Biochemistry Practice Test 2
Biochemistry NCLEX Practice Test
Biochemistry is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Biochemistry. This section links metabolic processes to nutrition, medication action, and laboratory interpretation in nursing care. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 2nd part of the Biochemistry series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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Biochemistry Practice Test 2
A triose sugar is?
- Glycerose
- Ribose
- Erythrose
- Fructose
Explanation: Answer reason: A triose contains three carbons; glycerose (glyceraldehyde) is a triose, whereas ribose is a pentose, erythrose is a tetrose, and fructose is a hexose.
Polysaccharides are?
- Polymers
- Acids
- Proteins
- Oils
Explanation: Answer reason: Polysaccharides are macromolecules formed by the polymerization of many monosaccharide units, making them polymers; they are neither acids, proteins, nor oils.
The number of double bonds in arachidonic acid is?
- 1
- 2
- 4
- 6
Explanation: Answer reason: Arachidonic acid is a 20:4 polyunsaturated fatty acid (5,8,11,14) containing four double bonds.
Creatinuria is caused by the deficiency of vitamin?
- A
- K
- E
- D
Explanation: Answer reason: Vitamin E deficiency leads to muscle degeneration, with increased urinary excretion of creatine (creatinuria).
The most active site of protein synthesis is the?
- Nucleus
- Ribosome
- Mitochondrion
- Cell sap
Explanation: Answer reason: Ribosomes are cellular organelles that translate mRNA into polypeptides, making them the primary sites of protein synthesis.
Maltose can be formed by the hydrolysis of?
- Starch
- Dextrin
- Glycogen
- All of these.
Explanation: Answer reason: Starch, dextrins, and glycogen are alpha-1,4-linked glucose polymers; their hydrolysis yields maltose units.
An example of a saturated fatty acid is?
- Palmitic acid
- Oleic acid
- Linoleic acid
- Erucic acid
Explanation: Answer reason: Palmitic acid has no double bonds and is saturated. Oleic and erucic acids are monounsaturated, and linoleic acid is polyunsaturated.
Dietary fats, after absorption, appear in the circulation as?
- HDL
- VLDL
- LDL
- Chylomicron
Explanation: Answer reason: Enterocytes package absorbed dietary triglycerides into chylomicrons, which enter the lymph and then the blood; HDL, VLDL, and LDL are primarily liver-derived or metabolic products.
A polysaccharide that is often called animal starch is?
- Glycogen
- Starch
- Inulin
- Dextrin
Explanation: Answer reason: Glycogen is the storage polysaccharide in animals and is commonly referred to as animal starch.
In polysaccharides, monosaccharides are joined by?
- Peptic bond
- Glucose bond
- Glycosidic bond
- Covalent bond
Explanation: Answer reason: Monosaccharides are linked through glycosidic bonds (O-glycosidic linkages) to form polysaccharides; the other options are incorrect or nonspecific.
Glycogen is stored in the liver and...?
- Muscles
- Bones
- Kidney
- Joints
Explanation: Answer reason: Glycogen is primarily stored in the liver and skeletal muscle; bones, kidneys, and joints are not major glycogen stores.
Cholesterol is a precursor in the biogenesis of?
- Vitamin A
- Vitamin D
- Vitamin E
- None of these.
Explanation: Answer reason: Cholesterol (via 7-dehydrocholesterol in the skin) is the precursor of cholecalciferol (vitamin D3), which is formed after UV exposure.
What color indicates a positive result in Benedict's test?
- Blue
- Green
- Yellow
- Orange
Explanation: Answer reason: In Benedict’s test for reducing sugars, increasing positivity progresses from green (+) to yellow (++) to orange (+++) to brick-red (++++). Thus +++ corresponds to orange.
The cell membrane is selectively permeable due to?
- Proteins
- Cholesterol
- Phospholipids
- Enzymes
Explanation: Answer reason: Integral membrane proteins (channels and carriers) confer specificity by allowing only certain solutes to pass, making the membrane selectively permeable. Cholesterol modulates fluidity; the phospholipid bilayer provides a barrier but not selectivity; enzymes are not primarily responsible.
A Haworth projection is a common way to represent the cyclic structure of monosaccharides from a simple three-dimensional perspective?
