Biochemistry Practice Test 5
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 5th 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 5
Amylo pectinosis is caused due to absence of?
- Debranching enzyme
- Branching enzyme
- Acid maltase
- Glucose-6-phosphatase
Explanation: Answer reason: Amylopectinosis (Andersen disease, GSD type IV) results from deficiency of the glycogen branching enzyme (amylo-1,4 to 1,6-transglucosidase). Debranching enzyme, acid maltase, and glucose-6-phosphatase deficiencies cause other GSDs.
Her’s disease is characterized by deficiency of?
- Muscle Phosphorylase
- Liver Phosphorylase
- Debranching enzyme
- Glycogen synthase
Explanation: Answer reason: Hers disease (GSD type VI) results from deficiency of hepatic glycogen phosphorylase, the enzyme that releases glucose-1-phosphate from liver glycogen.
Tarui disease is characterized by the deficiency of the enzyme?
- Liver Phosphorylase
- Muscle Phosphorylase
- Muscle and erythrocyte phosphofructokinase
- Lysosomal acid maltase
Explanation: Answer reason: Tarui disease (glycogen storage disease type VII) is due to deficiency of phosphofructokinase in muscle and erythrocytes. Liver phosphorylase (Hers), muscle phosphorylase (McArdle), and lysosomal acid maltase (Pompe) are different GSDs.
Isoenzymes can be characterized by?
- Proteins lacking enzymatic activity that are necessary for the activation of enzymes
- Proteolytic enzymes activated by hydrolysis
- Enzymes with identical primary structure
- Similar enzymes that catalyse different reaction
Explanation: Answer reason: Isoenzymes are different molecular forms of an enzyme that are structurally distinct but perform the same catalytic function. Among the options, the one describing similar enzymes (D) best matches this concept, whereas the others describe cofactors/zymogens or enzymes with identical structure.
Which of the following statement is correct about denaturation?
- Breaking of peptid bond
- Breaking of H-H bonds
- Breaking of amino terminal
- Breaking of COO terminal
Explanation: Answer reason: Protein denaturation disrupts secondary/tertiary structure by breaking noncovalent interactions, especially hydrogen bonds; it does not cleave peptide bonds or remove terminal groups.
How many ATPs are produced in the conversion of phosphoenol pyruvate to citrate?
- 1
- 2
- 4
- 6
Explanation: Answer reason: PEP to pyruvate via pyruvate kinase yields 1 ATP; pyruvate to acetyl‑CoA via PDH generates 1 NADH (~3 ATP, classical yield); combining acetyl‑CoA with oxaloacetate to form citrate yields no ATP. Total = 1 + 3 = 4 ATP.
Which one of the following is a rate limiting enzyme of gluconeogenesis.....?
- Hexokinase
- Phsophofructokinase
- Pyruvate carboxylase
- Pyruvate kinase
Explanation: Answer reason: Among the options, only pyruvate carboxylase is a key regulatory enzyme of gluconeogenesis (pyruvate to oxaloacetate). The others are glycolytic enzymes.
The glycolysis is regulated by?
- Hexokinase
- Phosphofructokinase
- Pyruvate kinase
- All of these
Explanation: Answer reason: Key regulatory steps of glycolysis are catalyzed by hexokinase, phosphofructokinase-1, and pyruvate kinase; therefore all listed enzymes regulate glycolysis.
Benedict's test is less likely to give weakly positive results with concentrated urine due to the action of?
- Urea
- Uric acid
- Ammonium salts
- Phosphates
Explanation: Answer reason: Concentrated urine can give a weak positive Benedict’s test because uric acid in urine acts as a reducing agent, reducing cupric ions to cuprous oxide.
The sequence of reaction converting glucose into pyruvate and lactate with production of ATPs?
- Glycolysis
- Gluconeogenesis
- Glycogenesis
- Glycogenolysis
Explanation: Answer reason: Glycolysis is the metabolic pathway that breaks down glucose to pyruvate, producing ATP; under anaerobic conditions pyruvate is reduced to lactate.
The Fischer projection is a three-dimensional representation of a three-dimensional organic molecule by projection?
- True
- False
Explanation: Answer reason: A Fischer projection is a two-dimensional representation used to depict the 3D stereochemistry of molecules (e.g., carbohydrates). Therefore the statement claiming it is a three-dimensional representation is false.
