Miscellaneous Flashcards

1
Q

What is myasthenia gravis caused by?

A
  • Autoimmune disease: antibodies block nAChRs at neuromuscular junctions.
  • Prevents nerve impulses from triggering muscle contractions.
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2
Q

What are the symptoms of myasthenia gravis?

A

Skeletal muscle weakness, esp of eyes, face and swallowing.

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3
Q

How is myasthenia gravis treated?

A
  • Acetylcholinesterase inhibitors

- Thymectomy

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4
Q

What is the result of faulty peroxisome protein targeting?

A

Peroxisome biogenesis disorders, e.g.

  1. Zellweger syndrome
  2. Rhizomelic chondrodysplasia punctate
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5
Q

What is Zellweger syndrome?

A

Mutation in any of 12 PEX genes (inc. Pex5)… no PO protein targeting… VLCFA accumulation… neurone development impairment.

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6
Q

What is Rhizomelic chondrodysplasia punctate?

A

Mutation of Pex7 leads to skeletal abnormalities.

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7
Q

Name and describe a disease associated with lysosomal protein targeting deficiency.

A
  • I cell disease

- deficiency in kinase which phosphorylates mannose residues on proteins destined to lysosomes

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8
Q

Why does vitamin D deficiency cause osteomalacia?

A
  • Vitamin D required for calcium reabsorption in small intestine.
  • No vitD… no calcium hydroxyapatite to mineralise bone.
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9
Q

Why would cellulitis cause oedema?

A

Cellulitis = inflammation of dermis so increased inflammatory cells and proteins in interstitium - increased interstitial oncotic pressure.

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10
Q

What are the 2 types of Huntington’s disease?

A

Normal age of onset (30-50yrs) and juvenile HTT (<20yrs)

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11
Q

When is Juvenile Huntington’s more likely to occur?

A

When condition inherited from father

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12
Q

What are the symptoms of Huntington’s?

A

Seizures
Abnormal gait
Personality change
Dementia

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13
Q

Which gene is involved in Huntington’s and what protein does it encode?

A

HTT gene on chromosome 4. Encodes huntingtin protein.

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14
Q

What is the normal structure of HTT gene?

A

Short tandem repeat region of 10-35 CAG trinucleotide repeats

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15
Q

What mutation causes Huntington’s?

A

Expansion of CAG repeats . 37-80 repeats

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16
Q

What is the inheritance pattern of Huntington’s?

A

Autosomal dominant

17
Q

What is anticipation in Huntington’s?

A

Size of CAG trinucleotide repeat region increases over generations and is associated with earlier onset of symptoms

18
Q

Which genetic test is used to identify Huntington’s?

A

Amplify repeat using PCR and analyse using DNA gel electrophoresis.

19
Q

Which hormones might the body produce to compensate for anaemia, lymphocytopenia and thrombocytopenia?

A

Erythropoietin, G-CSF and thrombopoietin.

20
Q

What are the terms for increased levels of erythrocytes, lymphocytes and platelets?

A

Polycythemia
Leukaemia
Thrombocythemia

21
Q

What is the term for deficiency in all types of blood cells?

A

Pancytopenia