Medico Guides 4th Block (Module No 06) Biochemistry Guidelines

Prepared by:

                     Aneesa Asif (G13)

Compiled by:

                     Hafiz Muhammad Umair Noor (G12)

  • Lippincott Illustrated Reviews: Biochemistry 8th Edition (Chapter numbers are mentioned according to this edition)
  • Satyanarayana Biochemistry 6th Edition

CARBOHYDRATE METABOLISM

  • Table 8.1(imp) (GLUT-2 bidirectional)
  • Sodium ATP dependant transport
  • Fig 8.12, 8.14, 8.15, 8.16, 8.18, 8.21, 8.24
  • Hexokinase vs Glucokinase difference
  • Regulations given in fig 8.16 v imp
  • Well fed, Fasting state (v.imp) (class test)
  • 2,3BPG in RBC (Rapoport-Luebering shunt) read it from satya as well
  • Pyruvate Kinase deficiency (make a flowchart)
  • Energy yield aerobic and anaerobic
  • Alternate fates covered in 8.24
  • Clinical application 8.1
  • Fig 9.3, 9.4, 9.5, 9.6, 9.7

From Theory:

  • Acetyl CoA production (oxi decarboxylation MCQ)
  • PDHC components and their coenzymes
  • Aresnic poisoning
  • Energy production from the cycle
  • Read theory one time and mark important points
  • Fig 10.2, 10.3, 10.4, 10.6

From Theory:

  • Gluconeogenesis definition
  • Substrates, cori cycle (viva)
  • Regulation by AMP and F2, 6BP
  • Phosphatase and translocase deficiency
  • Regulation of gluconeogenesis (v imp)
  • Fig 11.5, 11.8 (with diseases), 11.9, 11.11, 11.12
  • Read structure and functions of glycogen generally
  • Synthesis and degradation (mainly from fig but give them a read)
  • Regulations are (vv imp)
  • Table 11.1
  • Fig 12.2, 12.3(diseases), 12.4, 12.5(diseases), 12.7
  • Fructose metabolism read (try to understand its kinetics, past proff has 2-3 questions related to this)
  • Sorbitol, and osmotic effects caused in diabetic patients
  • Galactose metabolism mainly from figure (galactitol causes cataract MCQ)
  • Lactose synthesis enzyme and its 2 proteins
  • Fig 13.2 (note the coenzymes), 13.5, 13.6, 13.8, 13.9 (NO functions)

From Theory:

  • Reactions mainly from fig but give it a read
  • Uses of NADPH important: reduction of ROS
  • P450 system uses
  • NO synthesis reaction and uses (v imp)
  • G6PD role in RBCs (hemolytic anemia) scenario
  • Precipitating factors (imp)

Uronic Acid Pathway:

  • Fig 13.25 Satya, synthesis of glucuronic acid

Sorbitol Pathway:

  • Fig 13.27 Satya, also 12.4 Lippincott, pathway in diabetes (v imp)

Ethanol Metabolism:

  • Fig 23.15
  • Alcohol-related hypoglycemia
  • Blue box (fatty liver)
  • Fig 7.9,7.10, 7.11
  • Salivary α-amylase
  • Lactose intolerance (vv imp) (also do clinical application 12.1)
  • Sucrase – Isomaltase deficiency
  • Secretion of HCl (imp)
  • Gastric and pancreatic juice from notes
  • Fig 6.8, 6.10, 6.13, 6.17
  • Complexes of ETC and their components (v imp) (electron flow)
  • Inhibitors of chain from fig 6.10, also do google for more inhibitors
  • Chemiosmotic hypothesis v imp + ATP synthase(V) structure and function
  • Effects of oligomycin (F⁰ domain)
  • Uncouplers natural and synthetic
  • Shuttles from figure
  • Table 6.1 diseases (proff 23)

MINERALS

  • Give a read to minerals from Lippincott 
  • Must do tables and figures
  • Figure 29.18
  • For important functions you can use notes (shared by Shahr Bano Sayal from G-12)

NUTRITION

  • Definition of nutrient:
  • Macronutrients and micronutrients
  • Basal metabolic rate (imp)
  • Factors affecting BMR
  • Significance of BMR
  • Table 23.2
  • Physical activity of body
  • Energy requirements of man
  • Balanced diet (imp)
  • Draw diet chart of an infant / 70kg adult (imp) (Pictures are shared in the group)
  • Diet chart in pregnancy and lactation (imp) (Pictures are shared in the group)
  • Protein energy malnutrition (imp)
  • Table 23.7
  • Kwashiorkor
  • Marasmus
  • Table 23.8
  • Body mass index (imp)
  • Anatomic differences in fat deposition
  • Fig 26. 2
  • Obesity with its types (imp)
  • Obesity and health
  • Body weight regulation complete topic
  • Nutrition and life style changes complete topic

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