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1
Categories of metabolic disorders
OVERFLOW, RENAL
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Category of metabolic disorder resulting from destruction of a normal metabolic pathway that causes increased plasma concentrations of amino acids
OVERFLOW
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Category of metabolic disorder due to defective tubular reabsorption of amino acids
RENAL
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Term refering failure to inherit a gene that codes for a particular enzyme
INBORN ERROR OF METABOLISM
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Newborn screening test sample
PHENYLKETONURIA, MAPLE SYRUP URINE DISEASE, G6PD, CYSTINURIA, CYSTINOSIS
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Major inherited disorders
PHENYLKETONURIA, TYROSYLURIA, ALKAPTONURIA
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The most well known of the aminoacidurias
PHENYLKETONURIA
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Gene failed to be inherited in phenylketonuria
PHENYLALANINE HYDROXYLASE
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Urine odor in Phenylketonuria
MOUSY
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Phenylketonuria may lead to___when not treated
MENTAL RETARDATION
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Screening test for Phenylketonuria
FERRIC CHLORIDE TUBE TEST, PHENISTIX STRIP, GUTHRIE BACTERIAL INHIBITION TEST
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Screening test for Phenylketonuria that exhibits +blue-green color
FERRIC CHLORIDE TUBE TEST
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Screening test for Phenylketonuria which exhibits + gray to gray green color
PHENISTIX STRIP
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The most well known phenylketonuria test
GUTHRIE BACTERIAL INHIBITION TEST, GUTHRIE MICROBIAL INHIBITION ASSAY
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Inhibitor for Guthre inhibition test
BETA 2 THIENYLALANINE
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Bacteria used in Guthrie Inhibition Test
BACILLUS SUBTILIS
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Accumulation of excess tyrosine in the plasma producing a urinary overflow
TYROSYLURIA
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Tyrosyluria type 1 failed gene decoded
FUMARYLACETOACETATE HYDROLASE
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Tyrosyluria type 2 failed gene decoded
TYROSINE AMINOTRANSFERASE
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Tyrosyluria type 3 failed gene decoded
P-HYDROXYPHENYLPYRUVIC ACID DIOXYGENASE
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Tyrosyluria are also seen in patients w/ severe
LIVER DISEASE
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Tyrosyluria urine odor
RANCID BUTTER
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Screening test for Tyrosyluria
NITROSONAPHTOL
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Confirmatory test for Tyrosyluria
CHROMATOGRAPHY
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Deficiency in homogentisic acid oxidase leading to increased homogentisic acid
ALKAPTONURIA
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Alkaptonuria produces ______ in body tissues that can lead to arthritis, liver and cardiac problems
BROWN PIGMENT DEPOSIT
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Screening test for Alkaptonuria
FERRIC CHLORIDE TUBE TEST, BENEDICTS TEST, ALKALINIZATION OF FRESH URINE
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Increased urinary melanin that produces a darkening of urine indicating malignant melanoma
MELANURIA
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Screening test for melanuria
FERRIC CHLORIDE TUBE TEST, SODIUM NITROPRUSSIDE TEST, EHRLICH TEST
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The branched chain amino acids differ form the other amino acids by having a methyl (-CH3) group that branches from the main aliphatic carbon chain
BRANCHED CHAIN AMINOACIDURIA
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Clinical findings of branched chain amino acids
KETONURIA
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What are the major groups of branched chain aminoacidurias
ACCUMULATION OF ONE OR MORE EARLY AMINO ACID DEGRADATION PRODUCT, ORGANIC ACIDEMIA
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Major group of branched chain aminoacidurias refering to accumulation of organic acids produced further down in the amino acid metabolic pathway leading to excretion of organic acids in urine
ORGANIC ACIDEMIA
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Most c'mon Inborn Error of Metabolism in the Philippines
MAPLE SYRUP URINE DISEASE
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What are the enzymes failed to metabolized during maple syrup urine disease
LEUCINE, ISOLEUCINE, VALINE
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Urine odor of Maple Syrup Urine Disease
CARAMELIZED SUGAR, MAPLE SYRUP, CURRY
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Maple Syrup Urine Disease causes when left untreated
MENTAL RETARDATION, CONVULSION, ACIDOSIS, HYPOGLYCEMIA
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Screening test for Maple syrup Urine disease
