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Step 1 Biochemistry
Biochemistry highlights
153
Medical
Graduate
06/07/2010

Additional Medical Flashcards

 


 

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Term
PHENYLKETONURIA
Definition
Mental retardation, growth retardation, seizures, fair skin, eczema, musty body odor
Term
Diet: low phenylalanine, high tyrosine, if needed, give tetrahydrobiopterin cofactor
Definition
Treatment for PKU
Term
INFANT OF WOMAN WITH IMPROPER TREATMENT FOR DKU
Definition
Microcephaly, mental retardation, growth retardation, congenital heart defects
Term
ALKAPTONURIA
Definition
Deficiency of homogentistic acid oxidase
Term
ALKAPTONURIA
Definition
Dark connective tissue, pigmented sclera, urine turns black on standing
Term
ALKAPTONURIA
Definition

Accumulation of homogentisic acid

Defect in tyrosine degradation pathway

Term
X-LINKED RECESSIVE
Definition
Mode of inheritance of ocular albinism
Term
Homocysteine methyltransferase OR cystathionine synthase
Definition
Enzyme deficiencies in homocystinuria
Term
HOMOCYSTINURIA
Definition
Mental retardation, osteoporosis, tall stature, kyphosis, lens subluxation, atherosclerosis (risk of early MI and/or stroke)
Term
CYSTINURIA
Definition
Precipitation of cystine kidney stones (cystine staghorn calculi)
Term
Acetazolamide to alkalinize the urine
Definition
Treatment for cystinuria
Term
MAPLE SYRUP URINE DISEASE
Definition
Deficiency in alpha-ketoacid dehydrogenase causing increased alpha-ketoacids in the blood, especially leucine
Term
HARTNUP DISEASE
Definition

Defective neutral amino acid transporter on renal and intestinal epithelial cells

 

Term
HARTNUP DISEASE
Definition
Tryptophan excretion in the urine and impaired absorption from the gut
Term
HARTNUP DISEASE
Definition
Can lead to pellagra
Term
XERODERMA PIGMENTOSA
Definition
1000-fold risk of developing skin cancer
Term
PYRUVATE DEHYDROGENASE DEFICIENCY
Definition
Alcoholics > B1 deficiency > neurologic defects
Term
OSTEOGENESIS IMPERFECTA
Definition
Abnormal collagen type 1 synthesis
Term
LESCH-NYHAN SYNDROME
Definition
absence of HGPRTase
Term
FRUCTOSE INTOLERANCE
Definition
Deficiency of aldolase B
Term
XERODERMA PIGMENTOSA
Definition
Defective excision repair > thymidine dimer formation
Term
HOMOCYSTINURIA
Definition
Deficiency of cystathionine synthase
Term
G6PD DEFICIENCY
Definition
Heinz bodies
Term
PKU
Definition
Rx: no Nutrasweet, increased dietary tyrosine
Term
ALBINISM
Definition
Deficiency of tyrosinase
Term
EHLERS-DANLOS SYNDROME
Definition
Hyperextensible skin, loose joints, bleeding tendency
Term
G6PD DEFICIENCY
Definition
Decreased NADPH due to lack of HMP enzyme
Term
CYSTINURIA
Definition
Inherited defect in tubular amino acid transporter for cysteine, ornithine, lysine, arginine
Term
HOMOCYSTINURIA
Definition
Rx: decreased dietary methionine, increased cystine + B6
Term
ALKAPTONURIA
Definition
Deficiency in homogenistic acid oxidase
Term
FRUCTOSE INTOLERANCE
Definition
Hypoglycemia + jaundice + cirrhosis
Term
LESCH-NYHAN SYNDROME
Definition
Self-mutilation, gout, aggression, choreoathetosis
Term
MAPLE SYRUP URINE DISEASE
Definition
Blocked degradation of branched chain amino acids
Term
LACTOSE INTOLERANCE
Definition
Bloating, cramps, osmotic diarrhea
Term
CYSTINURIA
Definition
Rx: acetazolamide to alkalinize the urine
Term
ADENOSINE DEAMINASE
Definition
Deficiency results in a combined B and T cell deficiency
Term
FRUCTOSE INTOLERANCE
Definition
Rx: decreased fructose and sucrose intake
Term
PYRUVATE DEHYDROGENASE DEFICIENCY
Definition
Rx: increased intake of ketogenic nutrients (fats)
Term
ALKAPTONURIA
Definition
Dark brown urine, organs, and connective tissue; benign disease
Term
OSTEOGENESIS IMPERFECTA
Definition
Multiple fractures + blue sclera
Term
GALACTOSEMIA
Definition
Rx: exclude galactose and lactose from diet
Term