Which of the following is not reducing sugar...?
- Lactose
- Maltose
- Sucrose
- Fructose
Explanation: Answer reason: Sucrose is a non-reducing sugar because both anomeric carbons are tied up in an α1→β2 glycosidic bond, leaving no free anomeric carbon. Lactose, maltose, and fructose are reducing sugars.
The increase of second messengers’ (cAMP, cGMP, Ca2+ etc.) concentration leads to?
- Inhibition of intracellular protein kinases and protein phosphorylation
- Protein kinases activation and protein phosphorylation
- Blocking of interaction between a receptor and an effector
Explanation: Answer reason: Second messengers such as cAMP, cGMP, and Ca2+ activate specific protein kinases (e.g., PKA, PKG, Ca2+/calmodulin-dependent kinases), leading to phosphorylation of target proteins.
Α-D-glucose and β-D-glucose are?
- Stereoisomers
- Epimers
- Anomers
- Keto-aldo pairs
Explanation: Answer reason: Α- and β-D-glucose differ in configuration only at the anomeric (C1) carbon formed during cyclization, making them anomers.
Which of the following is a reducing sugar?
- Sucrose
- Trehalose
- Isomaltose
- Agar
Explanation: Answer reason: Isomaltose (α-1,6 glucose-glucose) retains a free anomeric carbon and can act as a reducing sugar. Sucrose and trehalose have glycosidic bonds between both anomeric carbons (nonreducing), and agar is a nonreducing polysaccharide.
Sucrose consists of?
- Glucose + glucose
- Glucose + fructose
- Glucose + galactose
- Glucose + mannose
Explanation: Answer reason: Sucrose is a disaccharide composed of glucose and fructose linked by an α1–β2 glycosidic bond.
Which of the following is a non-reducing sugar?
- Isomaltose
- Maltose
- Lactose
- Trehalose
Explanation: Answer reason: Trehalose is a non-reducing disaccharide because both anomeric carbons are involved in an α,α-1,1 linkage, leaving no free hemiacetal. Isomaltose, maltose, and lactose have a free anomeric carbon and are reducing sugars.
Osazones are not formed with the?
- Glucose
- Fructose
- Sucrose
- Lactose
Explanation: Answer reason: Osazone formation requires a free reducing carbonyl group. Sucrose is a non-reducing disaccharide because both anomeric carbons are involved in the glycosidic bond, so it does not form osazones.
Which of the following is not an enzyme involved in glycolysis?
- Euolase
- Aldolose
- Hexokinase
- Glucose oxidase
Explanation: Answer reason: Enolase (spelled here as Euolase), aldolase, and hexokinase are glycolytic enzymes; glucose oxidase is not part of glycolysis.
Polysaccharides ...?
- Contain many monosaccharide units which may or may not be of the same kind
- Function mainly as storage or structural compounds
- Are present in large amounts in connective tissue
- All of these
Explanation: Answer reason: All statements describe polysaccharides: they are polymers of many monosaccharides, serve storage (starch, glycogen) and structural roles (cellulose), and occur abundantly in connective tissue as glycosaminoglycans.
All the following are sulphur containing amino acids found in proteins except?
- Cysteine
- Cystine
- Methionine
- Threonine
Explanation: Answer reason: Cysteine and methionine contain sulfur, and cystine is the disulfide-linked form of cysteine present in proteins. Threonine is a hydroxy amino acid and does not contain sulfur.
Sulphur containing amino acid is?
- Methionine
- Leucine
- Valine
- Asparagine
Explanation: Answer reason: Sulfur-containing amino acids are methionine and cysteine; among the options only methionine contains sulfur. Leucine and valine are branched-chain amino acids without sulfur, and asparagine is an amide without sulfur.
Α-Helix is formed by?
- Hydrogen bonds
- Hydrophobic bonds
- Electrostatic bonds
- Disulphide bonds
Explanation: Answer reason: The alpha-helix secondary structure of proteins is stabilized by intrachain hydrogen bonds between the carbonyl oxygen of one residue and the amide hydrogen four residues ahead; hydrophobic, electrostatic, and disulfide interactions mainly stabilize tertiary or quaternary structure.
A nucleoside consists of?
