Board Prep Biochem Flashcards

1
Q

Homeobox genes

A

genes encoding for TRANSCRIPTION FACTORS crucial during embryologic development
Syndrome with mutated homeobox genes is Basal cell nevus syndrome

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2
Q

Uncoupling agents in the mitochondria

A

increase the permeability of the inner mitochondrial membrane and decrease the number of ATP per glucose

Decreased protons in the transmembrane space

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3
Q

Hepatic triglyceride lipase

A

breaks down triglycerides in intermediate density lipoproteins

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4
Q

Niemann-Pick disease

A

Autosomal recessive disease due to deficiency of sphingomyelinase (increased sphingomyelin)
Ashkenazi Jewish descent
hepatosplenomegaly differentiates from Tay-sachs

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5
Q

Ketone body synthesis disorder

A

Carnitine deficiency
urinary carnitine wasting
without carnitine, acyl-CoA is trapped in cytosol, disrupts beta-oxidation impairing ketone body synthesis

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6
Q

Organelles in which Vitamin C is a cofactor

A

vesicles (the hydroxylation of dopamine to norepinephrine) and the endoplasmic reticulum (hydroxylation of proline and lysine on preprocollagen)

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7
Q

Accumulation of NADH

A

several downstream effects in order to regenerate NAD+
lactic acidosis
inhibition of gluconeogenesis
increased fatty acid synthesis

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8
Q

What organelle participates in phase I and II detoxification

A

The Smooth Endoplasmic Reticulum (which is also responsible for synthesis of phospholipids, lipoproteins, and sterols)

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9
Q

Western blot

A

uses protein antibodies

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10
Q

Angelman’s syndrome

A

can be worded mutation on maternal chromosome 15

or uniparental disomy from the paternal 15

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11
Q

Cyanide on ETC

A

cells are only able to use glycolysis–> lactic acidosis
AMS, new onset seizures, hepatic failure, rhabdo(leading to renal failure)
flushed skin with tachy, tachypnea HTN –> opposite later
use Hydroxocobalamin for treatment

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12
Q

Gaucher disease

A

Beta-glucocerebrosidase deficiency
avascular necrosis of distal femur, osteopenia, hepatosplenomegaly, thrombocytopenia
accumulation of glucocerebroside
Ashkenazi Jewish descent
macrophages filled with lipids (wrinkled paper)

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13
Q

Krabbe disease

A

optic atrophy, seizures, and eventual death
globoid cells around the cytoplasm within the white matter (multinucleated macrophages with abundant cytoplasm)
deficiency of galactocerebrosidase
elevated galactocerebroside

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14
Q

Fabry’s disease

A

Alpha-galactosidase A deficiency

peripheral neuropathy and renal disease

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15
Q

Metachromatic leukodystrophy

A

Arylsulfatase A deficiency
demyelination of both central and peripheral nervous systems leading to ataxia and cognitive decline
Optic atrophy

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16
Q

Vitamin co factor for odd-chain fatty acid metabolism

A

Vitamin B12 is needed for the conversion of Methylmalonyl-CoA to Succinyl-CoA by Methylmalonyl-CoA mutase

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17
Q

Insulins role in glycogen synthesis

A

inactivates phosphorylase kinase by dephosphorylating it
inactivates glycogen phosphorylase a by desphosphorylation
activates UDP-glucose phosphorylase

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18
Q

Apolipoprotein B-100

A

the only apolipoprotein associated with LDL
binds the LDL receptor on the liver
facilitates trafficking of the LDL throughout the tissues in the body

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19
Q

Heteroplasmy

A

refers to the presence of both mutated and non-mutated mitochondrial DNA within the same cell, leading to differences in disease severity

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20
Q

Xeroderma pigmentosum

A

Autosomal recessive defective NER

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21
Q

Sarcoidosis

A

multisystem granulomatous disorder
noncaseating granulomas
young adults – bilateral hilar adenopathy, pulmonary reticular opacities, skin, join, eye lesions
reiculoendothelial system disease
vitamin D excess due to epitheliod macrophages

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22
Q

Substrate level phosphorylation

A

Cytosol: 1,3-bisphosphogylcerate to 3-phosphoglycerate; and PEP to pyruvate
Mitochondria (TCA): Succinyl-CoA to succinate

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23
Q

Homocystinuria

A

cysteine becomes an essential amino acid due to deficiency of enzyme that converts methionine to cysteine

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24
Q

GLUT 4 transporter

A

facilitated diffusion

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25
Q

Vitamin E deficiency

A

deficiency can lead to hemolytic anemia, muscle weakness, and neuro defects

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26
Q

Cystathionine synthase deficiency

A

elevated homocysteine
looks marfanoid-like
increased risk of strokes
LENSES displaced DOWNWARDS

