Biochem diseases Flashcards

(31 cards)

1
Q

what problems does alcohol toxicity cause

A
inc NADH/NAD+:
lactic acidosis
fasting hypoglycemia
hepatosteatosis
ketoacidosis
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2
Q

arsenic blocks

A

lipoic acid - involved in pyruvate dehydrogenase and akg dehydrogenase

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3
Q

symptoms of pyruvate dehydrogenase deficiency

A

inc alanine

lactic acidosis

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4
Q

treatment for PD deficiency

A

only ketogenic aminoacids - lysine and leucine

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5
Q

symptoms of methylmalonic acidemia

A

anion gap acidosis
ketosis
hypoglycemia

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6
Q

electron chain inhibitors

A

rotenone
cyanide
CO
antimycin A

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7
Q

what blocks ATP synthase directly

A

oligomycin

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8
Q

name some uncoupling agents

A

2,4 dinitrophenol
aspirin
thermogenin

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9
Q

what is deficient when someone has benign fructose in their blood and urine

A

fuctokinase

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10
Q

baby develops hypoglycemia, jaundice and vomiting after eating fruit for the first time

A

fructose intolerance

aldolase B deficient

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11
Q

treatment for aldolase B deficiency

A

dec fructose and sucrose in diet

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12
Q

galactose kinase deficiency symptoms

A

cataracts - no social smile, cant track objects

build up of galactitol

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13
Q

what is deficient in classic galactosemia

A

GIP UT

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14
Q

what infection are babies with G1P UT prone to

A

ecoli sepsis

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15
Q

treatment for G1P UT deficiency

A

decrease galactose and lactose

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16
Q

symptoms of arginase deficiency

A

spasticity similar to cerebral palsy

17
Q

treatment for hyperammonemia

A

lactulose
rifaximin
benzoate
phenylbutyrate

18
Q

symptoms of n acetyl glutamate synthase deficiency

A

hyperammonemia

poor respiration, temperature control, feeding

19
Q

OTC deficiency symptoms

A

increased orotic acid
decreased BUN
hyperammonemia

20
Q

how does OTC deficiency differ from orotic aciduria

A

no megaloblastic anemia

21
Q

treatment for both types of PKU

A

increase tyrosine and BH4

decrease phenylalanine

22
Q

maple syrup urine disease what is deficient

A

alpha ketoacid dehydrogenase

23
Q

what is the treatment for maple syrup urine disease

A

decrease isoleucine, leucine, valine

increase thiamine

24
Q

what is deficient in alkaptonuria

A

homogentisate oxidase

25
treatment for cystathione synthase deficient homocystinuria
decrease methionine | increase cysteine, B12, folate
26
treatment for homocysteine methyltransferase deficient homocystinuria
increase methionine
27
how do you treat cystinuria
alkalinization of the urine with citrate or acetazolamide
28
two causes of hypoketotic hypoglycemia
carnitine deficiency | MCAD deficiency
29
what is deficient in hyperchylomicronemia
lipoprotein lipase or CII
30
what is the issue in hypertriglyceridemia
increase VLDL production acute pancreatitis associated with TG deficiency
31
what does homogentisate oxidase normally convert
tyrosine to fumarate