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57 Cards in this Set
- Front
- Back
Deficiency in orotic aciduria
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Orotic acid phosphoribosyl transferase
or Orotidine 5'-phosphate decarboxylase |
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How to differentiate Orotic aciduria from OTC deficiency?
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OTC deficiency will have inc orotoic acid PLUS hyperammonemia
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1st disease to be treated by experimental human gene therapy?
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SCID
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Transition
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Substituting purine for purine or pyrimidine for pyrimidine
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Transversion
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Substitituing purine for pyrimidine
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Stop codon
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UAG = U Are Gone
UGA = U Go Away UAA = U Are Away |
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alpha-amanatin
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inhibits RNA Polymerase II
Causes Liver failure if ingested Found in mushrooms |
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Where does amino acid bind to in tRNA?
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Covalently attaches to 3' end
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Nissil bodies?
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RER in neurons
Make enzymes (ChAT) and peptide neurotransmitters |
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Cells rich in SER?
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Hepatocytes
Cells of adrenal cortex (steroid synthesis and drug/poison detox) |
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Clinical features of I-cell disease
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Coarse facial features
Clouded cornea Restricted joint movements High plasma level of lysosomal enzymes |
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Chediak-Higashi Syndrome
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Description: Microtubule polymerization defect leading to dec in phagocytosis
Clinical features: pyogenic infections, partial albinism, peripheral neuropathy Histo: Giant Lysosomal granules |
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Defect in Kartagener's
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Dynein arm defect
Clinical: Bronchiectasis, sinusitis, infertility Associated with situs inversus |
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Cytoskeletal elements:
Actin and myosin |
Microvilli
Muscle contraction Adherens junction Cytokinesis |
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Cytoskeletal elements:
Microtubules |
Cilia
Flagella Neurons Mitotic spindle Centrioles |
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Cytoskeletal elements:
Intermediate filaments |
Glial fibrillary acid proteins (GFAP)
Vimentin Desmin Cytokeratin Neurofilaments |
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Ouabain
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Inhibits Na/K ATPase by binding to K site
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Type I collagen
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Bone
Skin Tendon Fascia Cornea Dentin Late wound repair |
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Type II collagen
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Cartilage
Vitreous body Nucleus pulposus |
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Ehlers-Danlos syndrome
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Hyperextensible skin
Tendency to bleed (easy bruise) Hypermobile joints Berry aneurysm Aortic dissection Organ rupture (rupture of bowel) Joint dislocation Type III collagen most common affected |
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Type III collagen
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Reticulin
Skin, blood vessels, uterus, lymph nodes, granulation tissue, fetal tissue |
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Specific amino acids in elastin
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Proline and glycine, nonglycosylated forms
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Blotting procedures
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SNoW DRoP
Southern = DNA Northern = RNA Western = Protein |
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Dominant negative mutation
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Heterozygote produces a nonfunctional altered protein that also prevents normal gene product from functioning
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Locus heterogeneity
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Mutations at different loci produce same phenotype
Examples: Marfan's syndrome MEN2B, and homocytinuria; all cuase marfanoid habitus Albinism |
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Heteroplasmy
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Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrial inherited disease
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Hardy-Weinberg law
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1. Random mating
2. No mutations at gene locus 3. No selection for genotype 4. No migration |
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Prader-Willi
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Hyperphagia
Obese Hypotonia Mental retardation Hypogonadism Parental deletion of chromosome 15 |
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Angelman's Syndrome
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Mental retardation
Seizures Ataxia Inappropriate laughter Maternal deletion of chromosome 15 |
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Microsatellite repeats are used for?
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Paternity test.
Utilize PCR technology. |
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X-linked dominant tip off in pedigree?
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All daughters of affected father have disease.
