Heme Synthesis Flashcards

1
Q

which out of the following is not a hemo protein
a)Tryptophan pyrrolase
b)tyrosinase
c) myoglobin
d) cytochrome P450

A

Tyrosinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which of the following enzymes catalyze a rate limiting step in the pathway of heme biosynthesis

A

ALA Synthase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

High levels of lead can affect heme metabolism by combining with SH groups of which enzymes

A

ALA dehydratase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pyridoxal phosphate is necessary for the pathway of Heem biosynthesis, which out of the following enzyme requires pyridoxal phosphate as a coenzyme

A

ALA Synthase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

in general, the porphyrias are inherited in an autosomal dominant manner with the exception of

A

Congenital erthropoietic porphyria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Formation of ALA occurs in

A

Mitochondria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Uroporphyrinogen formed is almost exclusively

A

The III isomer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Coproporphyrinogen oxidase is able to act only on

A

Type III isomer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

in which of the following porphyrias cutaneous hypersensitivity is not observed

A

Congenital Erthyropoietic porphyria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which of the following statements describes the basis of giving IV hemin infusion
a) heme act as a negative regulator of the synthesis of ALA Synthase
B) Heme affects translation of the enzyme c) heme affects the transfer of enzyme from the cytosol to the mitochondria
D)all of the above

A

All of the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Erythtrodontia is a sign of which porphyria

A

Congenital erthyropoeitic porphyria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

in acute intermittent porphyria, the following enzymes deficiency is expected

A

Porphobilinogen decarboxylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Porphyria cutanea tarda (patient with vesicles and bullae on his face and arms after spending so much time in the sun) is caused due to the deficiency of which enzyme

A

Uroporphyrinogen decarboxylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

patient with abdominal pain, cramping, anxiety, hallucinations, and paranoid behavior. What could be the diagnosis?

A

Variegate porphyria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

patient with abdominal pain fever from seven days loss of appetite, pale stool and jaundice.blood biochemistry reveals mixed hyperbilirubinemia. What is the cause of jaundice?

A

Viral hepatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

impaired Glucuronyl transferase activity is observed in all of the following, except
a)breastmilk jaundice
b)physiological jaundice of the newborn
c) Crigler Najjar syndrome
d)dubin Johnson syndrome

A

D) Dubin Johnson syndrome

17
Q

Which of the following conditions is not associated with excessive bilirubin formation from hemolysis
a)sickle cell anemia
b)thalassemia
c)malaria
d)rotor syndrome

A

d) Rotor syndrome

18
Q

which serum enzyme elevation is most diagnostic in obstructive jaundice

A

ALP alkaline phosphatase

19
Q

Acholuric Jaundice is

A

Hemolytic Jaundice

20
Q

urine analysis of a patient reveals the essence of bilirubin and urobilinogen which serum enzyme is expected to be elevated much higher than normal

A

ALT Alanine Aminotransferase

21
Q

in conjugated hyperbilirubinemia which serum enzyme is expected to be much higher than normal for this patient

A

ALP (Alkaline phosphatase)