to release ATP and not to form it at the catalytic sites in the first place.

    • C.

      It does nothing, because F₁ binds neither ATP nor ADP unless F₀ is attached.

    • D.

      It moves protons across the membrane, because the proton channel lies in F₁.

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