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:

Reprimanding

The act of expressing a strong disapproval or criticism of someone, especially formally.

Moral Development

The process through which children become capable of making moral judgments.

Piaget's Model

A theory of cognitive development proposed by Jean Piaget that outlines how children's intellectual abilities evolve through four stages from infancy to adolescence.

Kohlberg's Model

A theory of moral development proposed by Lawrence Kohlberg, which outlines the progression of moral reasoning through a series of stages.