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560D CLINICAL BIOCHEMISTRY – COMP REVIEW EXAM R204,95   Add to cart

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560D CLINICAL BIOCHEMISTRY – COMP REVIEW EXAM

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  • 560D CLINICAL BIOCHEMISTRY – COMP
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  • 560D CLINICAL BIOCHEMISTRY – COMP

560D CLINICAL BIOCHEMISTRY – COMP REVIEW EXAM...

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  • October 7, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • 560D CLINICAL BIOCHEMISTRY – COMP
  • 560D CLINICAL BIOCHEMISTRY – COMP
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560D CLINICAL BIOCHEMISTRY – COMP
REVIEW EXAM


G6PD deficiency

- Most common enzyme deficiency known to cause hemolysis
- it reduces NADP to NADPH

G6PD Deficiency leads to increased oxidant stress and RBC lysis leading to
______

acute hemolytic anemia



Sideroblastic anemia

X-linked mutation of ALA synthase which also contains an iron response
element (IRE)

IRE blocks translation of ALA synthase

Mutation on ALA synthase causes excess iron in mitochondria

Heme synthesis is impaired because need ALA synthase to start the pathway of
heme production

Fe deficiency

Dietary deficiency, poor absorption, blood loss
Microcytic RBCs
- Absorption via Divalent Metal transporter
competition with Zn, Mn, Cu
- requires Vit. C and Cu for absorption

Importance of delta-aminolevulinic acid

- Rate limiting step of porphyrin biosynthesis and heme biosynthesis
- Requires pyridoxine

, Which of the following factors can increase likelihood of getting iron deficiency
anemia?

- Heavy menstruation
- Celiac disease
- Deficiency of copper

Anemia of chronic disease can be caused from prolonged inflammation (IL-6,
cytokines, infection), which increases level of __________________ to
sequester iron in tissues so germs can't use the iron to reproduce.

Hepcidin

What are the four conditionally essential amino acids?

Arg, Gln, Gly, Tau

Mutations in the SN1-SN2 transporter can lead to elevations in what 3 AA?

Gln, Asn, His

The central energy pathways begin with digestion and assimilation of fats,
carbohydrates, and proteins. Long chain FA require the use of the
_________________ shuttle to help them enter the mitochondrial for beta-
oxidation.

Carnitine

Inhibition of CoQ10 synthesis from statin drugs, will typically reveal elevations
in urinary_____________________

Hydroxymethylglutarate

When considering toxic exposures, through what barriers and routes of entry
can lipophilic (fat loving) toxins be absorbed?

Through the GI tract
Through the skin
Through the lymphatics
in utero

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