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64 Cards in this Set

  • Front
  • Back
What is the sequence of the Amino Acid attachment site on tRNA?
CCA
What are the stop codons in prokaryotes?
UGA, UAG, UAA
What are the most abundant RNAs?
The longest?
The shortest?
Ribosomal RNAs--Rampant
mRNA--Massive
tRNA--tiny
What does histone acetylation do?
Relaxes DNA on histones creating euchromatin
What does Diptheriae toxin do?
ADP ribosylates EF2 inactivating eukaryotic translocation
Which histone is the linker histone?
H1
Which are the purines?
A, G
Which are the pyrimidines?
C, T
What is the function of Vitamin K?
Required for glutamate carboxylation of clotting factors II, VII, IX, X protein C, protein S
What is the function of vitamin D?
required for intestinal absorption of Calcium and phosphate
What are the symptoms of vitamin D deficiency?
in children=Rickets, bending bones
in adults=osteomalacia, soft bones
What are the symptoms of vitamin K deficiency?
hemorrhage
What drug blocks vitamin K action?
Warfarin
What is the function of vitamin E?
Antioxidant, helps protect erythrocytes and membranes from free radical damage
What are the symptoms of vitamin E deficiency?
hemolytic anemia, muscle weakness, neurodysfunction
What is the function of Vitamin A (retinol)?
Antioxidant, constituent of visual pifments, essential for differentation of epithelial cells into specialized tissue
What are the symptoms of Vitamin A deficiency?
1st is nightblindness and dry skin
What are the symptoms of Vitamin A toxicity?
Arthralgias, fatigue, headaches, skin changes, sore throate, alopecia
What are the symptoms of Vitamin E toxicity?
Vitamin K antagonism--hemorrhage
What are the sx of vitamin D toxicity?
hypercalcemia, hypercalcuria, loss of appetite, stupor. Seen in sarcoid
What is the name and function of B1?
Thiamine, cofactor for Pyruvate DHG, aketoglutarate DHG, transketolase, branched cain AA DHG.
What enzyme levels do you measure to assess for thiamine deficiency?
Transketolase, characteristically levels will rise after thiamine infusion
What are the symptoms of thiamine def?
Wernicke-Korsakoff:confusion, opthalmoplegia, ataxia & memory loss confabulation and personality change (damage to mamillary bodies)
Dry Beri-beri: polyneuritis, symmetrical muscle wasting
Wet Beriberi: dilated cardiomyopathy, edema
What is the name and function of B2?
Riboflavin (FAD/FADH2), cofactor in redox reactions
What are the symptoms of Riboflavin deficiency?
the 2 Cs: Corneal vascularization and cheilosis
Which vitamin has been shown to have benefit when given to children with Measles?
Vitamin A--some increase in CMI and many areas with endemic measles have a lot of A def.
Which are the fat soluble vitamins?
ADEK
What is the name and function of Vitamin B3?
Niacin
Constituent of NAD+ & NADP+ which are used in redox reactions
How is Niacin synthesized?
From W, requires B6 (pyridoxine)
What characterizes Vitamin B3 deficiency?
Pellagra 4 Ds
Diarrhea
Dermatitis
Dementia
Death
What vitamin should you supplement in patients undergoing prophylactic treatment for TB?
Prophylactic treatment for TB is accomplished with Isoniazid (INH) and this can decrease vitamin B6
What are the symptoms of vitamin B3 excess?
Facial Flushing
Diets based around which nutrient can lead to Pellagra?
Corn, B3 in untreated corn is not accessible. So diets with mostly untreated corn as starch can cause pellagra.
What is the name and function of vitamin B5?
Pantothenate, essential component of CoA and fatty acid synthase

