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Biochemistry · USMLE Step 1 · Healthcare and Nursing

USMLE Biochemistry: Lipid Metabolism

Fatty acid synthesis, beta-oxidation, and lipoprotein metabolism tested on USMLE Step 1.

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40 basic cards for USMLE Step 1 Biochemistry. Set 4 of 7 in USMLE Biochemistry. It opens with "What is the rate-limiting enzyme of fatty acid synthesis?" and "What vitamin-derived cofactor does acetyl-CoA carboxylase require?". Study it alongside the other USMLE Step 1 sets below.

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What is the rate-limiting enzyme of fatty acid synthesis?
Show answerAcetyl-CoA carboxylase
What vitamin-derived cofactor does acetyl-CoA carboxylase require?
Show answerBiotin
What is the direct product of the acetyl-CoA carboxylase reaction?
Show answerMalonyl-CoA
Which metabolite allosterically activates acetyl-CoA carboxylase?
Show answerCitrate
Which metabolite provides feedback inhibition of acetyl-CoA carboxylase?
Show answerPalmitoyl-CoA (long-chain fatty acyl-CoA)
Which enzyme phosphorylates and inactivates acetyl-CoA carboxylase during fasting or exercise?
Show answerAMP-activated protein kinase (AMPK)
What multi-enzyme complex assembles palmitate from acetyl-CoA and malonyl-CoA units?
Show answerFatty acid synthase
In which cellular compartment does fatty acid synthesis take place?
Show answerThe cytoplasm
In which cellular compartment does fatty acid beta-oxidation take place?
Show answerThe mitochondrial matrix
What pathway is the main source of NADPH used in fatty acid synthesis?
Show answerThe pentose phosphate pathway (HMP shunt)
What shuttle moves acetyl-CoA from the mitochondria to the cytoplasm for fatty acid synthesis?
Show answerThe citrate shuttle
Which enzyme cleaves cytoplasmic citrate into acetyl-CoA and oxaloacetate?
Show answerATP-citrate lyase
What molecule is required to shuttle long-chain fatty acids into the mitochondria for oxidation?
Show answerCarnitine
What is the rate-limiting enzyme of fatty acid beta-oxidation?
Show answerCarnitine palmitoyltransferase I (CPT-I)
Which metabolite inhibits CPT-I, preventing fatty acid oxidation when synthesis is active?
Show answerMalonyl-CoA

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