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Biochemistry, cell biology, and genetics

Fatty Acid Synthesis & Malonyl-CoA | USMLE Step 1

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SAMPLE QUESTION

A 46-year-old woman receives parenteral nutrition after extensive small-bowel resection. Four weeks later, ultrasonography shows new hepatic steatosis. A nutrition review finds that the dextrose infusion supplies substantially more energy than she expends; the prescribed lipid dose is within the recommended range. The team reduces the excess dextrose delivery.

Which process most directly allows the excess carbohydrate to supply carbon for new fatty acids in her hepatocytes?