Panthothen-A is in Co-A
What are the sx of vitamin B5 deficiency?
Dermatitis, enteritis, alopecia, adrenal insufficiency
What is the name and function of vitamin B6?
Pyridoxine; converted to pyridoxal phosphate which is a cofactor in transamination, decarboxylation rxns, glycogen phosphorylase, cystathionine synthesis, and heme synthesis. Required for niacin synthesis from W.
What are the sx of vitamin B6 deficiency?
convulsions, hyperirritability, peripheral neuropathy, sideroblastic anemias
What is the name and function of vitamin B12?
Cobalamin;
cofactor for homocysteine methyltransferase & methylnalonyl-CoA mutase
What are the sx of B12 def?
macrocytic, megaloblastic anemia with hypersegmented PMNs, neurological sxs (due to abnl myelin)
What are the causes of B12 def?
Pernicious anemia, gastric bypass, malabsorption, crohn's disease
What is the function of Folic Acid?
as THF is a coenzyme for 1-C transfer/methylations

Imp for synthesis of nitrogenous bases DNA/RNA
What are the sx of Folic acid def?
macrocytic megaloblastic anemia w/o neurological sxs
neural tube defects in fetus
What is the fnc of S-adenosyl-methionine?
methyl transfers, converts methionine to homocysteine
required for conversion of NE to Epi
What is the function of Biotin?
Cofactor for carboxylation enzymes
Pyruvate carboxylase
acetyl-CoA carboxylase
propionyl-CoA carboxylase
What is the name and function of vitamin C?
Ascorbic acid
1. facilitates iron abs
2. necessary for -OH of P, K in collagen synth
3. dopamine--> NE
What are the sx of vitamin C deficiency and who gets it?
Scurvy
swollen gums, bruising, anemia, poor wound healing

old person on tea and toast
What is the function of Zinc?
essential for activity of 100+ enzymes, Zn finger DNA binding motif
What are the symptoms of Zn def?
Delayed wound healing, hypogonadism, decrease in adult hair, dysgeusia, anosmia
Name 2 uses for N-acetylcysteine
mucolytic agent for CF--cleaves disulfide bonds

Reduce oxidative damage in acetominophen overdose
What is the enzyme responsible for the 1st committed step in glycolysis?
Phosphofructokinase-1
Where is hexokinase located? What is it's baseline activity?
Regulators?
Peripheral Tissues: muscle!

Baseline activity is high
inhibited by G-6-P
Where is glucokinase located? What is it's baseline activity?
Regulators?
Liver and Pancreatic B cells
Low baseline activity only in fed state of high glucose
not inhibited by G-6-P; inducible by insulin
What is the enzyme deficiency in Von Gierke's disease & what is the presentation?
Glucose-6-Phosphatase def.
presents with severe fasting hypoglycemia, increased glycogen in liver--hepatomegaly, lactic acidosis, stunted growth
What is the enzyme deficiency in McArdle's disease and what is the presentation?
Muscle phosphorylase

mild, cramping and fatigue on exercise, myoglobinuria
What is the enzyme deficiency in Pompe's disease and what is the presentation?
Lysosomal alpha-1,4 glucosidase
Glycogen accumulation in lysosomes, cardiomegaly, hypotonia, occasional hypoglycemia, early death
What is the enzyme deficiency in Cori's disease and what is the presentation?
Debranching enzyme (alpha-1,6-glucosidase)

similar to Von Gierke's but milder w/o lactic acidosis
What is the enzyme deficiency in Fabry's disease and what accumulates?
alpha-galactosidase A

Ceramide trihexoside
What is the enzyme deficiency in Gaucher's disease and what accumulates?
beta-glucocerebrosidase

glucocerebrosidase
What is the presentation of Fabry's disease?
Peripheral neuropathy of hands/feet, angiokeratomas

renal disease (most likely cause of death), cardiac disease
What is the presentation of Gaucher's disease?
Hepatosplenomegaly
aseptic necrosis of femur, bone crises, macrophages that look like crumpled tissue paper
What is the enzyme deficiency in Niemann-Pick disease & what accumulates?
Sphingomyelinase

sphingomyelin
What are the sxs of Niemann-Pick?
Progressive neurodegeneration, hetaosplenomegaly, cherry red spot on macula, foam cells
What is the enzyme deficiency in Tay Sachs & what accumulates?
Hexosaminidase A

GM2 ganglioside
What are the sxs of Tay Sachs?
progressive neurodegeneration, developmental delay, cherry red spot on macula but no hepatosplenomegaly, lysosomes with onion skin