Other Flashcards

1
Q

N-formylmethionine (fMet) role

A
  1. Initiation amino acid in prokaryotes

2. Neutrophil chemotaxis

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2
Q

Introns can contain

A

miRNA genes

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3
Q

Cistinuria - treatment

A

Urinary alkalization (potassium citrate, acetazolamide), chelation agents (penicillamin)

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4
Q

Golgi apparatus function

A
  1. Modifies N-oligosaccharides on Aspargine
  2. Adds O-Oligosacch on SERINE + THREONINE
  3. Adds Mannose-6-p
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5
Q

Procollagen bonds

A

hydrogen + disulfide

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6
Q

protein synthesis direction

A

N-terminus to C

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7
Q

intros sequence

A

GU….AG

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8
Q

tRNA activates energy

A
  1. charging - ATP
  2. initiation pr synthesis - GTP
  3. ribosomes translocation - GTP
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9
Q

Pyridoxine function

A
  1. transamination
  2. decarboxylation
  3. glycogen phosphorylase
    CYSTATHIONE, heme, niacin, HISTAMINE, SERETONIN,, epinephrin, norepin, dopamine, GABA`
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10
Q

Tuberous scleoris - phenotype expression features

A

INCOMPLETE PENETRANCE

variable expression

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11
Q

Duchenne gait, MCC of death

A
  1. waddling gait

2. Dilated cardiomyopathy

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12
Q

Pompe disease findings

A
  1. Cardiomyopathy
  2. hypertr cardiomyopathy
  3. exercie intolerance
  4. systemic findings leading to early death
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13
Q

HMG-coa reductase regulators

A

+ insulin, T4

- Glucagon, cholesterol

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14
Q

ATP production - pathways

A

malate-aspartate –> 32
Glycerol-3-P –> 30
Anaerobic –> 2

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15
Q

NADPH is used in

A
  1. anabolic (not ketones)
  2. P450
  3. Respiratory burst
  4. Glutathione reductase
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16
Q

Pyruvate to lactate - major pathway in which tissues

A
  1. RBCs 2. testicles 3. leukocytes

4. lens 5. kidney medulla 6. cornea

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17
Q

inhibitors of every step in REDOX

A
  1. complex 1 –> rotenone
  2. complex 2 –> antimycin A
  3. complex 4 –> cyanide, CO
  4. complex 5 –> oligomycin
  5. uncoupling agents –> dinitrophenol, aspirin, thermogenein
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18
Q

gluconeogenesis tissues

A

liver
intestine
kidney

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19
Q

fatty acids/gluconeogenesis

A

even chain –> cannot produce since only acetyl-coa

odd chain –> yield one propionyl-coa –> succinyl coa –> glucose

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20
Q

sites of HM shunts (organs)

A

fatty acid or steroid synthesis

  1. RBCs
  2. lactating mammary glands
  3. liver
  4. adrenal
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21
Q

Tissue with sorbitol dehydrogenase

A
  1. ovaries
  2. seminal vesicles
  3. liver
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22
Q

Tissue without sorbitol dehydrogenase

A
  1. scwann
  2. retina
  3. kindey
  4. lens
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23
Q

essential glucogenic ketogenic aminoacids

A
  1. phenylalanine
  2. tryptophan
  3. threonine
  4. isoleucine
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24
Q

hyperammonemia treatment

A
  1. limit protein
  2. lactulose
  3. Neomycin + rifamixin
  4. Phenylbutyrate or Benzoate –> bind aminoacid + lead to excretion
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25
Q

mechanism of hypoglycemia in acyl-coa dehydrogenase deficiency

A

acyl-coa is a + allosteric regulator of pyruvate carboxylase

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26
Q

types of ketone bodies (+ tests)

A

acetone
acetoacetate
β-hydroxybutyrate (not in urine)

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27
Q

MC heart defect in Turner (and ausculation)

A

bicuspid aortic valve (20-30%) –> early systolic, high frequency click over the riht second intespace
(other heart defect is coartraction 3-10%)

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28
Q

familiar hypercholesterolemia - type of mutation

A

frameshift

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29
Q

Syndromes with shortened telomeres

A

syndromes with premature aging (eg. Bloom syndrome)

