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Kaplan Qbank USMLE



Author8 Posts
  #1

women with Cushing has hypeglycemia
Which of the following enzymes is most likely causing the hyperglycemia?
a. aspartate aminotransferase
b. capillary lipoprotein lipase
c. phosphoenolpyruvate carboxykinase
d.pyruvate carboxylase
e. pyruvate dehydrogenase

  #2

D. Gluconeogenesis rate limiting enzyme

  #3

D nod

  #4

try again

  #5

pepck, b c is te key limiting enzyme and is regulated by Cortisol

  #6

PEPCK is induced by cortisol-

  #7

I'm glad you put this up there, I'll make sure I memorise it

  #8

ok, pyruvate carboxilase is rate limiting in gluconeogenesis, the reaction it catalyzes is pyruvate ->OAA
And hyperglycemia and diabetes mellitus in Cushing's is due to gluconeogenesis
But pyruvate carboxylase is not affected by glucocorticoids! sad

Choice C - PEP carboxykinase is correct.
It is gluconeogenic enzime affected by glucocorticoids.

B - no. Hormone- sensitive lipase, not lipoprotein lipase is increased by glucocorticoids








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