GAG

Glycine, Aspartate, Glutamine

Definition
Amino acids necessary for purine synthesis
Term
Orotic aciduria
Definition
Megaloblastic anemia that does not improve with administration of vitamin B12 or folix acid, failure to thrive
Term
Inability to convert orotic acid to UMP
Definition
Increased orotic acid in urine
Term
Oral uridine administration
Definition
Treatment for orotic aciduria
Term
Excess ATP and dATP imbalances nucleotide pool via feedback inhibition > prevents DNA synthesis > SCID
Definition
Adenosine deaminase deficiency
Term
Lesch-Nyhan syndrome
Definition
Defective purine salvage due to HGPRT deficiency
Term
Lesch-Nyhan syndrome
Definition

Excess uric acid production

Retardation, self-mutliation, aggression, hyperuricemia, gout, choreoathetosis

Term

Allopurinol

(blocks xanthine oxidase)

Definition
Treatment for Lesch-Nyhan syndrome
Term
Methionine (AUG)
Definition
Amino acid encoded by only one codon
Term
Xeroderma pigmentosum
Definition
Mutation of nucleotide excision repair apparatus, which prevents repair of thymidine dimers
Term
Xeroderma pigmentosum
Definition
Dry skin with melanoma and other cancers, "children of the night"
Term
Hereditary nonpolyposis colorectal cancer (HNPCC)
Definition
Mutation in mismatch repair apparatus
Term
AUG (methionine)
Definition
mRNA start codon
Term

UGA = U Go Away

UAA = U Are Away

UAG = U Are Gone

Definition
mRNA stop codons
Term

1- Capping on 5' end

2- Plyadenylation on 3' end

3- Splicing out of introns

Definition
RNA processing in nucleus
Term
Rough ER
Definition
Site of synthesis of secretory proteins and of N-linked oligosaccharide addition to many proteins
Term
Mucus-secreting goblet cells of small intestine and antibody-secreting plasma cells
Definition
Cells rich in RER
Term
Smooth ER
Definition
Site of steroid synthesis and detoxification of drugs and poisons
Term
Liver hepatocytes and steroid hormone-producing cells of the adrenal cortex
Definition
Cells rich in SER
Term

Asparagine (N-oligosaccharides)

Serine and threonine (O-oligosaccharides)

Definition
Amino acids modified at Golgi apparatus
Term
I-cell disease
Definition
Coarse facial features, clouded corneas, restricted joint movement, high plasma levels of lysosomal enzymes
Term
Failure of addition of mannose 6-phosphate to lysosome proteins, which end up secreted outside the cell instead of being targeted to lysosomes
Definition
I-cell disease
Term
Chediak-Higashi syndrome
Definition
Microtubule polimerization defect resulting in decreased phagocytosis
Term
Chediak-Higashi syndrome
Definition
Recurrent pyogenic infections, partial albinism, peripheral neuropathy
Term
Connective tissue, used for sarcoma and some carcinomas
Definition
Vimentin stain
Term
Muscle used for rhabdo or leiomyosarcoma
Definition
Desmin stain
Term
Epithelial cells used for carcionomas
Definition
Cytokeratin
Term
Neuroglia
Definition
GFAP stain
Term
Neurons
Definition
Neurofilament stain
Term

"Strong collagen"

Bone, skin, tendon, dentin, fascia, cornea, late wound repair

Definition
Type 1 collagen
Term

"Slippery collagen"

Cartilage, vitreous body, nucleus pulposus

Definition
Type 2 collagen
Term

"Blood collagen" (reticulin)

