🏥 USMLE Exam Prep

A competitive inhibitor affects enzyme activity by binding reversibly to the enzyme's active site. What effect does a competitive inhibitor have on the Vmax and Km of an enzymatic reaction?

A Decreases Vmax, increases Km
B Increases Vmax, decreases Km
C No change in Vmax, increases Km
D No change in Vmax, decreases Km

✓ Correct Answer: Option C

Competitive inhibitors increase the apparent Km (more substrate is needed to reach half Vmax) but do not change Vmax because, at sufficiently high substrate concentrations, the inhibitor can be outcompeted.

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