Biochemistry · USMLE Step 1

USMLE Biochemistry: Carbohydrate Metabolism

Glycolysis, gluconeogenesis, and glycogen metabolism pathways tested on USMLE Step 1.

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What is the rate-limiting enzyme of glycolysis?
Phosphofructokinase-1 (PFK-1)
What reaction does PFK-1 catalyze?
Fructose-6-phosphate to fructose-1,6-bisphosphate
Name a major allosteric activator of PFK-1.
AMP
What two molecules allosterically inhibit PFK-1?
ATP and citrate
What is the net ATP yield from one glucose molecule in glycolysis?
2 ATP (net, via substrate-level phosphorylation)
How do hexokinase and glucokinase differ in substrate affinity?
Hexokinase has a low Km (high affinity for glucose); glucokinase has a high Km (low affinity)
In which tissues is glucokinase primarily found?
Liver and pancreatic beta cells
What hormone induces increased glucokinase gene expression in the liver?
Insulin
What inhibits hexokinase activity?
Its own product, glucose-6-phosphate
A deficiency of which glycolytic enzyme causes hereditary hemolytic anemia?
Pyruvate kinase
What reaction does pyruvate kinase catalyze?
Phosphoenolpyruvate to pyruvate, generating ATP
Which glycolytic enzyme is inhibited by arsenic poisoning?
Glyceraldehyde-3-phosphate dehydrogenase (GAPDH)
What is the rate-limiting enzyme of gluconeogenesis?
Fructose-1,6-bisphosphatase
What reaction does pyruvate carboxylase catalyze?
Pyruvate to oxaloacetate
What vitamin-derived cofactor does pyruvate carboxylase require?
Biotin

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