Understanding Ketosis and Hypoglycemic Theory
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Questions and Answers

What is the most common form of ketosis that occurs near the peak of lactation?

  • Spontaneous ketosis (correct)
  • Secondary ketosis
  • Hypoglycemic ketosis
  • Pregnancy toxemia
  • Spontaneous ketosis is often accompanied by severe acidosis.

    False

    What triggers the onset of pregnancy toxemia in sheep and goats?

    Low blood sugar (glucose)

    Excess quantities of __________ will lead to ketosis.

    <p>butyrate</p> Signup and view all the answers

    Match the following treatments with their purposes:

    <p>Glucose = Provides immediate relief of hypoglycemia Propylene glycol = Gluconeogenic precursor Glycerol = Helps in ketosis treatment Sodium pyruvate = Effective in treating hypoglycemia</p> Signup and view all the answers

    Which of the following is a consequence of hypoglycemia during lactation?

    <p>Increased glucose withdrawal by the mammary gland</p> Signup and view all the answers

    Which of the following is primarily involved in the storage of high-energy creatine phosphate?

    <p>Creatine kinase</p> Signup and view all the answers

    Glucose is required primarily for muscle function during exercise.

    <p>True</p> Signup and view all the answers

    Lactate dehydrogenase is specific to one tissue type and does not vary across different tissues.

    <p>False</p> Signup and view all the answers

    What is the principal cause of pregnancy toxemia?

    <p>Low blood sugar (glucose)</p> Signup and view all the answers

    What are the two polypeptides that combine to form the isoenzymes of creatine kinase?

    <p>B and M</p> Signup and view all the answers

    The isoenzyme predominant in cardiac muscle is known as _____.

    <p>BM</p> Signup and view all the answers

    Which enzyme level is considered a sensitive indicator of acute myocardial infarction?

    <p>Creatine kinase</p> Signup and view all the answers

    Match the following isoenzymes of creatine kinase with their predominant locations:

    <p>BM = Cardiac muscle B2 = Brain M2 = Skeletal muscle</p> Signup and view all the answers

    Creatine kinase levels remain constant regardless of muscle injury.

    <p>False</p> Signup and view all the answers

    Which enzyme's activity can be an indicator of muscular dystrophy?

    <p>Creatine kinase</p> Signup and view all the answers

    What is the primary cause of metabolic acidosis?

    <p>Excess of H+ ions</p> Signup and view all the answers

    Metabolic alkalosis is characterized by a decrease in bicarbonate levels.

    <p>False</p> Signup and view all the answers

    What condition leads to the production of ketone bodies, contributing to metabolic acidosis?

    <p>Diabetic ketoacidosis</p> Signup and view all the answers

    In metabolic acidosis, there is a primary deficit of __________.

    <p>bicarbonate</p> Signup and view all the answers

    Match the following causes with their respective conditions related to metabolic acidosis:

    <p>Lactic acid production = Anaerobic metabolism Diarrhea = Loss of bicarbonate Severe sepsis = Mitochondrial dysfunction Ischaemic limb = Hypoperfusion</p> Signup and view all the answers

    What is one of the common causes of metabolic alkalosis?

    <p>Excessive acid loss</p> Signup and view all the answers

    Hypoperfusion can cause metabolic acidosis due to tissue hypoxia.

    <p>True</p> Signup and view all the answers

    What is the primary characteristic of respiratory alkalosis?

    <p>Deficit of carbonic acid</p> Signup and view all the answers

    What is the primary role of lactate dehydrogenase (LDH) in anaerobic glycolysis?

    <p>Converts pyruvate to lactate</p> Signup and view all the answers

    Aspartate aminotransferase (AST) is primarily found only in the liver.

    <p>False</p> Signup and view all the answers

    What coenzyme does pyruvate require for the transamination reaction catalyzed by aspartate aminotransferase (AST)?

    <p>Pyridoxal phosphate</p> Signup and view all the answers

    Alanine aminotransferase (ALT) transfers an amino group from alanine to ______.

    <p>α-ketoglutarate</p> Signup and view all the answers

    Match the enzyme to its tissue source:

    <p>LDH = Present in all cells AST = Skeletal muscle ALT = Liver</p> Signup and view all the answers

    What is the general diagnostic significance of aspartate aminotransferase (AST)?

    <p>Evaluation of hepatocellular disorders</p> Signup and view all the answers

    Alanine aminotransferase (ALT) is considered the more liver-specific enzyme amongst transferases.

    <p>True</p> Signup and view all the answers

    What is the reference range for AST levels in U/L at 37°C?

    <p>5 to 30 U/L</p> Signup and view all the answers

    Which of the following can stimulate vomiting? (Select all that apply)

    <p>Chronic gastritis</p> Signup and view all the answers

    It is common for horses to vomit easily.

    <p>False</p> Signup and view all the answers

    What biochemical changes occur during vomiting?

    <p>Loss of water and HCl, leading to dehydration and metabolic alkalosis.</p> Signup and view all the answers

    Gastric contents loss can contribute to potassium deficiency during vomiting due to loss of potassium and __________.

    <p>dehydration</p> Signup and view all the answers

    Match the condition to its characteristic feature:

    <p>Diarrhea = Rapid elimination of watery feces Gastric Dilatation Volvulus (GDV) = Accumulation of gas and fluid in the stomach Vomiting = Presence of foreign objects or parasites Dehydration = Decreased excretion of hydrogen</p> Signup and view all the answers

    Which of the following is a consequence of diarrhea?

    <p>Disturbance in nutrient absorption</p> Signup and view all the answers

    Hyperkalemia is a condition resulting from GDV.