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30
Q

GAA in frataxin –> …

A

decreased translation (NOT TRUNCATED)

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31
Q

The low of segregation

A

Mendel’s first law:
gametogenesis within parent organism results in separation of paired alleles so that each offspring inherits only half of each parent’s genetic composition

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32
Q

Turner - area of coartraction

A

Preductal

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33
Q

CF - infertility

A

inadequate mesonephric duct development

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34
Q

Down syndrom - nondisjunction during

A

anaph 1 or 2

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35
Q

out of frame vs in frame mutation

A

out of frame –> premature termination

in frame –> maintains the reading

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36
Q

RNA polynerase I vs II vs III according to production

A

I –> 18S, 5.8S & 28S ribosomal RNA (first 45 that divided)
II –> mRNA, miRNA, snRNA
III –> tRNA, 5S ribosomal RNA (essentail for 60S subunit)

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37
Q

presenilin genes ch

A

presenilin 1 –> ch 14

presenilin 2 –> ch 1

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38
Q

CF vs Primary ciliary dyskinesia according to nasal polyps, digital clubbing

A

both have

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39
Q

palindromic sequence in DNA

A

reading 5–> 3 in one strand is the same as 5–>3 to the other

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40
Q

Lyonization

A

X-inactivation
Methylated DNA
deacetylated histones

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41
Q

Risk factors for molar pregnancy

A
  1. maternal age
  2. prior molar pregnancy
  3. infertility
  4. prior miscarriage
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42
Q

MEN 1 ch

p53 ch

A

11

17

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43
Q

pheo vs renal ca in VHL

A

renal is more common

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44
Q

epistasis?

A

the allele of one gen affects tje phenotypic expression of alleles in another gene

45
Q

primary amenorrhea

A

absence of menses by age 15 in someone who has normal growth + secondary sexual characteristics or absence of menses by age 13 in girls without 2ry sexual characteristics

46
Q

TATA box location

CAAT box location

A

25 bases upstream from the beginning of the coding strand (aka Hogness box)
70-80 bases upstream from the beginning of the coding strand

47
Q

protein kinase regulates the activity of its target proteins by

A

phosphorylating threonine + serine residues

48
Q

promoter in prokaryotes

A

Pribnow box (-35)

49
Q

patau vs Down vs edwards according to GI manifestations

A

Down –> Hirschsprung, duodenal atresia
Patau –> omphalocele
Edwards –> Meckel’s, diverticulim

50
Q

mechanism of decreased expression of huntingtin protein in Huntington disease

A

hypo acetylation of histones

51
Q

beside the others, DOWN also increases the risk for

A

imperofrate anus, tracheoesophageal fistula, celiac disease

52
Q

Down syndrome - endocrinology + rhematology

A
  1. endocrinology: hypothyroidism, DM1, obesity

2. Rhematology: Antlantoaxial instability

53
Q

chorionic villus sampling can be performed at … (when)

A

10-14 weeks gestation (it has risks)

54
Q

CFTR modulating medications that that promote its transportation at membrane and enhance its action

A
  1. Lumacaftor (transportation)
  2. Ivacaftor (enchantment)
    IMPROVE FEV + DECREASED PULMONARY EXACERBATIONS
55
Q

other mutations that cause CF

A
  1. mutation that impairs ATP binding
  2. mutation that decreased production of normal CFTR (milder)
  3. mutation that impairs CL- conduction through CFTR
  4. mutation that cause premature termination o the protein (nonsense, frameshift) (usually seen in Askenazi)
56
Q

polycistronic mRNA

A

found in bacteria –> multiple open reading frames –> translated into several proteins
(not in human: MONOCISTRONIC mRNA –> only 1 protein)

57
Q

MCC of hair loss in both men and females / mode of inheritance

A

androgenic alopecia –> polygenic (both hormonal + genetic factors) (esp X, Y, short 20 chromosome)

58
Q

eukariotic cells initiation of translation

A
  • AUG

- Kozak consensus

59
Q

viral interference?