- True
- False
Explanation: Answer reason: Haworth projections are standard depictions of cyclic monosaccharides, conveying a simple 3D perspective of ring structures.
When ATP forms AMP?
- Inorganic pyrophosphate is produced.
- Inorganic phosphorus is produced.
- Phosphagen is produced.
- No energy is produced
Explanation: Answer reason: ATP can be cleaved to AMP with release of inorganic pyrophosphate (PPi), which is typical of ligase reactions; energy is released, not zero.
Which molecule is oxidized in the conversion of glucose and oxygen to carbon dioxide and water?
- Oxygen
- Carbon dioxide
- Glucose
- Water
Explanation: Answer reason: During cellular respiration, glucose loses electrons/hydrogen and is converted to CO2 (oxidation), while oxygen gains electrons to form water (reduction).
Which mechanism in phototherapy is responsible for the reduction in serum bilirubin?
- Configurational isomerization
- Structural isomerization
- Photo-oxidation
- All of the above
Explanation: Answer reason: Phototherapy decreases bilirubin through multiple photochemical pathways: configurational isomerization, structural isomerization to lumirubin, and photo-oxidation; thus all apply.
A vitamin that functions like a steroid hormone?
- A
- D
- E
- B
Explanation: Answer reason: Vitamin D (calcitriol) is a secosteroid that binds a nuclear receptor and regulates gene transcription, functioning like a steroid hormone.
Proteins can be used for gluconeogenesis under what conditions-?
- A diet high in kilocalories
- A diet low in carbohydrates
- A diet high in carbohydrates
- A diet low in protein
Explanation: Answer reason: When carbohydrate intake is low, the body increases gluconeogenesis and uses amino acids from proteins to produce glucose; high carbs or high calories suppress this, and low protein limits substrate.
__________ contains a triple bond?
- Alkanes
- Alkenes
- Alkynes
- All of them
Explanation: Answer reason: Alkynes are hydrocarbons characterized by at least one carbon–carbon triple bond; alkanes have single bonds and alkenes have double bonds, so only alkynes fit.
Strands of DNA are held together by?
- Covalent bond
- Dipole dipole interaction
- Hydrogen bond
- Ionic bond
Explanation: Answer reason: Complementary DNA strands pair via hydrogen bonds between bases (A–T, G–C). Covalent bonds form the sugar-phosphate backbone, not interstrand pairing; ionic and dipole-dipole are incorrect.
Non-proteinaceous part of holoenzyme is?
- Apoenzyme
- Cofactor
- Prosthetic group
- Tubulin
Explanation: Answer reason: A holoenzyme consists of an apoenzyme (protein part) plus a cofactor (non-protein part). Therefore, the non-proteinaceous component is the cofactor. A prosthetic group is a tightly bound type of cofactor; apoenzyme is protein, and tubulin is unrelated.
An essential agent for converting glucose to glycogen in liver is?
- GTP
- Latic acid
- Pyruvic acid
- UTP
Explanation: Answer reason: Glycogen synthesis requires activation of glucose-1-phosphate to UDP-glucose, which uses UTP; GTP, lactic acid, and pyruvic acid are not required for this step.
The aldose sugar is?
- Glycerose
- Ribulose
- Erythrulose
- Dihydoxyacetone
Explanation: Answer reason: Glycerose (glyceraldehyde) is an aldotriose containing an aldehyde group. Ribulose, erythrulose, and dihydoxyacetone are ketoses.
A sugar alcohol is?
- Mannitol
- Trehalose
- Xylulose
- Arabinose
Explanation: Answer reason: Mannitol is a polyol (sugar alcohol). Trehalose is a disaccharide, while xylulose and arabinose are sugars, not alcohols.
An example of polar amino acid is?
- Alanine
- Leucine
- Arginine
- Valine
Explanation: Answer reason: Arginine has a positively charged (basic) guanidinium side chain and is polar; alanine, leucine, and valine are nonpolar aliphatic amino acids.
A ketogenic amino acid is?
- Valine
- Cysteine
- Leucine
- Threonine
Explanation: Answer reason: Leucine is a purely ketogenic amino acid; valine and cysteine are glucogenic, and threonine is both glucogenic and ketogenic.
An example of scleroprotein is?
