MEDgems 4 Flashcards

1
Q

what enzyme does lomatipide act on?

A

microsomal triglyceride transfer protein

can treat familial hypercholesterolaemia

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2
Q

high trigylceride means what

A

primary hypertriglyceridaemia
1) Type 1 - lipoprotein lipase / apoC II

2) Type 5 - apoA V
4) Increased synthesis of TG

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3
Q

high triglyceride and apoE2 present?

A

Type 3 hyperlipoproteinaemia

familial dysBlipoproteinaemia

yellow discolouration also present

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4
Q

what enzyme is missing in lesch nyhan syndrome?

A

HGPRT

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5
Q

A patient’s blood tests have returned and show they have a low serum sodium level. What investigation should be done to determine if this is a true hyponatraemia

A

serum osmolality

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6
Q

Blood sulfonylurea levels need to be checked when?

A

to check if hypoglycaemia is factitious or not

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7
Q

An asymptomatic 50 year old man attends his GP for a routine check-up.

His fasting plasma glucose is measured as 6.7 mmol/L. What is the diagnosis

A

impaired fasting glucose

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8
Q

how is acute intermittent porphyria investigated?

A

Investigated?

Urine porphobilinogen

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9
Q
A
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