    <p>True</p> Signup and view all the answers

    What is the primary cause of Gastric Dilatation Volvulus (GDV)?

    <p>Accumulation of gas and fluid in the stomach.</p> Signup and view all the answers

    Chronic gastritis can cause __________ due to irritation of the stomach lining.

    <p>vomiting</p> Signup and view all the answers

    Study Notes

    Ketosis

    • The rumen epithelium plays a key role in converting butyrate, a short-chain fatty acid, into acetoacetate and beta-hydroxybutyrate.
    • When butyrate levels are high, excessive amounts of beta-hydroxybutyrate are produced and released into the bloodstream, leading to ketosis.
    • Spontaneous ketosis is the most common type of ketosis, occurring during peak lactation in animals with access to high-quality feed.
    • Spontaneous ketosis typically resolves on its own, although it can significantly reduce milk production.

    Hypoglycemic Theory

    • The hypoglycemic theory is the most widely accepted explanation for bovine ketosis.
    • During lactation, the mammary glands may consume glucose from the bloodstream faster than the liver can replenish it, causing hypoglycemia.
    • Hypoglycemia triggers the liver to break down fatty acids into ketone bodies, leading to an increase in blood ketone levels.

    Pregnancy Toxemia

    • Pregnancy toxemia, also called ketosis, lambing sickness, or twin-lamb disease, affects pregnant sheep and goats.
    • It’s primarily caused by low blood sugar (glucose).
    • Stress factors like nutritional deficiencies or harsh weather conditions can trigger the onset of the disease.
    • Ewes and does carrying multiple fetuses or who are excessively fat or thin are most susceptible.
    • Growing fetuses consume large amounts of glucose and amino acids, further contributing to hypoglycemia and ketone body production.
    • The brain relies on glucose for optimal function, so a deficiency leads to nervous dysfunction, potentially progressing to coma and death.

    Blood Biochemistry of Ketosis

    • Ketosis is characterized by an increase in blood ketone levels, particularly beta-hydroxybutyrate.
    • Glucose and glucose precursor therapies are used to manage ketosis.
    • Parenteral glucose offers immediate relief from hypoglycemia.
    • Gluconeogenic precursors like propylene glycol, glycerol, and sodium pyruvate have proven effective in treating ketosis.

    Hepatocellular Enzymes and Isoenzymes

    • Alkaline phosphatase (ALP) activity increases in both bile and blood due to its presence on bile canalicular and sinusoidal surfaces.
    • Isoenzymes, differing in amino acid sequence but catalyzing the same reactions, can help identify affected tissues.
    • Lactate dehydrogenase (LDH) has five isoenzymes, each with a specific tissue distribution.

    Creatine Kinase (CK)

    • CK, a primary enzyme involved in muscle energy storage, has higher activity in skeletal muscle, heart muscle, and brain tissue.
    • Elevated CK levels indicate disorders of cardiac and skeletal muscle.
    • CK exists in three isoenzyme forms (BM, B2, and M2) with different tissue distributions.
    • CK levels remain elevated for 1-2 days after a heart attack, reaching lethal concentrations after multiple attacks within a short period.

    Lactate Dehydrogenase (LDH)

    • LDH is widely distributed in the body, with high activity levels in the heart, liver, skeletal muscle, kidney, and erythrocytes.
    • Increased LDH levels indicate a variety of disorders due to its ubiquitous nature, making it challenging to pinpoint the specific affected tissue.

    Aspartate Aminotransferase (AST)

    • AST is a transferase involved in amino group transfer between aspartate and α-keto acids.
    • It is primarily used to assess hepatocellular disorders and skeletal muscle involvement.
    • AST levels frequently increase in pulmonary embolism.

    Alanine Aminotransferase (ALT)

    • ALT is a transferase similar to AST, catalyzing the transfer of an amino group from alanine to α-ketoglutarate.
    • It is considered more liver-specific than AST.

    Vomiting

    • Vomiting is induced by various factors, including foreign objects, obstructions, parasites, infections, toxins, and diseases affecting the gastrointestinal tract.
    • Vomiting is common in dogs and cats but rare in horses.
    • Vomiting leads to loss of water, hydrochloric acid, and electrolytes, resulting in dehydration and metabolic alkalosis.
    • Hypokalemia may occur due to increased urinary potassium excretion during alkalosis.

    Diarrhea

    • Diarrhea is the frequent passage of watery feces, caused by various factors like intestinal infections, parasites, dietary changes, toxins, and heavy metals.
    • It leads to dehydration, electrolyte imbalances, and disruption of nutrient absorption.
    • Dehydration can trigger haemoconcentration, resulting in hypovolemic shock, hyperkalemia, and hypoglycemia.

    Gastric Dilatation Volvulus (GDV)

    • GDV is a serious gastrointestinal disorder characterized by gas and fluid accumulation in the stomach, causing mechanical and functional disturbances.
    • It leads to gastric distension, rotation, obstruction, and potentially necrosis and perforation of the stomach wall.
    • GDV results in hyperkalemia, hyperphosphotemia, and haemoconcentration.
    • Increased transaminase activity reflects tissue damage in the stomach and liver.
    • Lactic acid production leads to metabolic acidosis.

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    Unit 3 VBC Full Notes PDF

    Description

    This quiz explores the concepts of ketosis, particularly in bovine lactation, and the hypoglycemic theory associated with it. It discusses the role of butyrate in creating ketone bodies and the impact of energy levels during pregnancy. Test your knowledge on the metabolic processes and the significance of these conditions in livestock.

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