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Leber's hereditary optic neuropathy
Pathophys |
Degeneration of retinal ganglion cells and axons
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Familial hypercholesterolemia
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Pathophys: defective/absent LDL receptor
Elevated LDL Sever atherosclerotic dz early in life, tendon xanthomas (Achilles), corneal arcus MI before 20 may develop |
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Tuberous sclerosis
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Ash leaf macules
Cardiac rabdomyomas (100%) Renal cysts Renal angiomyolipomas Adenoma sebaceum Increased incidence of astrocytomas Cortical and retinal hamartomas Seizures Mental retardation |
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Mechanism of CF
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Abnormal folding of the CFTR channel so that it is degraded before reaching cell surface
Defect in post-translational modification |
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How does N-acetylcysteine work as mucolytic?
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Cleaves disulfide bonds within mucous glycoproteins
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X-linked recessive disorders
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Bruton's Agammaglobulinemia
Wiskott-Aldrich Fabry's G6PD deficiency Ocular albinism Lesch-Nyhan syndrome Duchenne's (and Becker's) MD Hunter's Syndrome Fragile X Hemophilia A and B Be Wise Fools GOLD Heeds False Hope |
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Fragile X syndrome defect?
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Affects methylation and expression of FMR1 gene
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Trinucleotide repeats
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Huntingtons - CAG
Friedrich's Ataxia - GAA Fragile X - CGG Myotonic Dystrophy - CTG |
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Cri-du-chat
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Microdeletion on short arm of chromsome 5
Microcephaly Moderate to severe MR Cardiac abnormalities high-pitched cry Epicantahl folds |
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Purely ketogenic amino acids
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Leucine and Lysine
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Pantheonate
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Essential component of CoA and fatty acid synthase
Deficiency: Alopecia, dermatitis, enteritis, adrenal insufficiency B5 |
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B6 Function
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Pyridoxine --> gets converted to pyridoxal phosphate
Function: Heme synthesis, decarboxylation reactions, transamination, gylcogen phosphorylase, cystathione synthesis, GABA synthesis, Histamine synthesis Synthesis of niacin from tryptophan |
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Sx of B6 Deficiency
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Convulsions
Peripheral neuropathy Hyperirritability Sideroblastic anemia |
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Vitamin A Excess
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Arthralgias
Alopecia Fatigue Skin changes Sore throat Teratogenic (cardiac abnormalities and cleft palate) Cerebral edema --> Goljan eats bear liver |
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Riboflavin Deficiency
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Cheliosis and Corneal vascularization
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Things that use SAM to be created?
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NE --> Epinepherine
Methylated nucleotide Melatonin Creatine Phosphatidylcholine |
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Fxn of Biotin
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Carboxylation Reactions (rxns which add a 1-carbon group)
1) Acetyl-CoA --> malonyl-CoA (Acetyl-CoA carboxylase) 2) Propionyl-CoA --> methylmalonyl-CoA (Propionyl-CoA carboxylase) 3) Pyruvate --> oxaloacetate (Pyruvate carboxylase) ALL have CARBOXYLASE in name |
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Patient who had a dietary history of consuming raw eggs would have what deficiency and clinical findings?
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Biotin deficiency
Dermatitis, enteritis, alopecia Can also be caused by antibiotic use |
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Function of Vitamin C
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1) Antioxidant
2) Hydroxylation of lysine and proline for collagen synthesis 3) Necessary for beta-hydroxylase in the conversion of DA --> NE 4) Keeps iron in more reduced state (facilitates absorption) |
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How does sarcoid cause hypercalcemia?
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Increased activaiton of vitamin D by epitheliod macrophages
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Vitamin E deficiency
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1) Increased fragility of erythrocytes (Hemolytic anemia)
2) Neurodysfunciton 3) Muscular weakness E is for erythrocytes |
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Zinc deficiency
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1) Poor wound healing (due to defect in collagenase which is required for the replacement of Type III collagen with Type I collagen)
2) Hypogonadism 3) Dec adult hair (axillary, facial, pubic) 4) Dysgeusia 5) Anosmia May predispose to alcoholic cirrhosis |
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Mechanism of Disulfiram
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Inhibits acetaldehyde dehydrogenase
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What is a Kinase?
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Uses ATP to add high-energy phosphate group onto substrate
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What is a Phosphorylase
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Adds inorganic phosphate w/o using ATP
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Positive amino acids that make up histones
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Lysine and Arginine
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