27
Q

Kwashiorkor

A

more commonly associated with hepatomegaly and anasarca

anorexia

28
Q

Function of Apolipoprotein E

A

bind LDL receptor

29
Q

Apolipoprotein A-I

A

activates lecithin acyltransferase

bound to HDL and chylomicros

30
Q

Apolipoprotein B-48

A

found on chylomicros to facilitate secretion

31
Q

Apolipoprotein C-II

A

cofactor for LPL

32
Q

Klinefelter’s syndrome labs

A
Increased estradiol
FSH increased
Inhibin B decreased
Testosterone decreased
Elevated LH
33
Q

Alpha-1,6-glucosidase deficiency

A

Cori’s disease (glycogen storage disease type III)

hepatomegaly and hypoglycemia

34
Q

Porphyria cutanea tarda

deficiency of uroporphyrinogen decarboxylase

A

result of chronic Hep C
accumulations in uroporphyrin
present with cutaneous blisters and liver involvement
liver bx. = porphyrias as intracellular crystals (red under long wave UV light)

35
Q

Calculate LDL

A

Total= HDL+LDL+(triglycerides/5)

36
Q

Microarray

A

technique used to determine the relative differences in gene expression in one sample compared to another

37
Q

Lead poisoning

A

elevated coproporphyrin
nonspecific anemia, constipation, encephalopathy, abd pain
basophilic stippling
lead lines

38
Q

Hartnup

A

AR disorder presents like niacin deficiency
defective neutral amino acid transporter
supplement with niacin

39
Q

Aldose reductase

A

turns glucose into sorbitol which causes osmotic damage

40
Q

Citrate

A

Citrate is transported to the cytoplasm for fatty acid synthesis

41
Q

Acute intermittent porphyria

A

deficiency of porphobilinogen deaminase
leading to accumulationgs of ALA and porphobiliniogen
diffuse abd pain and red urine

42
Q

methanol toxicity

A

usually 12-24 hours after ingestion
similar to ethanol
metabolized by alcohol dehydrogenase (then into formic acid)
treat with ethanol or fomepizole

43
Q

Famiial hypercholesterolemia

A

autosomal dominant mutation causing defective LDL receptors

xanthomas on tendons

44
Q

Primary ciliary dyskinesia

A

both dynein and kinesin are involved in transport of substances within the cell

45
Q

Pompe’s disease

A

Deficient in (acid maltase) lysosomal enzyme alpha-1,4-glucosidase
glycogen accumulates in lysosomes and cytoplasm
CARDIOMYOPATHY, hypotonia, hepatomegaly

46
Q

cystinuria

A

heaxgonal crystals in urine with cystine kidney stones

treat with acetazolamide to alkalize urine

47
Q

beriberi

A

thiamine deficiency
symmertric muscle wasting as well as neuro deficits
weakness (worse in LE)

48
Q

Lafora body disease

A

rare AR disease in which many cells develop inclusion bodies known as Lafora bodies (stain with PAS which demonstrates glycogen, glycoproteins, or other carbs)

49
Q

collagen synthesis

A

in the extracellular space the two steps are cleavage of C-terminal peptides and cross-linking of lysin and hydroxylysine

50
Q

Promoter/
enhancer/
repressor

A

upstream/
anywhere/
anywhere

51
Q

Marfan’s

A

AD mutation in fibrillin gene

aortic regurg diastolic decrescendo murmur along left sternal border

52
Q

Base excision repair

A

involves cleaving damage bases from the sugar-phosphate backbone using enzymes called GLYCOSULASES

53
Q

Acute intermittent porphyria

A

accumulation of porphobilinogen and delta-aminolevulinic acid int he urine
diffuse abd pain, redurine
deficiency in porphobilniogendeaminase

54
Q

non-oxidative reactions of HMP shunt

A

involved in transformation of ribulose-5-phosphate into other sugars
these reactions are called transkeolase and transaldolase

55
Q

lipoic acid is necessary for what enzymes

A

pyruvate dehydrogenase, a-ketoglutarate dehydrogenase, and BCAA dehydrogenase
deficiency causes lactic acidosis

56
Q

nondisjunction during meiosis with identical alleles from one parent

A

anaphase II

57
Q

Rotenone poisoning

A

inhibits complex I in mitochondria, leading to symptoms consistent with Parkinson disease

58
Q

Stickler syndrome

A
mutations in COL2A1, COL9A1, COL11A1, and COL11A2
AD pattern most common
abnormality of type II collagen
vision and hearing loss
abnormal facial features
59
Q

Protein kinase C activation

A

Gq second messenger
PIP2 synthesis–> elevated DAG and IP3
DAG activates protein kinase C
IP3 leads to increased intracellular calcium

60
Q

Heme synthesis

A

dependent upon sufficent quantities of glycine

61
Q

Mannose 6-phosphate addition to proteins

A

occurs in golgi and send to lysosomes

62
Q

Fates of pyruvate

A

Pyruvate carboxylase (oxaloacetate)
PDH (Acetyl-CoA + NADH)
LDH (Lactate +NAD+)
ALT (Alanine)

63
Q

Paget’s disease

A

leads to high-output heart failure due to presence of mini AV fistulas in the bones