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USMLE STEP 1 CELLULAR BIOCHEMISTRY EXAM QUESTIONS AND ANSWERS

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USMLE STEP 1 CELLULAR BIOCHEMISTRY EXAM QUESTIONS AND ANSWERS...

Institution
USMLE STEP 1 CELLULAR BIOCHEMISTRY
Course
USMLE STEP 1 CELLULAR BIOCHEMISTRY

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p53 - ANSWER Tumor suppressor gene that prevents cells from progressing
from G1 to S phase

- In response to DNA damage, p53 will call in DNA repair enzymes
- If repair is not possible, p53 will call in BAX causing cell apoptosis

Rb - ANSWER Tumor suppressor gene that prevents cells from progressing
from G1 to S phase

- Normally unphosphorylated and binds to E2F
- When phosphorylated by Cyclin-CDK, it releases E2F allowing the
progression of the cell cycle

What phosphorylates Rb? - ANSWER CDK4/Cyclin D

E2F - ANSWER E2F is a transcription factor that binds to the E2F box
allowing transcription of S-phase genes

In order for a tumor to occur, how many copies must be mutated for a) p53 b)
Rb - ANSWER a) 2
b) 2

Mutations in Rb - ANSWER - Germline mutation = Bilateral retinoblastoma,
osteosarcoma

- Sporadic mutation = unilateral retinoblastoma

Mutation in p53 - ANSWER Leads to Li-Fraumeni Syndrome

Permanent tissues - ANSWER Always in G0 phase

- Cardiac myocytes, skeletal tissue, neurons, RBCs

Stable Tissues - ANSWER In G0 phase and enter G1 when stimulated

, - Hepatocytes and lymphocytes

Labile Tissues - ANSWER Never in G0 phase
- Divide rapidly and effected greatly by chemo
- Regenerate quickly from stem cells

- Bone marrow
- Skin
- Gut epithelium
- Hair follicles
- Germ cells

What Cyclin/CDK complex activates DNA replication? - ANSWER CDK
2/Cyclin A

What Cyclin/CDK complex activates DNA mitosis? - ANSWER
CDK1/Cyclin B

_____ and _____ are rich in SER - ANSWER liver hepatocytes and hormone-
producing cells of the adrenal cortex

_____ and ____ are rich in RER - ANSWER mucus secreting goblet cells and
plasma cells

Golgi Apparatus Modifications - ANSWER - Modifies N-oligosaccharides on
Asparagine
- Adds O-oligosaccharides on serine and threonine
- Adds mannose-6-P to proteins for trafficking to lysosomes

Inclusion Cell Disease (I-cell Disease) - ANSWER (inherited lysosomal
storage disease)
- Defect in N-acteylglucosaminyl-1-Phosphotransferase
- Failure of the golgi to phosphorylate mannose residues (ie. Mannose-6-P) on
Glycoproteins
- Proteins are secreted extracellularly rather than delivered to lysosomes

S/S: clouded corneas, restricted joint movement, coarse facial features,

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Institution
USMLE STEP 1 CELLULAR BIOCHEMISTRY
Course
USMLE STEP 1 CELLULAR BIOCHEMISTRY

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Written in
2024/2025
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