- Nitrogenous base
- Purine or pyrimidine base + sugar
- Purine or pyrimidine base + phosphorous
- Purine + pyrimidine base + sugar + phosphorous
Explanation: Answer reason: A nucleoside is composed of a nitrogenous base linked to a pentose sugar; it does not include phosphate.
A nucleotide consists of?
- A nitrogenous base like choline
- Purine + pyrimidine base + sugar + phosphorous
- Purine or pyrimidine base + sugar
- Purine or pyrimidine base + phosphorous
Explanation: Answer reason: A nucleotide is composed of a nitrogenous base (purine or pyrimidine), a sugar, and a phosphate group; only option B includes all three components.
The sugar moiety present in DNA is?
- Deoxyribose
- Ribose
- Lyxose
- Ribulose
Explanation: Answer reason: DNA contains the pentose sugar deoxyribose; ribose is in RNA, and lyxose/ribulose are not components of DNA.
The sugar moiety present in RNA is?
- Ribulose
- Arabinose
- Ribose
- Deoxyribose
Explanation: Answer reason: RNA contains D-ribose as its pentose sugar; DNA contains 2-deoxyribose. Ribulose and arabinose are not components of RNA.
The nitrogenous base present in the RNA molecule is?
- Thymine
- Uracil
- Xanthine
- Hypoxanthine
Explanation: Answer reason: RNA contains uracil instead of thymine; xanthine and hypoxanthine are not standard bases in RNA.
Milk sugar is known as?
- Fructose
- Glucose
- Sucrose
- Lactose
Explanation: Answer reason: Milk sugar is the disaccharide lactose (glucose + galactose).
Prostaglandins are synthesized in the body from?
- Myristic acid
- Arachidonic acid
- Stearic acid
- Lignoceric acid
Explanation: Answer reason: Prostaglandins are eicosanoids produced from arachidonic acid via the cyclooxygenase pathway.
Prostaglandins have a common structure based on prostanoic acid which contains carbon atoms?
- 12
- 16
- 18
- 20
Explanation: Answer reason: Prostaglandins are eicosanoids derived from a 20‑carbon prostanoic acid skeleton.
Arachidonic acid contains the number of double bonds?
- 2
- 3
- 4
- 5
Explanation: Answer reason: Arachidonic acid is designated 20:4 (ω-6), indicating four double bonds.
What are short polypeptides called?
- Primary structures
- Secondary structures
- Polypeptides
- Oligopeptides
Explanation: Answer reason: Short chains of amino acids (few residues) are termed oligopeptides; primary and secondary refer to levels of protein structure, not chain length.
What is comprised of alpha-helices or parallel or antiparallel beta-pleated sheets?
- Primary structures
- Secondary structures
- Both A and B
- None of the above
Explanation: Answer reason: Alpha-helices and beta-pleated sheets are the classic elements of protein secondary structure stabilized by hydrogen bonding.
At what amino acids can beta-turns occur?
- Glycine and alanine
- Glycine and proline
- Glutamate and proline
- Glutamate and alanine
Explanation: Answer reason: Beta-turns commonly occur at residues that facilitate tight turns: proline introduces a kink due to its rigid cyclic structure, and glycine is small and flexible, accommodating the turn.
Where can disulfide covalent linkages occur between adjacent alpha-helices?
- In keratin
- In the major protein of hair
- In nails
- All of the above
Explanation: Answer reason: Keratin is a coiled-coil protein rich in cysteine; disulfide bonds form between adjacent alpha-helices and provide strength. Hair and nails are composed largely of keratin, so all listed locations apply.
Fats and oils are also known as _______?
- Polypeptides
- Polymers
- Tripeptides
- Triglycerides
Explanation: Answer reason: Dietary fats and oils are triacylglycerols (triglycerides): glycerol esterified with three fatty acids. The other options refer to peptides, polymers in general, or carbohydrates.
What is the relationship between glucose, mannose and galactose?
- They are isomers
- They are epimers
- They are ketoses
- No relationship exists
Explanation: Answer reason: Glucose, mannose, and galactose are aldohexoses where mannose differs from glucose at C-2 and galactose differs at C-4; thus they are epimers of glucose.
What is used to identify reducing sugars and in the past was used to test for diabetes mellitus?
- Benedict's test
- N-glycosylation
- O-glycosylation
- None of the above
Explanation: Answer reason: Benedict's reagent detects reducing sugars by reducing Cu2+ to Cu2O, producing a color precipitate; it was historically used to detect glycosuria in diabetes.
