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nbme 5 block 2 -q1 to q 50 - drona99
#51
46.EE

Hypoxanthine-guanine phosphoribosyltransferase (HGPRT) is an enzyme that in humans is encoded by the HPRT1 gene
HGPRT is a transferase that catalyzes conversion of hypoxanthine to inosine monophosphate and guanine to guanosine monophosphate. This reaction transfers the 5-phosphoribosyl group from 5-phosphoribosyl 1-pyrophosphate to the purine. HGPRT plays a central role in the generation of purine nucleotides through the purine salvage pathway

Mutations in the gene lead to hyperuricemia:

Some men have partial (up to 20% less activity of the enzyme) HGPRT deficiency that causes high levels of uric acid in the blood, which leads to the development of gouty arthritis and the formation of uric acid stones in the urinary tract. This condition has been named the Kelley-Seegmiller syndrome.-----
-Partial hypoxanthine guanine phosphoribosyltransferase 1 deficiency (partial HGPRT deficiency) leading to hyperuricaemia, without CNS effects such as those seen in Lesch-Nyhan syndrome.

LNS is an X-linked recessive disease: Lesch-Nyhan syndrome is due to HPRT mutations resulting in extremely ineffective enzyme activity.
Some mutations have been linked to gout, the risk of which is increased in hyperuricemia

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#52
47.DD
Age 1
Walks alone 15mon
climb stair alone
emergence of hand preference (18m)
kick ,throws ball
pats pictures in book
stakes 3 cube
seperation anxiety
dependency on parental figure
onlooker play
Achieves object permenance
Great variation in timing of language devlopment
use 10 words
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#53
48.FF

Squamous metaplasia often replaces the mucociliary epithelium in the respiratory tract of chronic users of cigarettes. As a result, clearance mechanisms are altered

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#54
49.A

Fragile X syndrome was originally diagnosed by culturing cells in a folate deficient medium and then assessing the cultures for X-chromosome breakage by cytogenetic analysis of the long arm of the X-chromosome. This technique proved unreliable for both diagnosis and carrier testing.

The fragile X abnormality is now directly determined by analysis of the number of CGG repeats and their methylation status using restriction endonuclease digestion and Southern blot analysis.

posted by nobegod027 - 03/30/11 19:38


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#55
50.EE

Vit.E is an antioxidant
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#56
42. DD
Beneficence vs. Maleficence
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