Mod 6-6 PKU Flashcards

1
Q

What does PKU stand for?

A

Phenylketonuria

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

PKU is the most common what?

A

Hereditary abnormality that is an enzyme deficiency.

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

What is the definition of PKU?

A

A congenital disorder in which the enzyme that metabolizes the protein phenylalanine is deficient and toxic amounts of the protein are allowed to build up in the blood stream.

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

What can happen if the deficiency that causes PKU is not treated early?

A

Brain atrophy (loss of neurons and connections) will occur that can lead to a variety of dire consequences for the child.

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

What is the etiology of PKU?

A

The disease is passed through both parents who appear healthy but both show signs of the disease. It is transmitted recessively.

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

For parents that appear healthy but are both positive for PKU have a one in ____ chance of having a child with PKU and those children have a one in ___ chance of being a carrier like their parents.

A

4; 2

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

What is required at birth in reference to PKU?

A

being tested is required in the U.S.

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

How does PKU affect the skin?

A
  • Lacks normal pigmentation (melanin)
  • Excessively sensitive to light
  • Eczema.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do people with PKU usually have for hair and eye color?

A

Blond hair and blue eyes, but not always.

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

Excess PHE can also prevent normal _____ development.

A

brain

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

___% of PKU cases are in the classic form.

A

90%

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

When do the levels of phenylalanine begin to rise because the enzyme taht is needed to convert it ot another product is missing in a child born with PKU?

A

At about 3 or 4 days old

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

What happens if PKU is left untreated after birth?

A

Seizures begin, abnormal behavior becomes apparent including hyperactivity and extreme irritability, severe vomiting and abnormal EEG’s will be recorded. All of these will begin at about 4 months of age. Motor skills are also delayed (sitting, walking)

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

What happens with an untreated PKU patient at age 2-3 years old?

A
  • Cerebral damage is severe with IQ averaging about 20.
  • Children will also have unusual mousy odor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Can patients with PKU prevent mental retardation?

A

Yes with a phenylalanine-free diet

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

What are the clinical manifestations of PKU?

A
  • Retardation
  • Melanin deficiency
  • Slow motor skills development
  • Abnormal behavior
  • Unusual body odor
17
Q

What is seen radiographically with PKU patients?

A

Not much to see except dilated ventricles of the brain and as the disease progresses the brain is compressed and atrophied (thus causing low IQ in untreated children)

18
Q

What is the radiographic effect of PKU?

A

None

19
Q

What is phenylaline converted to in someone who does not have PKU?

A

tyrosine

20
Q

Another term for profound retardation that PKU can lead to…

A

microcephaly - an abnormal smallness of the head

21
Q
A