2,4 DINITROPHENYLHYDRAZINE, FERRIC CHLORIDE TUBE TEST
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Generalized symptoms of organic acidemias
VOMITING W/ METABOLIC ACIDOSIS, HYPOGLYCEMIA, KETONURIA, INCREASED SERUM AMMONIA
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Most c'monly encountered organic acidemias disorders
ISOVALERIC ACIDEMIA, PROPIONIC ACIDEMIA, METHYLMALONIC ACIDEMIA
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Most c'monly encountered organic acidemias disorder exhibiting a sweaty feet urine odor
ISOVALERIC ACIDEMIA
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Most c'monly encountered organic acidemias disorder detected using p-nitroaniline test
METHYLMALONIC ACIDEMIA
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It is the increased urinary excretion of the metabolites indican and 5-hydroxyindoleacetic acid
TRYPTOPHAN AMINOACIDURIA
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Argentaffinoma refers t the increased w/_____, a metabolite of serotonin
5-HYDROXYINDOLEACETIC ACID
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Increased amounts of tryptophan which are converted to indole
INDICANURIA
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Screening test for indicanuria
OBERMAYERS TEST
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Indicanuria seen in intestinal disorders like
OBSTRUCTION, PRESENCE OF ABNORMAL BACTERIA, HARTNUP DISEASE
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Refering to blue diaper syndrome or acid blue diaper syndrome due to indicanuria
HARTNUP DISEASE
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Urine color of Hartnup disease
INDIGO BLUE
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Degradation product of serotonin produced from tryptophan by argentaffin cells in the intestines
5-HYDROXYINDOLEACETIC ACID
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Tumors that may appear due to increased in 5-hydroxyindoleacetic acid
ARGENTAFFIN CELL TUMOR
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Screening test for 5-hydroxyindoleacetic acid
FERRIC CHLORIDE TUBE TEST, NITROSONAPHTOL W/ NITROUS ACID
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What is being avoided nutrient content of food for patient preparation of 5-hydroxyindoleacetic acid
SEROTONIN
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A condition marked by elevated amounts of the amino acids cystine in tthe urine due to the inability of the renal tubules to reabsorb cystine filtered by the glomerulus
CYSTINURIA
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Cystinuria odor of urine
SULFUR
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What amino acid being not reabsorbed during cystinuria
CYSTINE, ORNITHINE, LYSINE, ARGININE
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Refering to cystine deposits in many areas of the body (BM, Cornea, Lymph nodes, and internal organs)
CYSTINOSIS
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Failure of the gene that codes for an enzyme responsile for cystine metabolism
CYSTINOSIS
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Tests for cystinuria and and cystinosis
BRANDS MODIFICATION OF LEGALS NITROPRUSSIDE TEST, THIN LAYER OR ION EXCHANGE CHROMATOGRAPHY, HIGH VOLTAGE ELECTROPHORESIS
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Defect in the metabolism of the amino acid methionine leading to increased homocysteine
HOMOCYSTINURIA
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What is the gene being failed to decode in Homocystinuria
CYSTATHIONE BETA SYNTHASE
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Urine color during porphyrin disorders
RED, PURPLE, BURGUNDY RED, PURPLISH RED, PORT WINE
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Porphyrin disorders are usually caused by
LEAD POISONING
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Urine color when porphyrin disorder is due to lead poisoning
COLORLESS
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CDC recommended test for lead poisoning
FREE ERYTHROCYTE PORPHYRIN
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Sample used for Free Erythrocyte Porphyrin
WHOLE BLOOD
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Accumulation of Incomplete Metabolized Polysaccharide portions in lysosome
MUCOPOLYSACCHARIDE DISORDER
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Accumulation of mucopolysaccharide in the cornea
HURLER
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Accumulation of mucopolysaccharide that causes skeletal structure abnormality and severe mental retardation
HUNTER
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Accumulation of mucopolysaccharide which causes mental retardation only
SANFILIPPO SYNDROME
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A purine disorder which causes massive excretion of uric acid crystals in the urine caused by a failure of inherited gene that will produce______
LESCH NYHAN SYNDROME
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Findings of Lesch Nyhan disease
ORANGE SAND IN DIAPER
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Test for Mucopolysaccharide Disorder
CETYL TRIMETHYL AMMONIUM BROMIDE TEST
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CTAB test positive result
WHITE TURBIDITY