
Max M. answered 03/21/19
526 (100th %ile) on MCAT; Perfect Scores on Bio/Biochem and Psych/Soc
The answer to this comes down to which isomer of glucose (or any other sugar) we're working with. In biochemistry, it is always safe to assume that we're working with the D- isomer, as the L- isomer does not occur in nature. And we know that the C5 hydroxyl group of a hexose (or the C n-1 for any sugar with n carbons) determines the optical activity (and, subsequently, which enantiomer we have). So, when we draw the Fisher projection of D-glucose, we will always put the last hydroxyl group on the right.
Let me know if you want any more biochemistry help, I'd be happy to set up an online session!