Biochem Deficinecy Flashcards

1
Q

X-linked; Inc in ammonia; nueronal damage and retardation; increase in orate, dec in citrulline; decrease in Arg

A

Ornitihine Transcarboxylase Deficiency (OTCase Def)

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2
Q

Fumarylacetoacetate deficiency; liver failure; cabbage odor; death with in the 1st year

A

Tyrosinemia I

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3
Q

TAT deficiency; inc Tyr; eye lesions; skin and nuero problems

A

Tyrosinemia II

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4
Q

Homogentisate oxidase deficincy; increase homogensitic acid; dark urine; dark catdigle

A

Alcaptonuria

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5
Q

ezcema, musty odor, hyperreflexia, seziures, tremor, AR

A

PKU

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6
Q

AR; mutation in the branched chain alpha ketoacid dehydrogenase; increased VAL, ILE, LEU; poor myelination of nerves

A

MSUD

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7
Q

Inc ammonia levels; brain damage; coma; death; decrease in orate; decrease in citrulline and Arg

A

Carbamoyl Phosphate Synthase I-urea cycle

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8
Q

Deficiency in arginosuccinate synthase; increase in citrulline; leathery, hypotonia, seziures, ataxia, and behavioral changes

A

Citrullinemia

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9
Q

hyperammonemia; Severe CNS effects: arginosuccinate lyase defiency

A

Arginosuccinate aciduria

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10
Q

no accumulation of ammonia; arginine in urine

A

Arginase Deficiency

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11
Q

Dislocation of lens, mental retadation, skeletal/CNS abndonramilties (Marfans); accumulation of homocystein and menthionine;

A

Deficeint cystathioine B synthase; Homocystunirua; Nitropusside CYanide Test

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12
Q

X-linked; increase production of nucleotides and degradation; hyperuricimia, gout, and kidney stones

A

Overacitve PRPP synthase

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13
Q

Xlinked recessive ; defective HGPRT; increase in monosodium urate and purines; self mutilitation

A

Lesch-Nyhan Syndrome

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14
Q

AR: defective APRT; can’t salvage adenine; Nepthrolithiasis with renal colic; heamturia; recurretnt UTIs; dysuria

A

APRT Deficiency

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15
Q

Increase in dATP and dGTP in the lymphoid tissue; decrease T cell count; lymphopenia; mental retardation; autoimmune disease

A

PNP deficiency

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16
Q

Accumulation of uric acid with crystals; arthitiris: increase in xanthine; increase in hypoxanthine and decrease in urate

A

Gout with allopourinal as xanthine oxidase inhibitor

17
Q

defective UMP synthase; increae ortic acid and decrease in pyrimidines; growth retardation; megaloblastic anemia; failure to thrive; no hyper ammonia

A

Orotic acudria

18
Q

increase in dexyoadenosine; loss of immune function no B or T cells

A

Adensosine Deaminase Deficiency=SCID

19
Q

What is the treatment for hyper ammonia?

A

Benzoate and Phenylbutarayte bind to the aa and cause excretion

20
Q

Increase and Decrease in Ammonia causes a subsquent increase in which AA?

A

Glutamine; Arg

21
Q

Episodic hypokinetic hypoglemic provoked by fasting and infection at 2 years; accumlation of dicarboxylic acids (C6,8,10)

A

MCAD

22
Q

MCAD substrates are…

A

C4-C12

23
Q

Ketosis, fatty liver, confusion, weakness, hypoglycemia, hyperammonia, myoglobinuria and accumulation of long FA in cell cytoplasm?

A

Carnitine deficiency