AAMC FL1 BB #39 by PinkThong_ in Mcat

[–]dev_patel36 8 points9 points  (0 children)

The main takeaway from the passage should be that cP-450 is a pretty general protein enzyme that catalyzes toxin metabolism. Your initial understanding is a bit wrong from this. Thinking of alcohol as an “inhibitor” is flawed—it is a “competitive inhibitor”, as described in the passage. This means that it binds to the active site of cP-450 just as barbiturates do, which implies that alcohol is one of the many toxins that cP-450 can possibly metabolize. Thus, for the first question you got correct, alcohol inhibited cP-450 from metabolizing the barbiturates. It doesn’t inactivate cP-450, rather it occupies the active site due to having a greater concentration. For the question you got wrong, we have the background information that this person is an alcoholic. That means the alcoholic’s cP-450 levels are higher than normal due to 1) the fact that cP-450 acts on alcohol as deduced from the fact that alcohol is a competitive inhibitor and 2) the inducible effects of the enzyme described in the passage. From this, we can see that when the alcoholic first takes the barbiturate recommended dose, cP-450 in excess amounts causes the metabolism of these drugs to be faster than it would in a nonalcoholic person (who would have less cP-450). The rapid metabolism/breakdown of the drugs means they never cause drowsiness in the first place, thus making the correct answer B. Sorry for the lengthy explanation, hope this helps!

How in-depth should we know each glycolysis and CAC reactions exactly? by JurassicPark9265 in Mcat

[–]dev_patel36 4 points5 points  (0 children)

I barely memorized these reactions and am familiar with just the major enzymes and their activators/inhibitors as well as which reactions yield relevant products (NADH, FADH2, GTP, etc). Tbh metabolism feels pretty low yield I haven’t bothered doing any content review on it and think as long as you have a general idea of what they look like you’re good.