Biochemical Tests for Inherited Metabolic Disorders
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Questions and Answers

Which of the following is a non-specific sign or symptom of inherited metabolic disorders?

  • Rash
  • Hypertension
  • Lethargy (correct)
  • Fever

What percentage of individuals born in the United States have a genetic or partly genetic disorder?

  • 6%
  • 2%
  • 8%
  • 4% (correct)

What kind of investigations are needed to evaluate a patient suspected of having an inherited metabolic disorder?

  • MRI only
  • CT scan only
  • Ultrasound only
  • Detailed amino acid, organic acid, and acylcarnitine analysis (correct)

When should a metabolic disorder be suspected in a child?

<p>When there is metabolic acidosis (C)</p> Signup and view all the answers

What basic laboratory tests can provide initial clues to underlying metabolic disease?

<p>ABGs, electrolytes, glucose, lactate, ammonia and urine analysis (C)</p> Signup and view all the answers

How do inherited metabolic disorders usually present in infants?

<p>With poor feeding, lethargy, and failure to thrive (B)</p> Signup and view all the answers

What is the purpose of initiating appropriate therapy without a final diagnosis in cases of suspected inherited metabolic disorders?

<p>To prevent an increase in morbidity or mortality associated with these conditions (D)</p> Signup and view all the answers

What is the main cause of an increased anion gap in metabolic acidosis?

<p>Accumulation of organic acids (A)</p> Signup and view all the answers

Which condition may cause lactic acidosis in neonates?

<p>Inadequate tissue perfusion or oxygen supply (D)</p> Signup and view all the answers

What is the most common cause of a decreased anion gap?

<p>Hypoalbuminemia (D)</p> Signup and view all the answers

Which type of metabolic acidosis is characterized by a normal anion gap?

<p>Hyperchloremic metabolic acidosis (B)</p> Signup and view all the answers

In which diagnostic situation is the ferric chloride test commonly used?

<p>Detecting organic acids in urine (B)</p> Signup and view all the answers

Which condition is NOT typically associated with causing lactic acidosis?

<p>Renal failure (D)</p> Signup and view all the answers

What is the function of the anion gap in evaluating metabolic acidosis?

<p>Evaluating the concentration of unmeasured anions (C)</p> Signup and view all the answers

Which category of disorders may be associated with inborn errors of metabolism causing lactic acidosis?

<p><strong>Metabolic disorders</strong> (D)</p> Signup and view all the answers

What is the typical result of lactic acidosis once the underlying cause is treated?

<p>It resolves relatively quickly. (D)</p> Signup and view all the answers

Which of the following symptoms should raise suspicion of a metabolic disorder in a child?

<p>Metabolic acidosis and inappropriate ketosis (A)</p> Signup and view all the answers

What do basic laboratory tests such as ABGs, electrolytes, glucose, lactate, ammonia, and urine analysis provide in cases of suspected IMD?

<p>Initial clues to the underlying metabolic disease (A)</p> Signup and view all the answers

Which of the following is a common sign or symptom of inherited metabolic disorders in infants?

<p>Hypoglycemia and failure to thrive (B)</p> Signup and view all the answers

What type of investigations are often not available at many medical centers for evaluating patients suspected of having IMD?

<p>Detailed amino acid, organic acid, or acylcarnitine analysis (D)</p> Signup and view all the answers

What may early diagnosis and treatment of IMD help prevent in affected individuals?

<p>Brain damage and mental retardation (A)</p> Signup and view all the answers

Which of the following should lead to suspicion of a metabolic disorder in a child according to the provided information?

<p>Cardiomyopathy and hepatocellular dysfunction (C)</p> Signup and view all the answers

What is the main cause of an increased anion gap in metabolic acidosis?

<p>Accumulation of organic acids (B)</p> Signup and view all the answers

Which diagnostic situation is the ferric chloride test commonly used for?

<p>Detecting organic acids (C)</p> Signup and view all the answers

What is the typical result of lactic acidosis once the underlying cause is treated?

<p>It resolves relatively quickly (B)</p> Signup and view all the answers

What is the function of the anion gap in evaluating metabolic acidosis?

<p>To assess the concentration of unmeasured anions (C)</p> Signup and view all the answers

Which type of metabolic acidosis is characterized by a normal anion gap?

<p>Hyperchloremic acidosis (A)</p> Signup and view all the answers

What basic laboratory test can provide initial clues to underlying metabolic disease?

<p>Complete blood count (B)</p> Signup and view all the answers

What kind of investigations are needed to evaluate a patient suspected of having an inherited metabolic disorder?

<p>Urine tests for organic acids and blood tests for lactic acid (A)</p> Signup and view all the answers

When evaluating a neonate who has an anion gap metabolic acidosis, what is helpful to determine?

<p>The underlying cause of the gap (C)</p> Signup and view all the answers

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