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All the statements concerning phosphatidyl choline (lecithin) are TRUE EXCEPT


A) It possesses three fatty acyl groups in its structure.
B) It can be synthesized using S-adenosyl methionine as an intermediate.
C) It can be synthesized using a CDP-derivative as an intermediate.
D) It is found in most lipoproteins.
E) It is an integral part of membranes.

F) None of the above
G) A) and E)

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Lipoprotein lipase is


A) an intracellular enzyme.
B) stimulated by cAMP.
C) stimulated by epinephrine.
D) stimulated by one of the apolipoproteins found in VLDL.
E) the stimulus for mobilization of stored triglycerides from adipose tissue.

F) B) and D)
G) A) and E)

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In the metabolism of cholesterol in the human


A) cholesterol conversion to bile salts involves shortening of the side chain of cholesterol.
B) plasma cholesterol readily exchanges with the brain cholesterol.
C) plasma cholesterol is entirely in the form of cholesterol esters.
D) cholesterol can be oxidized to carbon dioxide and water.
E) cholesterol is synthesized only in the liver.

F) A) and E)
G) C) and E)

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To be defined as a ganglioside, a lipid substance isolated from nerve tissue must contain in its structure


A) an N-acyl fatty acid derivative of sphingosine plus a hexose.
B) N-acetylneuraminic acid (NANA) , N-acetylgalactosamine, a hexose, long chain fatty acid and sphingosine.
C) N-acetylneuraminic acid (NANA) , a hexose, a fatty acid and sphingosine.
D) NANA, a hexose, a fatty acid, sphingosine and phosphatidylcholine.
E) a 9 carbon 3-deoxy-5-amino sugar called neuraminic acid, sphingosine and ethanolamine.

F) A) and C)
G) A) and E)

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A characteristic feature common to the degradation of most sphingolipids, including gangliosides, is


A) catalysis by lysosomal enzymes.
B) catalysis by peroxisomal enzymes.
C) feedback regulation by ceramide.
D) hormonal regulation by glucocorticoids.
E) participation of nucleotide intermediates.

F) C) and D)
G) A) and D)

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Tay-Sachs disease is the result of an inborn error of metabolism of


A) histidine.
B) cholesterol.
C) ganglioside.
D) lactose.
E) cerebroside.

F) C) and E)
G) B) and E)

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The substrate for the synthesis of prostaglandins and leukotrienes is released from endogenous


A) gangliosides.
B) plasmalogen.
C) phosphatidylcholine.
D) cholesteryl oleate.
E) ceramide.

F) All of the above
G) C) and E)

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In the synthesis of prostaglandins and thromboxanes


A) arachidonic acid of the cytosol serves as the primary precursor.
B) PG synthase uses 2 molecules of oxygen to generate the endoperoxide PGG2.
C) PGE2 synthesis would be inhibited by aspirin but thromboxane synthesis would not be affected.
D) PGH2 is the precursor of PGE2 but PGI2 is the precursor of TXA2.
E) all tissues have the capacity to synthesize all of the prostaglandins.

F) D) and E)
G) B) and E)

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Squalene is formed


A) by a phosphorylation reaction.
B) by a reductive condensation reaction.
C) by an oxidation.
D) from lanosterol.

E) A) and B)
F) C) and D)

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Which of the following apoproteins serves as a cofactor (activator) for lecithin: cholesterol acyltransferase (LCAT) ?


A) APO AI
B) APO B-100
C) APO CII
D) APO E

E) All of the above
F) None of the above

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The primary metabolic defect in the disease familial hypercholesterolemia is


A) altered prostaglandin synthesis.
B) decreased lysosomal enzyme activity.
C) decreased receptor?mediated endocytosis.
D) increased formation of modified low density lipoproteins.
E) increased hormone-sensitive lipid mobilization.

F) A) and C)
G) B) and E)

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An accumulation of gangliosides in brain tissue most likely arises from a deficiency of lysosomal


A) acyltransferase.
B) aryl sulfatase.
C) hexosaminidase.
D) phospholipase A2.
E) sphingomyelinase.

F) A) and D)
G) A) and C)

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Which of the following compounds is a glycolipid?


A) Sphingomyelin
B) phosphatidyl choline
C) cholesterol
D) Ganglioside
E) phosphatidyl serine

F) D) and E)
G) B) and D)

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In the synthesis of cholesterol from lanosterol


A) pyrophosphorylated intermediates are used.
B) an anaerobic environment is required.
C) three carbons are lost as propionyl-CoA.
D) the side chain becomes saturated.
E) the number of rings decreases from five to four.

F) A) and E)
G) None of the above

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Phosphatidate phosphatase is involved in the synthetic pathway for


A) choline.
B) glycerol phosphate.
C) phosphatidic acid.
D) cholesterol.
E) triglycerides.

F) B) and D)
G) C) and D)

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Of the apoproteins listed below, which one is recognized by the LDL receptor?


A) Apoprotein D
B) Apoprotein C II
C) Apoprotein B?48
D) Apoprotein B?100
E) Apoprotein A?I

F) A) and E)
G) A) and D)

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Which of the following statements is true concerning cholesterol metabolism?


A) HMG-CoA synthase catalyzes the reaction between two molecules of acetyl-CoA.
B) Mevalonate is produced by the reduction of HMG-CoA.
C) cholesterol synthesis occurs in the mitochondria of cells.
D) Squalene is formed by reduction of lanosterol.
E) HMG-CoA reductase is activated by cholesterol.

F) C) and D)
G) B) and D)

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Select the lipid fraction in blood which is most rapidly cleared?


A) VLDL
B) HDL
C) chylomicrons
D) LDL
E) All are cleared at approximately same rate.

F) A) and B)
G) A) and E)

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The action of a phospholipase C on a phospholipid substrate may yield


A) glycerol, fatty acids, inositol 1,4,5-trisphosphate.
B) monoacylglycerol, fatty acid, phosphocholine.
C) diacylglycerol, phosphoethanolamine.
D) phosphoceramide, choline.

E) C) and D)
F) All of the above

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Which one of the following statements concerning lipoprotein metabolism is CORRECT?


A) High density lipoprotein (HDL) contains more than 20% by weight of lipid.
B) Very low density lipoprotein (VLDL) contains less than 20% of triglyceride.
C) Very low density lipoprotein synthesis is inhibited by high carbohydrate diets.
D) Low density lipoprotein (LDL) has a half life of several hours.
E) Synthesis of chylomicrons is inhibited by ketone bodies.

F) A) and B)
G) A) and C)

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