4. A 69-year-old woman with Alzheimer disease is brought to the emergency department after getting lost while taking a walk in her neighborhood. Her son has been unable to contact the patient for the last 2 days, and today the police found her wandering in a park. The patient says that she drank water from a park fountain but has not had anything to eat for over 24 hours. On physical examination, she is mildly confused with dry mucous membranes. Laboratory studies show a blood glucose level of 92 mg/dl. Which of the following hormones binds to an intracellular receptor to help maintain this patient’s laboratory findings within the normal range?
A. Cortisol
B. Epinephrine
C. Glucagon
D. Growth hormone
E. Insulin
F. Norepinephrine
5. A 34-year-old woman with a history of recurrent urinary tract infections comes to the physician with dysuria and increased urinary frequency. Her urine culture grows colonies of Gram-negative bacteria. The bacteria are isolated and placed in a growth-enhancing nutrient solution, where they undergo rapid cellular division. As they are actively dividing, the bacterial cells are lysed and their DNA is extracted and purified. Analysis of the partially replicated DNA fragments shows the presence of uracil. This finding is most likely mediated by which of the following enzymes?
A. DNA ligase
B. DNA polymerase I
C. DNA polymerase Ill
D. Gyrase
E. Helicase
F. Primase
6. A 10-year-old boy is brought to the emergency department for new swelling in his right leg. He has a history of lens dislocation and intellectual disability. Physical examination demonstrates moderate, pitting edema from his right calf to his right thigh and a normal left lower extremity. In addition, the patient has a caved-in appearing chest wall. He has no family members with similar conditions. Ultrasound reveals a deep venous thrombosis in his right femoral vein. Further genetic testing reveals a single missense mutation in the gene coding for cystathionine betasynthase enzyme. Which of the following is the most likely explanation for this patient’s genetic defect affecting multiple tissues?
A. Dominant negative mutation
B. Genetic linkage
C. Incomplete penetrance
D. Locus heterogeneity
E. Pleiotropy
F. Polyploidy
G. Segregation