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Kaplan Qbank USMLE



Author4 Posts
  #1

A 27 year old man was found unconscious after he drank alcohol without eating any food over a 3 day period. His serum glucose is 30 mg/dl. This lab finding is most likely due to increased hepatic concentrations of?

a. Acetyl

b. Lactate

c. NADH

d. Phosphoenol pyruvate

e. ATP.


  #2

C

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  #3

Why?!!!please explain it.

  #4

basically look at the reactions that occur in gluconeogenesis and concetrate on three

a soucrce of pyruvate itslef is lactate. a high nadh would favor pyruvate to lactate.

similaly malate to oxaloacetate would favor gluconeo. high nadh does the opp

glycerol 3 p to DHAP favours gluconeo. high nadh duznt

hope this helps


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