What type of disease is homocystinuria?
Autosomal recessive
Which enzyme is most invovled in homocystinuria? A) Betaine B) Cobalamin C) Cystathionine beta-synthase D) MTHF reductase
C) Cystathionine beta-synthase
Which amino acid gets converted into homocystinuria?
Methionine
What is the metabolic error in phenylketonuria?
Phenylalanine cannot be broken down –> builds in blood and brain –> brain damage
GI tract reabsorption:
CO2 + H2O –> H+ + HCO3-
In which organ is the H+ excreted?
Stomach
GI tract reabsorption:
CO2 + H2O –> H+ + HCO3-
In which organ is the HCO3- excreted?
Duodenum
What important molecule reclaimed in the kidneys that plays a role in acid/base balance?
Bicarbonate
Following which 3 increases does the O2 haemoglobin dissociation curve shift? Which direction does it shift?
Increased 2,3-DGP
H+
Temperature
Shifts RIGHT
What changes occur in CO2, O2 and H+ during:
Respiratory alkalosis?
Low CO2
Low H+
High O2
What changes occur in CO2, O2 and H+ during:
Respiratory acidosis?
High CO2
High H+
Low O2
What changes occur in CO2, O2 and H+ during:
Metabolic alkalosis?
Low H+
High CO2
Low O2
What changes occur in CO2, O2 and H+ during:
Metabolic acidosis?
High H+
Low CO2
High O2
What is the name of a benign tumour of non-glandular
epithelium?
Pappiloma
What is the name of a benign tumour of glandular
epithelium?
Adenoma
Defects of which process produces energy deficiency?
Fatty acid oxidation
Androgen insensitivity syndrome results in what presentation?
Genetically male but healthy female phenotype
1) Distributive shock
2) Hypovolaemic shock
3) Cardiogenic shock
A) Fluid loss
B) Cardiac pump failure
C) Severe vasodilation
Distributive - severe vasodilation
Hypovolaemic - fluid loss
Cardiogenic - cardiac pump failure
What are the 4 types of distributive shock?
Septic Shock
Anaphylactic Shock
Neurogenic Shock
Toxic Shock Syndrome
Hyponatraemia and a thirsty patient suggests what problem?
SIADH
Hyponatraemia and a dry (not thirsty) patient suggests what problem?
Diuretics
Is alkalosis a cause of hyperkalaemia or hypokalaemia?
Hypokalaemia
Is acidosis a cause of hyperkalaemia or hypokalaemia?
Hyperkalaemia
How do barbiturates work to increase cellular activity?
Anti-depressants - work by increasing P450 enzyme activity so other drugs get metabolised quickly
Are malignant or benign tumours usually well differentiated?
Benign (malignant vary from anaplastic to well differentiated)