Biochemistry Flashcards

0
Q

Where does the Krebs cycle occur

A

Within mitochondria

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1
Q

What is the Krebs cycle?

A

Reactions in which acetyl co enzyme A is metabolised carbon dioxide and hydrogen atoms

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2
Q

Can Krebs cycle function in anaerobic conditions?

A

No

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3
Q

Krebs cycle is the pathway for oxidation of what substances

A

Carbohydrate fat and some amino acids

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4
Q

Uric acid is formed from the breakdown of what?

A

Purines

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5
Q

How does serum uric acid levels change in pregnancy?

A

Levels may fall due to dilution

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6
Q

In what obstetric condition does levels of uric acid rise?

A

Pre-eclampsia (PET)

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7
Q

Where does reabsorption of uric acid occur

A

Proximal convoluted tubule

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8
Q

Features of a transudate?

A

Low protein concentration
Low specific gravity
Low nucleated cell count

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9
Q

Features of an exudate

A

High protein concentration

Higher specific gravity

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10
Q

Causes of an exudate

A
Meigs syndrome
Malignancy
Infection
Pulmonary embolus
Pancreatitis
Tuberculous peritonitis
Budd Chiari syndrome
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11
Q

Causes of a transudate

A
Congestive heart failure
Process
Hyperproteinaemia
Nephrotic syndrome
Acute atelectasis
Myxoedema
Peritoneal dialysis
Meigs syndrome
End-stage renal disease
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12
Q

Where does 25 hydroxylation of vitamin D occur

A

In the liver

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13
Q

What happens to vitamin D in the kidney

A

1 hydroxylation

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14
Q

Effect of renal failure of vitamin D levels

A

Decreased

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15
Q

Causes of hypokalaemia

A
1. Transcellular shifts 
   alkalosis
   Insulin
   Beta agonists 
2. Renal losses
   Dieresis 
   DKA after therapy
   Cons syndrome
3. Extra renal losses
   Diarrhoea
   NG suction 
4. Decresed intake 
   Malnutrition
   alcoholism
16
Q

What are the 9 essential amino acids

A
Valine 
Tryptophan 
Lysine
Leucine
Isoleucine
Phenylalanine 
Threonine
Methionine 
Histidine
17
Q

Causes of hyperkalaemia

A

Time for renal tubular acidosis
Hyperparathyroidism
Hypoadrenalism

18
Q

ECG changes in hyperkalaemia

A
Peaked T
Prolonged PR
Wide QRS
Decreased p
Heartblock
Arrhythmia
19
Q

Effect of hyperkalaemia on muscles

A

Weakness
Paraesthesia
Decreased reflexes

20
Q

Where is insulin secreted from

A

Pancreatic beta cells

21
Q

Half life of insulin

A

4 mins

22
Q

Clinical conditions which prolong nondepolarising neuromuscular blockade

A
Hypokalaemia
Hypocalcaemia
Hypermagnesaemia
Metabolic alkalosis
Respiratory acidosis
Hypothermia
23
Q

Drugs which prolong neuromuscular blockade

A

Antibiotics-streptomycin polymyxin and neomycin
Cocaine
Procaine and Lidocaine
Lithium (hypokalaemia)

24
Q

What are prostaglandins composed of

A

Long chain hydroxy fatty acids

25
Q

What is uric acid formed from

A

Breakdown of purines

26
Q

Effect of pre-eclampsia on uric acid levels

A

Increase