05-05-2008, 08:41 PM
64 yrs old male present to ER with right upper quadrant pain. examination was obvious for alcoholic hepatitis which was later confirm with LFT and enz essay. resident no duty start explaining the biochemical aspect of liver damage, than he ask which of the following substrate is most responsibe for increased synthesis of VLDL in hepatocyte in fatty liver.
A lactate
B pyruvate
C Glucose 6 phosphate
D Glycerol 3 phosphate
E phosphoenol pyruvate
F Acetaaldehyde dehydrogenase
A lactate
B pyruvate
C Glucose 6 phosphate
D Glycerol 3 phosphate
E phosphoenol pyruvate
F Acetaaldehyde dehydrogenase