- Zein
- Keratin
- Glutenin
- Ovoglobulin
Explanation: Answer reason: Scleroproteins are fibrous proteins such as keratin, collagen, and elastin. Zein and glutenin are plant storage proteins and ovoglobulin is a globular protein.
A polysaccharide which is often called animal starch is?
- Glycogen
- Starch
- Inulin
- Dextrin
Explanation: Answer reason: Glycogen is the storage polysaccharide in animals and is commonly termed animal starch; starch is the plant storage polysaccharide, while inulin and dextrin are different carbohydrates.
The enzymes of β-oxidation are found in?
- Mitochondria
- Cytosol
- Golgi apparatus
- Nucleus
Explanation: Answer reason: Fatty acid β-oxidation primarily occurs in the mitochondrial matrix where its enzymes are located; peroxisomes participate for very-long-chain FAs, but the standard answer is mitochondria.
The sugar moiety present in DNA is?
- Deoxyribose
- Ribose
- Lyxose
Explanation: Answer reason: DNA contains the pentose sugar 2'-deoxyribose; ribose is found in RNA and lyxose is not a component of nucleic acids.
Cell membrane is mainly made up for .......?
- Protein
- Lipid
- Carbohydrates
- Minerals
Explanation: Answer reason: The plasma membrane primarily consists of a phospholipid bilayer; proteins and carbohydrates are lesser components.
Lactose is made up of glucose and .....?
- Galctose
- Fructose
- Mannose
- Phosphate
Explanation: Answer reason: Lactose is the disaccharide composed of glucose and galactose.
Maltose is made up of .......... And glucose?
- Galctose
- Fructose
- Mannose
- Glucose.
Explanation: Answer reason: Maltose is a disaccharide composed of two glucose molecules (α-1,4 linkage), so the other unit is glucose.
All of the following are globular protein except?
- Silk Fibrion
- Alt
- Ast
- Albumin
Explanation: Answer reason: Silk fibroin is a fibrous protein, not a globular protein. ALT and AST are enzymes (globular), and albumin is a classic globular protein.
The main product of protein metabolism is _?
- Iodine
- Urea
- Glycogen
Explanation: Answer reason: Amino acid catabolism generates ammonia which is converted in the liver to urea—the principal nitrogenous waste product. Iodine is a micronutrient, and glycogen is a carbohydrate storage form.
Which one of the following statements concerning glucose metabolism is correct...?
- The conversion of Glucose to lactate occurs only in the R.B.C
- Glucose enters most cells by a mechanism in which Na+ and glucose are co-transported
- Pyruvate kinase catalyses an irreversible reaction
- An elevated level of insulin leads to a decreased level of fructose 2, 6-bisphosphate in hepatocyte
Explanation: Answer reason: Pyruvate kinase catalyzes the essentially irreversible step converting PEP to pyruvate in glycolysis. (a) is false—lactate is produced in many tissues, not only RBCs. (b) is false—most cells use facilitative GLUT transporters, not Na+-glucose cotransport. (d) is false—insulin increases hepatic fructose-2,6-bisphosphate, stimulating glycolysis.
Why is glycolysis considered one of the first metabolic pathways to have evolved?
- It relies on fermentation, which is characteristic of archaea & bacteria
- It is found only in prokaryotes, whereas eukaryotes use their mitochondria to produce ATP
- It produces much less ATP than does the electron transport chain & chemiosmosis
- It relies totally on enzymes that are produced by free ribosomes, and bacteria have only free ribosomes and no bound ribosomes
- It is nearly universal, is located in the cytosol, and does not involve oxygen
Explanation: Answer reason: Glycolysis is common to almost all organisms, occurs in the cytosol without organelles, and proceeds anaerobically—features consistent with early life before atmospheric oxygen.
Cyanide is a poison that blocks the passage of electrons along the ETC. Which of the following is a metabolic effect of this poison?
- No proton gradient would be produced, and ATP synthesis would cease
- NADH supplies would be exhausted, and ATP synthesis would cease
- Alcohol would build up in the cells
- Electrons are passed directly to oxygen, causing cells to explode
- The pH of the intermembrane space becomes much lower than normal
Explanation: Answer reason: Cyanide inhibits cytochrome c oxidase (Complex IV), halting electron flow and proton pumping. Without the proton gradient, ATP synthase cannot function, so oxidative phosphorylation stops.