A

one virus inhibits replication and/or release of a 2nd virus that is infecting the same cell

60
Q

MCCC sex chrom abnormality in females? / presentation

A

47 XXX –> usually diagnosed incidentally as the carriers are NORMAL

61
Q

reverse transcriptase of human cells / function / structure

A

telomerase (RNA depended DNA polymerase

  • -> Adds TTAGGG repeats to the 3’ end of chromosomes
  • -> composed of 2 main subunits: a. telomerase reverse transcriptase subunit b. telomerase RNA compoment
62
Q

Vaginal adenosis

A

replacement of vaginal squamous epithelium with glandular columnar epithelium. it occurs in female children of women exposed to DES during pregnancy. It is a precursor of clear cell adenocarcimona of vagina

63
Q

Methanol induced blindness

A

methanol –> formic acid (alcohol dehydrogenase)

64
Q

Renal ammoniogenesesis?

A

renal tubular epithelial cells: glutamine –> glutamate + ammonium + HCO3 (in response to acidosis)

65
Q
  1. characteristic of ANA in RA

2. citrullination

A
  1. IgM
  2. tissue inflammation –> argining residues in proteins such as vimentin to citrulline –> altered shape of antigen –> immune response generation
66
Q

SnRNAs are synthesized by

miRNAs are synthesized by

A

both by RNA pol 2

67
Q

MAO enzyme - origin

A

mitochondria

68
Q

PCR vs rtPCR according to template

A

PCR: DNA
rtPCR: cDNA

69
Q

Bloom syndrome

A

rare AR –> BLM gene (helicase) mutation) –> growth retardation, facial anomalies, photosensitivity skin rash, immunodeficiency (due to ch instability + breakage)

70
Q

nuclear and mit proteins synthesis location

A

nuclear –> RER

mit –> cytoplasm

71
Q

fructose metabolism abnormalities - 1. breast milk 2. starch

A
  1. no problem because breast milk contains lactose (gal + glu) and maltose (glu + glu) (formula has sucrose)
    it does not contain lactose
  2. no problem -> starch has only glu
72
Q

McArdle disease - how to improve symptoms

A

consume sugar before exercise

73
Q

biotin deficiency - ph?

A

lactic acidosis

74
Q

rate-limiting step in the synthesis of catecholamines

A

tyrosine hydroxylase (tyrosine –> DOPA)

75
Q

raw eggs white causes biotin depletion due to

A

high levels of biotin-binding avidin

76
Q

copper reduction test?

A

detect reducing sugar (fructose, glucose, galactose) –> non specificg
(urine dipsstick –> specific specific for sugar)

77
Q

the elastic properties of elastin are due to

A

interchain cross-links involving lysine (lysil oxidase) (desmosine cross links)

78
Q

neurofibrosarcomas

A

malignant peripheral nerve sheath tumors that arise from neurofibromas

79
Q

lead poisoning - type of protoporphirin

A

zinc protoporphirin (instead of Fe2+)

80
Q

Dopamine hydroxylase deficiency

A

rare –> dysautonomia (ptosis, orthostatic hypertension, hypoglycemia, hyponatremia)

81
Q

phenylketonuria - brain hypopigmentation

A

of catecholaminergic locations:

  1. locus ceruleus
  2. substantia nigra
  3. vagal nucleus dorsalis
82
Q

enzyme with increased activity in Lench-Nuhan syndrome

A

PRPP amidotransferase

83
Q

carotene is a precursor to

A

vit A

84
Q

degradation of proteins - location

A

nuclear + cytoplasmic –> proteosome

extracellular –> lysosomes

85
Q

miRNA - mechanism

A

transcription in nucleus (pre mirna) - double strand –> cleaved into short RNA helix by ribonuclease protein (DICER) –> seperation of strands –> bind mRNA –> exact match causes mRNA degradation, partial match causes transnational represion by preventing ribosome + transcription factors to bind (posttranscriptional gene silencing)

86
Q

pellagra mediated dementia

A

due to neuronal degeneration in the brain + spinal cord, with lesions similar to those in B12 deficiency

87
Q

Arginase deficiency in urea cycle - manifestation/treatment

A

progressive diplegia, growth delay, abnormal movements (mild or no hyperammonia)
treatment: arginine-free, low-protein diet

88
Q

protein structure - bonds

A

1ry –> covalent
2ry –> hydrogen
3ry –> ionic, udrophobic, hydrogen, disulfide

89
Q

Tetrahydrobiopterin (BH4)?

