Phenylketonuria Genetic Disorder

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Questions and Answers

Which of the following is a consequence of a defect in the biosynthesis of the cofactor tetrahydrobiopterin (BH4)?

  • Normal serum phenylalanine levels in newborns
  • Hyperphenylalaninemia that is responsive to dietary treatment (correct)
  • Urinary proteins that are unhelpful in diagnosis
  • Normal activity of the enzyme for tyrosine and tryptophan hydroxylation

What is the characteristic feature of the rarer form of the disease when there is a defect in the biosynthesis of the cofactor tetrahydrobiopterin (BH4)?

  • Unresponsiveness to L-dopa and 5-hydroxytryptophan
  • Normal serum phenylalanine levels in newborns
  • Normal activity of the enzyme for tyrosine and tryptophan hydroxylation
  • Hyperphenylalaninemia that is responsive to dietary treatment (correct)

Why is examination of urinary proteins helpful in the diagnosis of cofactor defects?

  • To diagnose cofactor defects that are rare
  • To identify the specific mutation in PAH gene (correct)
  • To confirm responsiveness to dietary treatment
  • To measure serum phenylalanine levels

What must be given to patients alongside the neurotransmitter precursor L-dopa and 5-hydroxytryptophan if cofactor defects are identified?

<p>BH4 and dietary treatment (D)</p> Signup and view all the answers

What is the main function of the hepatic enzyme phenylalanine hydroxylase (PAH)?

<p>Metabolize phenylalanine to tyrosine (C)</p> Signup and view all the answers

Which of the following is a product of the deamination of phenylalanine?

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

In individuals with the autosomal recessive genetic disorder, what level of phenylalanine accumulation is typically observed?

<p>&gt; 600-1200 µmol/L (A)</p> Signup and view all the answers

What is the reduction product of phenylpyruvic acid?

<p>Phenyllactic acid (C)</p> Signup and view all the answers

Which statement best describes Non-PKU mild hyperphenylalaninemia?

<p>Phenylalanine levels between 180 and 600 µmol/L (A)</p> Signup and view all the answers

Which of the following is the glutandine conjugate of phenylacetic acid?

<p>Phenylacetylglutamine (B)</p> Signup and view all the answers

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