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Questions

Question 1

What is the primary effect of insulin on fat metabolism when carbohydrate intake exceeds the body's immediate energy needs?

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Question 2

In which cells does the majority of fatty acid synthesis, stimulated by insulin, take place?

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Question 3

What is the approximate percentage of liver mass that can be stored as glycogen before further glucose is directed towards fat synthesis?

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Question 4

Which enzyme, essential for the first stage of fatty acid synthesis, is activated by an excess of citrate and isocitrate ions?

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Question 5

What is the function of lipoprotein lipase in the capillary walls of adipose tissue, which is activated by insulin?

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Question 6

How does insulin promote the storage of fat in adipose cells by affecting hormone-sensitive lipase?

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Question 7

What crucial substance for triglyceride formation is formed in large quantities in adipose cells due to insulin-promoted glucose transport?

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Question 8

In the absence of insulin, what is the most important effect that leads to the release of free fatty acids from storage?

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Question 9

What is the consequence of insulin deficiency on plasma concentrations of cholesterol and phospholipids?

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Question 10

In the absence of insulin, how much can the total concentration of plasma lipoproteins increase?

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Question 11

What long-term health condition is promoted by the high concentration of cholesterol resulting from insulin deficiency?

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Question 12

What metabolic condition, characterized by the formation of excessive acetoacetic acid in the liver, is caused by insulin deficiency?

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Question 13

Which transport mechanism becomes increasingly activated in the liver during insulin deficiency, leading to rapid beta oxidation of fatty acids?

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Question 14

What are the three substances collectively known as 'ketone bodies' that are produced during severe insulin deficiency?

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Question 15

In severe diabetic ketoacidosis, what concentration can acetoacetic acid reach in the blood?

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Question 16

Which hormone has a direct lipolytic effect on adipose cells by activating hormone-sensitive lipase, greatly enhancing the blood concentration of fatty acids during stressful states?

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Question 17

What is the primary signal that controls the 'switching' mechanism between using carbohydrates and using fats for energy?

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Question 18

What effect does glucagon have on fat metabolism when its concentration is high?

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Question 19

What is the initial substance from which fatty acids are synthesized in the liver when excess glucose is available?

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Question 20

Why is storage of fatty acids transported from the liver almost blocked when insulin is not available?

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Question 21

What is the normal concentration of total plasma lipids, which can increase several-fold in severe insulin deficiency?

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Question 22

In the context of fat metabolism, what does insulin's function as a 'fat sparer' mean?

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Question 23

What is the primary reason that an absence of insulin depresses the utilization of acetoacetic acid in peripheral tissues?

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Question 24

What happens to the plasma concentration of free fatty acids almost immediately after the removal of the pancreas (and thus insulin)?

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Question 25

In type 1 diabetes, the increased utilization of fats for energy and the formation of cholesterol by the liver are a direct consequence of what?

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Question 26

What is the primary role of insulin in protein metabolism?

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Question 27

How does severe insulin deficiency lead to protein wasting?

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Question 28

According to the text, what can be a severe consequence of the metabolic acidosis that develops from excess keto acids in diabetes mellitus?

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Question 29

What is the primary way that insulin inhibits gluconeogenesis in the liver?

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Question 30

How does insulin indirectly contribute to inhibiting gluconeogenesis?

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Question 31

Which of the following hormones does NOT play a role in switching between carbohydrate and lipid metabolism?

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Question 32

In what way does epinephrine's action on energy metabolism differ from that of growth hormone and cortisol?

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Question 33

What is the quantitative relationship between the enhancement of fatty acids and blood glucose by epinephrine?

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Question 34

What effect does glucagon have on the storage of triglycerides in the liver?

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Question 35

What is the primary energy source for most body tissues, except the brain, during periods of low insulin secretion?

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Question 36

What is the consequence of the shift from carbohydrate to fat metabolism in diabetes regarding keto acids?

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Question 37

The long-term effect of insulin deficiency is especially dramatic in causing which condition that often leads to heart attacks and strokes?

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Question 38

What is the primary source for the glycerol portion of the fat molecule stored in adipose cells?

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Question 39

When the quantity of glucose entering liver cells is more than can be stored as glycogen, what does insulin promote?

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Question 40

What is the fate of the triglycerides that are formed in the liver from excess glucose?

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Question 41

The condition of polyphagia (eating large amounts of food) in severe untreated diabetes mellitus occurs alongside what other symptom related to body mass?

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Question 42

Which amino acids are mentioned as being most strongly transported into cells by insulin?