A

cofactor used by hydroxylase enzymes in the synthesis of:

  1. Tyrosine
  2. Dopamine
  3. Seretonin
  4. NO
90
Q

Methoglobinemia - skin

A

cyanosis

91
Q

Methylmalonic acidema?

A

methylmalonyl-Coa mutase (AR) –> lethargy, vomiting, tachpnea

  • -> hyperammonemia, ketotic hypoglycemia, met acidosis
  • -> elevated methylmalonic acid + propionic acid
92
Q

essential fructosuria - alternative pathway for fructose metabolsim

A

fructose –> fructose 6-P (hexokinase) –> enter glycolysis

93
Q

Glutamate - glutamine cycle

A

in the astrocytes: Glutamate + NH3 –> Glutamine (glutamine synthetase)
in neurons: Glutamine –> glutamate (Glutaminase) –> releasing

94
Q

excess ammonia (eg. cirrhosis) - what happen in astrocytes?

A

increased glutamine production –> increased intracellular osm –> astrocyte swelling –> impaired glutamine release –> decreased glutamate in neurons –> disruption of excitatory neurotransmission

95
Q

leptin action

A

acts on the arcuate nucleus of hypothalamus –> inhibit production of neuropeptide Y (decreasing apetite)
also stimulate the production of POMC at the same location

96
Q

acquired obesity - leptin

A

high leptin –> receptor desensitisation

97
Q

Lac operon - genes and their function

A

z gene –> β-galactosidase –> lctose to glucose + galactose
y gene –> permease –> transmembrane enzyme –> increases permeability of the cell to lactose
a gene –> β-galactoside transacetylase (unnecessary for lactose metabolism to E-coli
(LAC operon also has promoter region + operator region + regulatory gene (repressor protein))

98
Q

cyanide poisoning - presentation

A

reddish skin discoloration, tachypnea, headache, tachycardia, nausea/vomiting, confusion, weaknes –> seirzures + cardiovascular collapse
- lactic acidosis, narrowing of venous arterial PO2 gradient

99
Q

Hers disease

A

liver glycogen phosphorylase deficiency –> hypoglycemia, ketosis, hepatomegaly

100
Q

Spinal muscular atrophy - genes

A

mutation in Survival motor neuron (SMN1) gene, which encodes a protein involved in assembly of snRNPs in LMN

101
Q

cherry red macula spot in severel sphingolipodosis - mechanism

A

loss of retinal transparency due to ganglioside buildup in ganglion cells
the center of fovea lacks ganglion cells so the underlying choroid transmits its red color

102
Q

hormone that is increased in low BH4 mediated hyperphenylanemia

A

prolactin (low dopamine production)

- even if phenylanine restriction (because BH4 is also cofactor of tyrosine hydroxylase)

103
Q

Lynch syndrome - genes (and their function)

A

mutation of methylation of:

  1. MSH2 (code MutS) –> detects mismatch
  2. MLH1 (code MutL) –> after detection –> slides along DNA
104
Q

amatoxin - symptoms, diagnosis

A

6-24h after ingestion –> abdominal pain, vomiting, severe cholera-like diarrhea that may contain blood + mucus, acute hepatic + renal faulre
diagnosis: urine test

105
Q

enzyme that contribute to ketongensis + maintains glucose level in fasting

A

hormone sensitive lipase –>

a. glycerol to glucose (glycerol kinase)
b. Fatty acids to ketone bodies

106
Q

maturity onset diabetes of the young - presentation

A

mild nonprogressive hypoglycemia that often worsens with pregnancy-induced insulin resistance –> if homozygous –> fetal growth retardation + severe hypoglycemia in birth

107
Q

Ricin?

A

from castor oil plant Rinicus commus –> potent toxin that inhibits protein synthesis by cleaving the rRNA component of the eukaryotic 60S subunit

108
Q

synchronisation of of glycogen degradation with skeletal muscle contraction occurs due to

A

release of sarcoplasimic calcium releasing –> phosphorylase kinase –> glycogen phosphorylase –> increased glyocogenolysis

109
Q

liver - ketone using for enegy

A

cannot because it lacks succinyl coa acetoacetate CoA tranferae (thiophorase) which is required to convert acetoacetate to acetoacetyl coa