The synthesis of glucose from pyruvate by gluconeogenesis?
- Requires the participation of biotin
- Occurs exclusively in the cytosol
- Is inhibited by elevated level of insulin
- Requires oxidation/reduction of FAD
Explanation: Answer reason: Conversion of pyruvate to oxaloacetate in gluconeogenesis uses pyruvate carboxylase, a biotin-dependent enzyme. The pathway is not exclusively cytosolic and does not require FAD.
What best describes amylose?
- Unbranched linear polymer with alpha 1-4 glycosidic linkages
- Unbranched linear polymer with beta 1-4 glycosidic linkages
- Highly branched, branched sites contain alpha 1-6 glycosidic linkages
- Highly branched, branched sites contain beta 1-6 glycosidic linkages
Explanation: Answer reason: Amylose is a linear polysaccharide of D-glucose linked by alpha(1→4) bonds; branching with alpha(1→6) occurs in amylopectin, and beta linkages characterize cellulose.
What is the role of oxygen in cellular respiration?
- It is reduced in glycolysis as glucose is oxidized
- It provides electrons to the ETC
- It provides the activation energy needed for oxidation to occur
- It is the final electron acceptor for the ETC
- It combines with the carbon removed during the citric acid cycle to form carbon dioxide
Explanation: Answer reason: In aerobic respiration, O2 accepts electrons at the end of the electron transport chain and is reduced to water, enabling oxidative phosphorylation. It is not involved in glycolysis, does not donate electrons, and does not supply activation energy.
Which of the following reactions is incorrectly paired with its location?
- ATP synthysis - inner membrane of the mitochondrion, matrix, and cytosol
- Fermentation - cell cytosol
- Glycolysis - cell cytosol
- Substrate level phosphorylation - cytosol & matrix
- Citric acid cycle - cristae of mitochondrion
Explanation: Answer reason: The citric acid (Krebs) cycle occurs in the mitochondrial matrix, not on the cristae (inner membrane folds). The other pairings are correct.
Which statement is correct about cholesterol?
- Cholesterol is a precursor of all steroid hormones.
- It is essential for formation of bile.
- It is an essential constituent of cell membranes.
- All of the above statements are correct.
Explanation: Answer reason: Cholesterol is the precursor for all steroid hormones, is required for bile acid/salt synthesis, and is a key structural component of cell membranes; therefore all statements are correct.
Which mechanism in phototherapy is chiefly responsible for reduction in serum bilirubin?
- Photo oxidation
- Photo-isomerization
- Structural isomerization
- Conjugation
Explanation: Answer reason: Phototherapy rapidly lowers serum unconjugated bilirubin primarily via photoisomerization (configurational isomers), which causes an early and significant fall in measured bilirubin; structural isomerization and photo-oxidation contribute less.
Rancidity of fat is due to which of the following?
- Auto oxidation of hydrogenated unsaturated fatty acids
- Hydrogenation of unsaturated bond
- Growth of microorganisms
- None of the above
Explanation: Answer reason: Rancidity of fats results from oxidative spoilage—autoxidation of unsaturated fatty acids. Hydrogenation saturates double bonds and protects against rancidity; microbial growth is a different type of spoilage.
The pentose sugar present mainly in the heart muscle is...?
- Lyxose (B)
- Ribose (C)
- Arabinose (D)
- Xylose
Explanation: Answer reason: Lyxose is a rare aldopentose reported in mammalian heart muscle, whereas ribose is ubiquitous in nucleic acids and arabinose/xylose are primarily plant sugars.
Compounds having the same structural formula but differing in spatial configuration are known as.....?
- Stereoisomers
- Anomers
- Optical isomers
- Epimer
Explanation: Answer reason: Stereoisomers have the same structural formula but differ in the three-dimensional arrangement of atoms. Anomers, optical isomers, and epimers are specific types of stereoisomers.
What is the catabolic reaction of proteins that produces energy called?
- Transamination
- Deamination
- Beta oxidation
- Oxidative phosphorylation
Explanation: Answer reason: Protein catabolism for energy involves removal of the amino group (deamination), leaving a carbon skeleton that enters the TCA cycle. Transamination is amino group transfer, beta oxidation is fatty acid catabolism, and oxidative phosphorylation is the final ATP-generating step for many substrates, not specific to proteins.
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