Skin, blood vessels, uterus, fetal tissue, granulation tissue

Definition
Type 3 collagen
Term
Basement membrane
Definition
Type 4 collagen
Term
Ehlers-Danlos syndrome
Definition
Hyperextensible skin, tendency to bleed (easy bruising), hypermobile joints
Term
Joint dislocation, berry aneurysms, organ rupture
Definition
Ehlers-Danlos associations
Term
Codominance
Definition
Blood groups (A, B, AB)
Term
Codominance
Definition
Neither of 2 alleles is dominant
Term
Variable expression
Definition
2 patients with neurofibromatosis may have varying disease severity
Term
Variable expression
Definition
Nature and severity of phenotype vary from 1 individual to another
Term
Incomplete penetrance
Definition
Not all individuals with a mutant phenotype show the mutant phenotype
Term
Pleiotropy
Definition
PKU causes many seemingly unrelated symptoms ranging from mental retardation to hair/skin changes
Term
Pleiotropy
Definition
1 gene has >1 effect on an individual's phenotype
Term
Imprinting
Definition
Prader-Willi and Angelman's syndromes
Term
Imprinting
Definition
Differences in phenotype depend on whether the mutation is of maternal or paternal origin
Term
Anticipation
Definition
Huntington's disease
Term
Anticipation
Definition
Severity of disease worsens or age of onset of disease is earlier in succeeding generations
Term
Loss of heterozygosity
Definition
Retinoblastoma
Term
Loss of heterozygosity
Definition
If a patient inherits or develops a mutation in a tumor suppressor gene, the complementary allele must be deleted/mutated before cancer develops. This is not true of oncogenes.
Term
Dominant negative mutation
Definition
Exerts a dominant effect, a heterozygote produces a nonfunctional altered protein that also prevents the normal gene product from functioning.
Term
Linkage disequilibrium
Definition
Tendency for certain alleles at 2 linked loci to occur together more often than expected by chance. Measured in a population, not in a family, and often varies in different populations.
Term
Mosaicism
Definition
Lyonization--random X inactivation in females
Term
Mosaicism
Definition
Occurs when cells in the body have different genetic makeup.
Term
Germ-line mosaicism
Definition
May produce disease that is not carried by parent's somatic cels
Term
Locus heterogeneity
Definition
Marfan's syndrome, MEN2B, and homocystinuria; all cause marfanoid habitus.
Term
Locus heterogeneity
Definition
Mutations at different loci can produce the same phenotype.
Term
Heteroplasmy
Definition
Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrial inherited disease.
Term
Uniparental disomy
Definition
Offspring receives 2 copies of a chromosome from 1 parent and no copies from the other parent
Term
Prader-Willi syndrome
Definition
Mental retardation, hyperphagia, obesity, hypogonadism, hypotonia
Term
Prader-Willi syndrome
Definition
Physical findings: almond-shaped eyes, downward turned mouth, genital hypoplasia
Term
Prader-Willi syndrome
Definition
Deletion of normally active paternal allele
Term
Angelman's syndrome
Definition
Deletion of normally active maternal allele
Term
Angelman's syndrome
Definition
Mental retardation, seizures, ataxia, inappropriate laughter ("happy puppet")
Term
X-linked dominant
Definition
All female offspring of affected father are diseased
Term
Hypophosphatemic rickets
Definition
Inherited disorder resulting in increased phosphate wasting at proximal tubule. Rickets-like presentation
Term
X-linked recessive
Definition

Sons of heterozygous mothers have 50% chance of being affected

No male-to-male transmission

Term
Mitochondrial inheritance
Definition
Transmitted only through mother
Term
Leber's hereditary optic neuropathy
Definition

Degeneration of retinal ganglion cells and axons

Acute loss of central vision

Mitochondrial inheritance

Term
Fragile X syndrome
Definition

Trinucleotide repeat disorder

Second most common cause of genetic mental retardation

Term
Fragile X syndrome
Definition
Findings: macro-orchidism, long face with large jaw, large everted ears, autism, mitral valve prolapse
Term

Be Wise, Fool's GOLD Heeds Silly Hope, eF!

Bruton's agammaglobulinemia

Wiscott-Aldrich syndrome

Fabry's disease

G6PD deficiency

Ocular albinism

Lesch-Nyhan syndrome

Duchenne's muscular dystrophy

Hunter's Syndrome

Hemophilia A and B

Fragile X syndrome

Definition
X-linked recessive disorders
Term

Try hunting for my fried eggs (X)

Huntington's (CAG)

Myotonic dystrophy (CTG)

Friedreich's ataxia (GAA)

Fragile X syndrome (CGG)

 

