KPSC Staff Nurse - 2015
Biochemistry & Nutrition
Easy

Hemoglobin is a coordinate compound in which the central metal atom is?

Appeared in: KPSC Staff Nurse - 2015

Explanation

  • Hemoglobin is a protein responsible for oxygen transport in the blood.
  • Each hemoglobin molecule contains four heme groups, and at the center of each heme group is a single atom of iron (Fe).
  • The iron atom is in the ferrous (Fe²⁺) state, which allows it to bind reversibly with one molecule of oxygen.
  • This iron-oxygen bond is what enables hemoglobin to pick up oxygen in the lungs and deliver it to the body's tissues.

Why Other Options Were Wrong

  • Option A: Sodium is an essential electrolyte responsible for fluid balance and nerve function, but it is not a structural component of the hemoglobin molecule.
  • Option B: Magnesium is the central metal atom in chlorophyll, the pigment that enables photosynthesis in plants. It is not part of hemoglobin.
  • Option C: Manganese is an important trace element that acts as a cofactor for various enzymes (e.g., arginase, isocitrate dehydrogenase), but it is not the central metal in hemoglobin.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Structure and Composition of Hemoglobin as background academic context rather than a clinical decision trigger.
  • Understanding that iron is central to hemoglobin is fundamental for comprehending conditions like iron-deficiency anemia, the most common type of anemia worldwide. A nurse must be able to recognize its signs (pallor, fatigue) and educate patients on iron-rich diets and supplements.
  • Knowledge of hemoglobin's structure is also key to understanding toxic exposures. For example, carbon monoxide (CO) has a much higher affinity for the heme iron than oxygen, leading to CO poisoning and severe hypoxia.
  • What if? If a patient presents with cyanosis (bluish skin) that doesn't improve with oxygen therapy, the nurse should consider methemoglobinemia. In this condition, the heme iron is oxidized to Fe³⁺, which cannot bind oxygen. This is a medical emergency requiring specific interventions like methylene blue administration.
How to Approach the Question
  • First, identify the key terms in the question: 'Hemoglobin' and 'central metal atom'.
  • This is a factual recall question that tests your knowledge of the basic biochemical structure of a vital protein.
  • Access your memory about the composition of blood and red blood cells. Recall that hemoglobin is the primary protein involved in oxygen transport.
  • Systematically evaluate each option. Think about the biological role of each metal listed.
  • Eliminate options known for other primary functions (e.g., Sodium as an electrolyte, Magnesium in chlorophyll).
  • Select the option that is famously associated with hemoglobin and oxygen transport, which is Iron.
Concept Tested & Keywords
  • Concept Tested: Structure and Composition of Hemoglobin
  • Stem keywords: Hemoglobin, coordinate compound, central metal atom
  • Lead-in keywords: is
  • Negative lead-in flag: false

Question ID

QryGOwWx_bo1OD8dv9xgVn

Reference Book

E6 Harper's Illustrated Biochemistry2023 (pp 26-793 of 813) pp. 34-36, 84-86

E6 Physiology Guyton 4SAE Part 1 p. 183-184

Practise the full KPSC Staff Nurse - 2015

Attempt every question from this paper in a timed mock, then review the full solution for each one.