np Flashcards

1
Q

What is Niemann-Pick disease?

A

A genetic disorder that affects lipid metabolism, leading to the accumulation of sphingomyelin in various organs.

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2
Q

Niemann-Pick disease is primarily associated with which type of genetic inheritance?

A

Autosomal recessive inheritance.

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3
Q

What are the two main types of Niemann-Pick disease?

A

Type A and Type B.

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4
Q

Which enzyme is deficient in Niemann-Pick disease Type A?

A

Sphingomyelinase.

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5
Q

True or False: Niemann-Pick disease Type A typically presents in infancy.

A

True.

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6
Q

What is a common symptom of Niemann-Pick disease Type A?

A

Hepatosplenomegaly.

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7
Q

Fill in the blank: Niemann-Pick disease can lead to _____ dysfunction.

A

Neurological.

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8
Q

What is the life expectancy for individuals with Niemann-Pick disease Type A?

A

Usually less than 3 years.

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9
Q

Which type of Niemann-Pick disease has a later onset and a milder course?

A

Type B.

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10
Q

True or False: Niemann-Pick disease Type B is associated with neurological symptoms.

A

False.

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11
Q

What is a key laboratory finding in Niemann-Pick disease?

A

Elevated levels of sphingomyelin in the blood and tissues.

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12
Q

What is the role of the NPC1 and NPC2 proteins in Niemann-Pick disease?

A

They are involved in intracellular cholesterol transport and are associated with Niemann-Pick disease Type C.

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13
Q

What is a common imaging finding in Niemann-Pick disease?

A

Hepatic enlargement seen on ultrasound or CT.

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14
Q

Which organ is primarily affected in Niemann-Pick disease?

A

Liver.

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15
Q

What type of therapy is currently available for Niemann-Pick disease?

A

There is no cure; management is supportive and symptomatic.

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16
Q

What is the hallmark histopathological finding in Niemann-Pick disease?

A

Foamy macrophages in affected tissues.

17
Q

True or False: Niemann-Pick disease can be diagnosed with a skin biopsy.

A

True.

18
Q

What is the primary mode of diagnosis for Niemann-Pick disease?

A

Enzyme assays and genetic testing.

19
Q

Which population is more commonly affected by Niemann-Pick disease?

A

Ashkenazi Jews.

20
Q

What is the typical age of onset for Niemann-Pick disease Type B?

A

Childhood or adolescence.

21
Q

Fill in the blank: Niemann-Pick disease is classified as a _____ storage disorder.

A

Lipid.

22
Q

What are some common complications of Niemann-Pick disease?

A

Respiratory infections and failure to thrive.

23
Q

True or False: Niemann-Pick disease is always fatal.

A

False; Type B can have a better prognosis.

24
Q

What type of genetic testing can be used to confirm Niemann-Pick disease?

A

Mutation analysis of the SMPD1 gene.

25
Q

What is the primary focus of care in managing Niemann-Pick disease?

A

Palliative care and symptom management.