Amino Acid Metabolism Disorders Flashcards

PKU MSUD Albinism Homocystinuria

1
Q

Patient having PKU has what kind of urine odor

A

A musty odor of urine

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2
Q

PKU is caused due to

A

BH4 deficiency
Dihydrobiopterin reductase deficiency
PAH deficiency

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3
Q

AAs level changed in PKU

A

High levels of Phenylalanine

Low levels of Tyrosine

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4
Q

What is MSUD?

A

An autosomal recessive disease caused by Branched-chain alpha ketoacid dehydrogenase (BCKD) defieciency

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5
Q

Symptoms of MSUD are

A
Vomiting
Muscle tone changed
Feeding problems
Ketoacidosis
Coma
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6
Q

Patient with MSUD has what kind of urine odor?

A

Maple syrup-like odor of urine

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7
Q

What stuff is high in MSUD?

A

alpha-keto acids of the corresponding branched-chain amino acids are high

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8
Q

What are the names of branched-chain amino acids?

A

Valine
Leucine (Coma in MSUD)
Isoleucine (Maple syrup-like odor of urine)

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9
Q

Treatment of MSUD

A

A synthetic formula that is free of BCAA

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10
Q

PKU neurological symptoms

A

Seizures
Developmental Delay
Low IQ
Microcephaly

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11
Q

If PKU is not treated, is there hypopigmentation or hyperpigmentation?

A

Hypopigmentation

Fair Hair color, Light skin color, and blue eyes.

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12
Q

Ehlers-Danlos syndrome is a deficiency of

A
Lysl hydrolase (Hydroxylation)
N procollagen peptidase (Production of Tryptophan is reduced)
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13
Q

Symptoms of Ehlers-Danlos syndrome

A

Loose skin

Hypermobility of joints

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14
Q

Homocystinuria is characterized by

A

Ectopia lentis
Long Limbs and fingers
Intellectual disability
High risk of developing blood clots

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15
Q

Treatment of Homocystinuria

A

Restriction of methionine and supplementation of B12 and folate. Give them B6 too.

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16
Q

Cause of Alkaptonuria

A

Accumulation of Homogentisic acid

17
Q

Symptoms of Alkaptonuria

A

Urine turns black when it has contact with air

Arthritis

18
Q

Treatment of Alkaptonuria

A

Dietary restrictions of Phenylalanine and tyrosine to reduce Homogentisic acid levels

19
Q

Osteogenesis imperfecta causes

A

Mutations in alpha 1 and alpha 2 chains in collagen

20
Q

Type 1 OI

A

Hearing loss
Mild bone fragility
Blue sclera

21
Q

Type 2 OI

A

Lethal in the perinatal period and with pulmonary complications

22
Q

Type 3 OI

A

The infant born with fractures
Short stature
Humped back
Teeth developmental disorder