Definition
Trinucleotide repeat expansion disorders
Term
Meiotic nondisjunction of homologous chromosomes
Definition
Most common cause of Down's syndrome
Term
Low AFP, high beta-hCG, low estriol, high inhibin A
Definition
Pregnancy quad screen results for Down's syndrome
Term
Edward's syndrome
Definition
Severe mental retardation, rocker-bottom feet, micrognathia, low-set ears, clenched hands, prominent occiput, congenital heart disease
Term
Patau's syndrome
Definition
Severe mental retardation, rocker-bottom feet, microphthalmia, microcephaly, cleft lip/palate, holoprosencephaly, polydactyly, congenital heart disease
Term
Cri-du-chat syndrome
Definition
Contenital microdeletion of short arm of chromosome 5
Term
Cri-du-chat syndrome
Definition
Microcephaly, moderate to severe mental retardation, epicanthal folds, cardiac abnormalities, high-pitched crying/mewing
Term
Williams syndrome
Definition
Congenital microdeletion of 7q (deleted region includes elastin gene)
Term
Williams syndrome
Definition
Distinctive "elfin" facies, mental retardation, hypercalcemia (increased sensitivity to vitamin D), well-developed verbal skills, extreme friendliness with strangers, cardiovascular problems
Term

CATCH-22

Cleft palate, Abnormal facies, Thymic aplasia > T-cell deficiency, Cardiac defects, Hypocalcemia (secondary to parathyroid aplasia)

Definition
22q11 deletion syndromes
Term
Kwashiorkor
Definition
Skin lesions, edema, liver malfunction (fatty change due to decreased apolipoprotein synthesis)
Term
Kwashiorkor
Definition
Protein malnutrition > small child with swollen belly
Term
Marasmus
Definition
Energy malnutrition
Term
Marasmus
Definition
Tissue and muscle wasting, loss of subcutaneous fat, variable edema
Term

Tender Love and Care For No one

Thiamine

Lipoic Acid

CoA (B5)

FAD (B2)

NAD (B3)

Definition
Pyruvate dehydrogenase complex, enzymes and cofactors
Term

Increased intake of ketogenic nutrients (e.g. high fat content or increased lysine and leucine)

This bypasses acetyl CoA step of TCA cycle because ketones can enter the TCA cycle directly

Definition
Treatment for pyruvate dehydrogenase deficiency
Term
Lysine and leucine
Definition
Pure ketogenic amino acids
Term

Oxaloacetate

Lactate

Alanine

Acetyl-CoA

Definition
4 different metabolic fates of pyruvate
Term
Lactate generated during anaerobic metabolism undergoes hepatic gluconeogenesis and become a source of glucose for muscle/RBCs.
Definition
Cori cycle
Term

Citrate Is Krebs' Starting Substrate For Making Oxaloacetate

Citrate > Isocitrate > alpha-ketoglutarate > Succinyl-CoA > Succinate > Fumarate > Malate > Oxaloacetate

Definition
TCA cycle substrates
Term

Citrate synthase

Isocitrate dehydrogenase

Alpha-detoglutarate dehydrogenase

Definition
TCA cycle: irreversible enzymes
Term
Rotenone, cyanide, antimycin A, CO
Definition
Electron transport inhibitors
Term
Oligomycin
Definition
ATPase inhibitors
Term
2,4-DNP (wood preservation), aspirin, thermogenin in brown fat
Definition
Uncoupling agents
Term

Pathway Produces Fresh Glucose

Pyruvate carboxylase: pyruvate > oxaloacetate

PEP carboxykinase: oxaloacetate > phosphoenolpyruvate

Fructose-1,6-bisphosphatase: Fructose-1,6-bisphosphate > fructose-6-P

Glucose-6-phosphatase: Glucose-6-P > glucose

Definition
Irreversible enzymes of gluconeogenesis
Term
Aldolase B
Definition
Deficiency in fructose intolerance
Term

Autosomal recessive

Fructose-1-P accumulates > decreases available phosphate > inhibition of glycogenolysis and gluconeogenesis

Definition
Fructose intolerance
Term
Fructokinase defect
Definition
Deficiency in essential fructosuria
Term

Essential fructosuria

Autosomal recessive

Benign, asymptomatic condition since fructose does not enter cells

Definition
Fructose in blood and urine
Term

Ordinarily, Careless Crappers Are Also Frivolous About Urination:

Ornithine

Carbamoyl phosphate

Citrulline

Aspartate

Argininosuccinate

Fumarate

Arginine

Urea

 

 

Definition
Urea cycle steps
Term
Activates LCAT (lecithin-cholesterol acyltransferase)
Definition
A1
Term

Binds to LDL receptor, mediates VLDL secretion.

Contained in VLDL, IDL, LDL particles

Definition
B-100
Term
Cofactor for lipoprotein lipase
Definition
C-II
Term
Inhibits lipoprotein lipase
Definition
C-III
Term
Mediates chylomicron secretion
Definition
B-48
Term
Mediates extra remnant uptake
Definition
E
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