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Kaplan Qbank USMLE



Author8 Posts
  #1

The increase in the intracellular concentration of AMP in muscle after 15 minutes of strenuous exercise has which of the following effects?
A ) Increased activity of adenylyl cyclase
B ) Increased breakdown of glycogen
C ) Increased release of insulin
D ) Inhibition of phosphofructokinaseactivity
E ) Inhibition of pyruvate kinase activity

  #2

I think its E...inhibiting the Pyruvate Kinase causes formation of lactic acid.

  #3

I really want to say B. No O2 to pull off the NADH causes the shunt to lactic acid, I dont think the increased AMP does that directly.

  #4

Yes you are right Idiopathic....i got my NADH and AMP confused.....increased AMP will lead to glycogenolysis

  #5

This question can be applied to any scenario which will induce a low energy state in the cell. Products of ATP degradation (e.g. ADP, AMP, Pi, IMP) all activate glycogenolysis, and glycolysis.

  #6

good Q usmleasr smiling face Thanks

  #7

what about A?

  #8

not last 2 options
AMP catalases PFK-1, which produces product that stimulates PK (feed-forward) which is last substrate level phosphorylation
release of insulin in muscle cell??? something new for me
to get cAMP by A-cyclase we need ATP, not AMP
so we left with glycogenolysis as a source of energy
i stick with B







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