A 45-Year-Old Man Is Referred to an Endocrinologist for Newly

question 111

Multiple Choice

A 45-year-old man is referred to an endocrinologist for newly diagnosed diabetes mellitus.  A week ago, his primary care physician noted an elevated fasting serum glucose level.  The endocrinologist discusses the different treatment options available, including oral and injectable medications.  He recommends treatment with a medication that alters glucose metabolism within the liver by increasing the concentration of fructose 2,6-bisphosphate within hepatocytes.  Which of the following conversions will be inhibited by high intracellular concentrations of this metabolite?

• A)Acetyl CoA → fatty acids
• B)Alanine → glucose
• C)Fructose-6-phosphate → fructose-1,6-bisphosphate
• D)Glucose → glycogen
• E)NAD⁺ → NADH

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Definitions:

Conservative Agenda

Refers to political goals that emphasize traditional values, limited government, and free market principles.

Welfare State

A term that originated in Britain during World War II to refer to a system of income assistance, health coverage, and social services for all citizens.

Vietnamization

A policy of the Richard Nixon administration during the Vietnam War to end U.S. involvement in the war by expanding, equipping, and training South Vietnamese forces to take over combat roles.

South Vietnamese Troops

Armed forces of the Republic of Vietnam (South Vietnam), which fought against the North Vietnamese Army and Viet Cong during the Vietnam War.