NAD+ is a ____________, its reduced form is ______________?
- Electron carrier, NADPH
- Electron carrier, NADH
- Reducing agent, NAD
- Transport protein, NADH
Explanation: Answer reason: NAD+ is an oxidized electron carrier that accepts electrons and a proton to become NADH; NADPH is a different cofactor used in anabolic pathways.
How many molecules of carbon dioxide are generated for each molecule of acetyl CoA introduced into the citric acid cycle?
- 1
- 2
- 3
- 4
Explanation: Answer reason: In the TCA cycle, each acetyl-CoA undergoes two oxidative decarboxylations (at isocitrate dehydrogenase and alpha-ketoglutarate dehydrogenase), releasing two CO2.
In electrophoresis, the best support medium to use because it is thermostable, strong, transparent, and eliminates endosmosis due to the lack of a charge is?
- Agar
- Agarose
- Cellulose acetate
- Polyacrylamide
Explanation: Answer reason: Polyacrylamide gels are uncharged, mechanically strong, transparent, and thermostable, which minimizes electroendosmosis. Agar/agarose and cellulose acetate carry residual charges and are less ideal for eliminating endosmosis.
The component of an electrophoresis system that carries the applied current and establishes the pH at which electrophoresis is performed is the?
- Power supply.
- Buffer.
- Support media.
- Stain.
Explanation: Answer reason: In electrophoresis, the buffer solution conducts electric current and sets the system pH; the power supply provides voltage, the support medium is the gel, and the stain only visualizes bands.
Which molecule serves as the primary “energy currency” of the cell?
- ATP
- RNA
- DNA
- NADP
Explanation: Answer reason: Adenosine triphosphate (ATP) stores and transfers energy for nearly all cellular processes. The breaking of high-energy phosphate bonds releases usable energy for metabolic reactions, making ATP the essential “energy currency” of the cell.
Which vitamin acts as a coenzyme for transamination reactions?
- Vitamin B1
- Vitamin B6
- Vitamin B2
- Vitamin B12
Explanation: Answer reason: Vitamin B6 (pyridoxine), in the form of pyridoxal phosphate, serves as an essential coenzyme in transamination reactions, which are critical for amino acid metabolism and synthesis.
Which of the following substances is classified as a carbohydrate?
- Insulin
- Glycine
- Glucose
- Urea
Explanation: Answer reason: Glucose is a monosaccharide carbohydrate used as a primary energy source in cellular metabolism.
Which vitamin acts as a coenzyme in transamination reactions?
- Vitamin B1
- Vitamin B6
- Vitamin B12
- Vitamin C
Explanation: Answer reason: Pyridoxal phosphate, the active form of vitamin B6, is essential for aminotransferase activity, enabling amino group transfer in metabolic pathways.
Which of the following produces pyruvate?
- Alanine
- Leucine
- Isoleucine
- Lysine
Explanation: Answer reason: Alanine undergoes transamination via alanine aminotransferase to form pyruvate, entering gluconeogenesis or the TCA cycle. Leucine and lysine are strictly ketogenic and degrade to acetoacetyl-CoA/acetyl-CoA, not pyruvate. Isoleucine yields acetyl-CoA and succinyl-CoA. Therefore, alanine is the amino acid that produces pyruvate.
An acid present in proteins is?
- Lactic acid
- Amino acid
- Propanoic acid
- Palmitic acid
Explanation: Answer reason: Proteins are polymers of amino acids, each containing both an amino group and a carboxylic acid group. Thus the characteristic acids associated with protein structure are amino acids. Lactic acid is a metabolic byproduct of anaerobic glycolysis, and propanoic and palmitic acids are fatty acids related to lipids, not protein building blocks.
Ketone bodies are synthesised in?
- Liver
- Brain
- Muscle
- Kidney
Explanation: Answer reason: Ketone bodies are produced primarily in the liver mitochondria during fasting and uncontrolled diabetes from acetyl-CoA generated by fatty acid beta-oxidation. The liver uniquely expresses mitochondrial HMG-CoA synthase and HMG-CoA lyase required for ketogenesis. Brain and muscle lack the full enzymatic pathway and primarily utilize, not synthesize, ketone bodies. Although kidneys may have minor capacity, the principal and clinically relevant site is the liver.
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