Purine Catabolism and Uric Acid

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Questions and Answers

What is the role of purines in the body?

  • They are the end products of catabolism of proteins
  • They are involved in the breakdown of ATP
  • They are responsible for the excretion of uric acid
  • They serve as essential building blocks for DNA, RNA, and ATP (correct)

What is the fate of uric acid in the human body?

  • It is broken down into ATP
  • It is excreted from the body through the kidneys (correct)
  • It is excreted from the body through the liver
  • It is converted to allantoin by the enzyme uricase

What is the significance of the enzyme uricase in some species?

  • It breaks down DNA into RNA
  • It is involved in the synthesis of proteins
  • It converts ATP to ADP
  • It converts uric acid to a more soluble compound (correct)

What is the difference between humans and some other species in terms of uric acid metabolism?

<p>Humans lack the enzyme uricase, while other species have it (B)</p> Signup and view all the answers

What is the initial molecule formed in the first step of de novo purine synthesis?

<p>Phosphoribose diphosphate (PRPP) (A)</p> Signup and view all the answers

Which enzyme is responsible for resynthesizing hypoxanthine and guanine to purine nucleotides?

<p>Hypoxanthine–guanine phosphoribosyl transferase (HGPRT) (A)</p> Signup and view all the answers

What is the primary function of the de novo synthesis pathway?

<p>Forming complex molecules from simple molecules such as amino acids and ribose-5-phosphate (B)</p> Signup and view all the answers

What is the source of the purine molecules that are resynthesized in the salvage pathway?

<p>RNA and DNA degradation (B)</p> Signup and view all the answers

What percentage of urate produced in the body is excreted in the urine?

<p>70% (A)</p> Signup and view all the answers

What is the term for the breakdown of urate by intestinal bacteria in the gut?

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

Hyperuricemia can occur due to which of the following mechanisms?

<p>Increased production and decreased excretion (A)</p> Signup and view all the answers

What is the fate of the remaining 30% of urate produced in the body?

<p>It is broken down by intestinal bacteria (D)</p> Signup and view all the answers

Which genetic disorder is characterized by a deficiency in the salvage pathway of purine nucleotide synthesis?

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

What is the primary effect of thiazide diuretics on uric acid levels?

<p>Decreased urate secretion (A)</p> Signup and view all the answers

Which dietary factor is likely to contribute to hyperuricemia due to excessive purine intake?

<p>High meat and seafood intake (C)</p> Signup and view all the answers

What is the primary mechanism by which myeloproliferative disorders contribute to hyperuricemia?

<p>Increased production of uric acid (D)</p> Signup and view all the answers

What is the primary effect of lactate or ketoacid excess on uric acid levels?

<p>Decreased elimination of uric acid (C)</p> Signup and view all the answers

Which of the following dietary factors is likely to contribute to hyperuricemia due to excessive purine intake?

<p>Purine-rich diet (A)</p> Signup and view all the answers

What is the primary cause of gout?

<p>Increased synthesis of purine nucleotides (A)</p> Signup and view all the answers

What is the characteristic of primary gout?

<p>It is an inborn error of metabolism of purine (B)</p> Signup and view all the answers

What is the complication of gout besides inflammation, pain, and the development of tophi?

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

What is the difference between primary and secondary gout?

<p>Primary gout is an inborn error of metabolism, while secondary gout is caused by various diseases (D)</p> Signup and view all the answers

What is the characteristic of monosodium urate crystals in gout?

<p>They are formed when serum urate levels exceed the solubility limit (A)</p> Signup and view all the answers

What is the primary method of diagnosing gout and pseudogout?

<p>Identifying characteristic crystals in synovial fluid (C)</p> Signup and view all the answers

What is the relationship between hyperuricemia and gout?

<p>Hyperuricemia can lead to gout, but it is not a guaranteed outcome (A)</p> Signup and view all the answers

What is the significance of joint aspiration in diagnosing gout and pseudogout?

<p>It provides access to synovial fluid for crystal identification (C)</p> Signup and view all the answers

What is the primary benefit of examining synovial fluid in the diagnosis of gout and pseudogout?

<p>It enables the identification of characteristic crystals (D)</p> Signup and view all the answers

What is the effect of allopurinol on uric acid levels in the blood?

<p>Decreases uric acid levels (D)</p> Signup and view all the answers

Which of the following conditions is characterized by an enzymatic defect in the urate pathway?

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

What is the normal plasma level of uric acid in females?

<p>2.4 - 6 mg/dL (C)</p> Signup and view all the answers

Which of the following substances can cause a falsely decreased uric acid level in a blood test?

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

What is the purpose of examining synovial fluid under a polarizing light microscope?

<p>To detect monosodium urate crystals (D)</p> Signup and view all the answers

Why may a urine uric acid test be ordered in addition to a blood test?

<p>To monitor kidney stone formation (B)</p> Signup and view all the answers

What is the normal plasma level of uric acid in children?

<p>2 - 5 mg/dL (D)</p> Signup and view all the answers

What can cause a falsely increased uric acid level in a blood test?

<p>Hemolysed or lipemic sample (B)</p> Signup and view all the answers

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