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Question 43

What happens to the ribosomes in the absence of insulin, according to the 'on-off' mechanism described?

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Question 44

Over a longer period, what effect does insulin have on DNA and RNA to promote protein synthesis?

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Question 45

In what way is the body's response to excess fat utilization in the liver in diabetes self-limiting regarding arterial walls?

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Question 46

What are the two factors that contribute to the formation of ketosis and acidosis in insulin deficiency?

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Question 47

Why does insulin deficiency lead to an increased excretion of urea in the urine?

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Question 48

Which two hormones interact synergistically to promote growth, with each performing a specific function?

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Question 49

What is the primary effect of insulin on the transport of glucose into adipose cells?

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Question 50

In the absence of insulin, how does the body primarily compensate for energy needs, leading to the breakdown of stored triglycerides?

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Other chapters

Functional Organization of the Human Body and Control of the “Internal Environment”The Cell and Its FunctionsGenetic Control of Protein Synthesis, Cell Function, and Cell ReproductionTransport of Substances Through Cell MembranesMembrane Potentials and Action PotentialsContraction of Skeletal MuscleExcitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction CouplingExcitation and Contraction of Smooth MuscleCardiac Muscle; The Heart as a Pump and Function of the Heart ValvesRhythmical Excitation of the HeartThe Normal ElectrocardiogramCardiac Arrhythmias and Their Electrocardiographic InterpretationThe Circulation: Overview of the Circulation; Medical Physics of Pressure, Flow, and ResistanceVascular Distensibility and Functions of the Arterial and Venous SystemsThe Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph FlowLocal and Humoral Control of Tissue Blood FlowNervous Regulation of the Circulation and Rapid Control of Arterial PressureCardiac Output, Venous Return, and Their RegulationMuscle Blood Flow and Cardiac Output During Exercise; the Coronary Circulation and Ischemic Heart DiseaseCardiac FailureCirculatory Shock and Its TreatmentThe Body Fluid Compartments: Extracellular and Intracellular Fluids; Interstitial Fluid and EdemaUrine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their ControlUrine Formation by the Kidneys: II. Tubular Reabsorption and SecretionRenal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid VolumeRegulation of Acid-Base BalanceKidney Diseases and DiureticsRed Blood Cells, Anemia, and PolycythemiaResistance of the Body to Infection: I. Leukocytes, Granulocytes, the Monocyte-Macrophage System, and InflammationResistance of the Body to Infection: II. Immunity and AllergyBlood Types; Transfusion; Tissue and Organ TransplantationHemostasis and Blood CoagulationPulmonary VentilationPrinciples of Gas Exchange; Diffusion of Oxygen and Carbon Dioxide Through the Respiratory MembraneTransport of Oxygen and Carbon Dioxide in Blood and Tissue FluidsRespiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen TherapyPhysiology of Deep-Sea Diving and Other Hyperbaric ConditionsOrganization of the Nervous System, Basic Functions of Synapses, and NeurotransmittersSensory Receptors, Neuronal Circuits for Processing InformationThe Eye: I. Optics of VisionThe Eye: II. Receptor and Neural Function of the RetinaCortical and Brain Stem Control of Motor FunctionContributions of the Cerebellum and Basal Ganglia to Overall Motor ControlCerebral Cortex, Intellectual Functions of the Brain, Learning, and MemoryBehavioral and Motivational Mechanisms of the Brain—The Limbic System and the HypothalamusStates of Brain Activity—Sleep, Brain Waves, Epilepsy, PsychosesThe Autonomic Nervous System and the Adrenal MedullaCerebral Blood Flow, Cerebrospinal Fluid, and Brain MetabolismGeneral Principles of Gastrointestinal Function—Motility, Nervous Control, and Blood CirculationPropulsion and Mixing of Food in the Alimentary TractSecretory Functions of the Alimentary TractMetabolism of Carbohydrates and Formation of Adenosine TriphosphateProtein MetabolismThe Liver as an OrganDietary Balances; Regulation of Feeding; Obesity and Starvation; Vitamins and MineralsEnergetics and Metabolic RateBody Temperature Regulation and FeverIntroduction to EndocrinologyPituitary Hormones and Their Control by the HypothalamusThyroid Metabolic HormonesAdrenocortical HormonesInsulin, Glucagon, and Diabetes MellitusParathyroid Hormone, Calcitonin, Calcium and Phosphate Metabolism, Vitamin D, Bone, and Teeth