urine screening for metabolic disorder Flashcards

1
Q

enzyme deficient in phenylketonuria

a. tyrosinemia
b. fumarylacetoacetate
c. phenylalanine hydroxylase

A

phenylketonuria

enzyme deficient - phenylalanine hydroxylase

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2
Q

what disorder has a rancid butter disorder

a. phenylketonuria
b. tyrosinemia
c, alkaptonuria

A

tyrosinemia

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3
Q

in what disorder does FeCl3 tube test has a blue green positive result

a. phenylketonuria
b. tyrosinemia
c. alkaptinuria
d. melanuria

A

phenylketonuria

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4
Q

what disorder is associated with mental retardation

a. phenylketonuria
b. alkaptinuria
c. tyrosinemia

A

phenyketonuria

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5
Q

what type of tyrosinemia has an enzyme deficient TYROSINE AMINOTRANSFERASE

a. type 1
b. type 2
c. type 3

A

type 1 - fumarylaceto acetae hydrolase

type 2 - tyrosine aminotransferase

type 3 - p-hydroxyphenylpyruvic acid dioxygenase

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6
Q

what is the enzyme deficient in alkaptonuria

a. homogentisic acid oxidase
b. melanuria
c. tyrosine

A

homogentisic acid oxidase

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7
Q

melanin is produced form?

a. homegentisic
b. tyrosine
c. phenylalanine
d. fumaryacetoacetic acid

A

tyrosine

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8
Q

deficient in production of melanin

a. albinism
b. mental retardation
c. msud

A

albinism

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9
Q

an observation of brown stained or black stained cloth diapers and reddish stained disposable diapers indicates ______

a. phenylketonuria
b. alkaptonuria
c. melanuria

A

alkaptonuria

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10
Q

a colorless precursor of melanin, which can be oxidized to melanogen and then melanin producing the characteristic of dark urine

a. 5-6 dihydroxyindole
b. fumarylacetoacetic acid
c. phenylalanine
d. homogentisic acid

A

5-6 dihydroxyindole

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11
Q

how many drops of 10 % ferric chloride to be used in ferric chloride test

a. 5 drops
b. 10 drops
c. 2 drops

A

slowly add 5 drops of 10% FeCl

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12
Q

caramelized sugar / burnt sugar/ curry odor what amino acid disorder it is

a. msud
b. isovaleric acidemias
c. melanuria

A

msud

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13
Q

what are the amino acid that increases in msud

a. leucine
b. valine
c. isoleucine
d. epinephrine

  1. a and b
  2. a.and c
  3. a, b, d
  4. a, b and c
A

disorder : Maple Syrup urine disorder

information : amino acid that increases in blood and urine –> isoleucine, leucine and valine

test : 2, 4 - dinitrophenylhydrazine (DNPH)
(+) yellow precipitate

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14
Q

what amino acid disorder ha s a sweaty feet disoders

a. tyrosinemia
b. acidemias
c. msud

A

acidemias

  1. isovaleric acidemias
  2. propionic acidemias
  3. methylmalnic acidemia
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15
Q

which of the following is associated with melanuria

a. phenylalanine
b. homogentisic acid
c. serotonin
d. tyrosine

A

tyrosine

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16
Q

blue diaper syndrome

a. hartnup’s disease
b. intestinal disorder
c. carcinoid tumor

A

hartnup’s disease

17
Q

indigo blue color urine

a. indicanuria
b. acidemia’s
c. argentaffinoma

A

indicaduria

18
Q

what disorder is excess production of serotonin

a. indicaduria
b. argentaffinoma
c. acidemia’s

A

argentaffinoma

19
Q

which of the following is tryptophan disorder

a. indicaduria
b. melanuria
c. cystinuria

A

indicaduria

20
Q

defects in the metabolism of methionine that leads to increase homocysteine

a. cystinosis
b. cystinuria
b. homocystinuria

A

homocystinuria

– no cystine , but meron methionine

21
Q

what urine sample to be used in silver nitroprusside test

a. first morning
b. random urine
c. fresh urine

A

fresh urine

22
Q

what disorder to be use is sodium nitroprusside test

a. cystinosis
b. cystinuria
c. homocystinuria

A

homocystinuria

23
Q

mucopolysaccharides accumulate in the cornea of the eye

a. hunter syndrome
b. hartnup’s disease
c. hurler syndrome
d. sanfilippo syndrome

A

hurler syndrome

24
Q

sex linked recessive, rarely seen in females

a. hunter syndrome
b. hartnup’s disease
c. hurler syndrome
d. sanfilippo syndrome

A

hunter syndrome

25
what mucopolysaccharide disorder has a mental retardation a. hunter syndrome b. hartnup's disease c. hurler syndrome d. sanfilippo syndrome
sanfilippo syndrome
26
which of the following disorder is mucopolysaccharide a. hartnup's disease b. hurler syndrome c. cystinuria
hurler syndrome
27
where does serotonin produced from a. tyrosine b. tyrptophan c. phenylalanine
tryptophan serotonin is produced form tryptophan by the argentaffin cells
28
false positive in cyanide nitroprusside test is associated with presence of a. blood b. nitrite c. ketones
false POSITIVE result in cyanide nitroprusside test is associated with the presence of ketones and homocysteine
29
if 24 hr urine sample is used in 5hiaa measurement, the sample must be a. preserved in boric acid b. preserved in formalin c. refrigerated
if 24 hour urine sample is used in 5- HIAA measurement the sample must be preserved in boric acid or hydrochloric
30
what disorder is lack of enzyme HYPOXANTINE GUANINE PHOSPHORIBOSYL TRANSFERASE a. alkaptonuria b. lesch- nylan syndrome b. hartnup's disease
lesch nylan syndrome
31
orange sand diapers a. hartnup's disease b. lesch nylan disease c. hurler syndrome
hartnup's disease - BLUE DIAPER SYNDROME LESCH NYLAN DISEASE - ORANGE SAN DIAPER hurler syndrome - cornea of the eye
32
first sign to be seen in lesch nylan disease a. hematuria b, uric acid crystals c. calcium oxalate d. cysteine
uric acid crystals resembling orange sand diapers
33
burgundy urine/ purple urine a. porphyrin disorder b. mucopolysaccharide disorders c. sanfilippo syndrome
porphyrin disorder | urine color - red / puple / burgundy red / port wine / purplish red
34
colorless in lead poisoning a. porphyrin disorder b. mucopolysaccharide disorders c. sanfilippo syndrome
porphyrin disorder
35
which of the following disease is carbohydrate disorder a. galactosuria b. lead poisoning c. hurler syndrome d. lesch nylan disease
carbohydrate disorder melituria - presence of urinary sugar galactosuria - inability to metabolize galactose to glucose
36
which of the vampire's disease is elevated only in uroporphyrin a. acute intermittent porphyria b. porphyria cutanea tarda c. congenital erthyropoietic porphyria d. lead poisoning
porphyria cutanea tarda - elevated in uroporphyrin