TLS Online TPP Program

#Question id: 1249


As in all G protein–coupled signalling pathways, timely termination of the rhodopsin signalling pathway requires that all the activated intermediates be inactivated rapidly, restoring the system to its basal state, ready for signalling again. Which of the following mechanism does not terminate rhodopsin signalling?

#Unit 4. Cell Communication and Cell Signaling
  1. The complex composed of the inhibitory γ subunit of PDE and Gαt∙ GTP recruits two additional proteins, RGS9 and Gβ5, that together act as a GAP to enhance the rate of hydrolysis of bound GTP to GDP. Hydrolysis of GTP, in turn, causes release of the PDE γ subunit, which re-joins the PDE α and β subunits, terminating PDE activation.

  2. Light-triggered closing of the cGMP-gated cation channels causes a drop in the cytosolic Ca2+ concentration inside the rod cell. The drop in the intracellular Ca2+ concentration is sensed by a class of Ca2+-binding proteins known as guanylate cyclase–activating proteins, which bind to guanylate cyclase and stimulate its activity, thereby elevating the level of cGMP and causing the cGMP-gated ion channels to reopen.

  3. A major process that suppresses and helps to terminate the visual response involves phosphorylation of rhodopsin when it is in its activated (R*). Rhodopsin kinase, is the enzyme that catalyzes this phosphorylation reaction. Arrestin bound to the phosphorylated R* completely prevents interaction with Gαt, blocking formation of the active Gαt∙ GTP complex and stopping further activation of PDE.

  4. Binding of acetylcholine triggers activation of the Gαi subunit and its dissociation from the Gβγ subunit in the usual way. In this case, however, the released Gβγ subunit (rather than Gαi∙ GTP) binds to and opens the associated effector protein, a K+ channel. The increase in K+ permeability hyperpolarizes the membrane, which reduces the frequency of PDE activation.

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TLS Online TPP Program

#Question id: 12211

#Unit 7. System Physiology – Animal

A 57-year-old man is admitted as an emergency for upper GI bleeding. Endoscopy reveals multiple ulcers in the duodenum. Serum gastrin levels are eight-fold higher compared to normal. Zollinger-Ellison syndrome (ZES, gastrinoma) is suspected. Administration of which of the following substances is useful in confirming the diagnosis?

TLS Online TPP Program

#Question id: 12212

#Unit 7. System Physiology – Animal

 A 71-year-old man with upper abdominal pain and blood in the stool takes NSAIDS for the pain and washes it down with whiskey. Pentagastrin administration produced lower than predicted levels of gastric acid secretion. Secretion of which of the following substances is most likely to be diminished in this patient with gastritis?

TLS Online TPP Program

#Question id: 12213

#Unit 7. System Physiology – Animal

The gastric phase of gastric secretion accounts for about 60% of the acid response to a meal. Which of the following can virtually eliminate the secretion of acid during the gastric phase?

TLS Online TPP Program

#Question id: 12214

#Unit 7. System Physiology – Animal

A 53-year-old man with a recurrent history of ulcer disease associated with diarrhea and a strong family history of duodenal ulcer disease is suspected of having Zollinger-Ellison syndrome (gastrinoma). Secretin (2 units/kg) was given as a rapid intravenous injection to test for gastrinoma. Which of the following results would support the existence of gastrinoma following secretin administration?

TLS Online TPP Program

#Question id: 12215

#Unit 7. System Physiology – Animal

Damage to the gastric mucosal barrier is a forerunner of gastric ulcer. Which of the following can both damage the gastric mucosal barrier and stimulate gastric acid secretion?

TLS Online TPP Program

#Question id: 12216

#Unit 7. System Physiology – Animal

Gastric emptying is regulated to ensure the chyme enters the duodenum at an appropriate rate. Which of the following factors promotes gastric emptying?