Amino Acid Metabolism Indian Medical PG Flashcards - Medical Study Cards
Master Amino Acid Metabolism with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Amino Acid Metabolism Flashcard Deck - 95 Cards
Flashcard 1: pulses are deficient in _____ amino acids
Answer: cysteine and methionine
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Flashcard 2: cereals are deficient in _____ amino acids
Answer: threonin and lysine
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Flashcard 3: taurine amino acid is essential for _____
Answer: axonal growth
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Flashcard 4: breast milk is rich in _____ essential amino acids
Answer: cysteine and taurine
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Flashcard 5: maize is deficient in _____ amino acids
Answer: tryptophan and lysine
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Flashcard 6: _____ amino acid is essential for premature children
Answer: cysteine
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Flashcard 7: _____ is a neurotransmitter derived from the amino acid glutamate
Answer: -Aminobutyric acid (GABA)
Flashcard 8: _____ may be converted to tyrosine via the enzyme phenylalanine hydroxylase (with tetrahydrobiopterin as a cofactor)
Answer: Phenylalanine
Flashcard 9: Carbamoyl phosphate synthetase I deficiency presents with _____ NH4+ and hyper-ammonemia
Answer: increased
Flashcard 10: Gyrate atrophy is a metabolic disorder due to the deficiency of _____ enzyme (OAT), resulting in an increase in serum ornithine.
Answer: ornithine aminotransferase
Flashcard 11: _____ may be combined with ornithine to form citrulline via the enzyme ornithine transcarbamylase
Answer: Carbamoyl phosphate
Flashcard 12: _____ may be converted to dopamine via the enzyme DOPA decarboxylase (with vitamin B6 as a cofactor)
Answer: Dihydroxyphenylalanine (DOPA)
Flashcard 13: _____ and valine are eventually broken down into propionyl-CoA via the enzyme branched-chain -ketoacid dehydrogenase
Answer: Isoleucine
Flashcard 14: Vitamins required for the conversion of serine to glycine are _____ and folic acid
Answer: pyridoxal phosphate (B6)
Flashcard 15: Hartnup disease is treated with a high-_____ diet and nicotinic acid (niacin)
Answer: protein
Flashcard 16: _____ (from tyrosine) may be converted to maleylacetoacetate via the enzyme homogentisate oxidase
Answer: Homogentisic acid
Flashcard 17: The urea cycle begins with _____, CO2, and 2 ATP
Answer: NH4+
Flashcard 18: In the first step of thyroid hormone synthesis, _____ is synthesized from tyrosine in the thyroid follicular cells
Answer: thyroglobulin
Flashcard 19: _____ is an obligate activator of carbamoyl phosphate synthetase I
Answer: N-acetylglutamate
Flashcard 20: In the first step of the urea cycle, CO2 and NH4+ are combined to form _____ via the enzyme carbamoyl phosphate synthetase I (requires 2 ATP)
Answer: carbamoyl phosphate
Flashcard 21: _____ is eventually broken down into acetyl-CoA via the enzyme branched-chain -ketoacid dehydrogenase
Answer: Leucine
Flashcard 22: _____ may be converted to melanin via the enzyme tyrosinase
Answer: Dihydroxyphenylalanine (DOPA)
Flashcard 23: Arginine may be broken down into _____ and urea via the enzyme arginase
Answer: ornithine
Flashcard 24: _____ may be converted to epinephrine via the enzyme phenylethanolamine-N-methyltransferase (with SAM as a cofactor) and stimulated by cortisol
Answer: Norepinephrine
Flashcard 25: In the liver, alanine transfers its NH3 group to _____, forming glutamate and pyruvate
Answer: -ketoglutarate
Flashcard 26: _____ may be converted to cystathionine via the enzyme cystathionine synthase (with B6 as a cofactor)
Answer: Homocysteine
Flashcard 27: Type _____ maple syrup urine disease (MSUD) results from the mutation in the genes encoding dihydrolipoyl transacylase.
Answer: II
Flashcard 28: _____ is converted to dihydroxyphenylalanine (DOPA) via the enzyme tyrosine hydroxylase (with tetrahydrobiopterin as a cofactor)
Answer: Tyrosine
Flashcard 29: In addition to enzyme deficiencies, homocystinuria may be caused by decreased affinity of _____ for pyridoxal phosphate (B6, active form)
Answer: cystathionine synthase
Flashcard 30: Phenylketones include _____, phenyllactate, and phenylpyruvate
Answer: phenylacetate
Flashcard 31: At the junction of the follicular cells and the follicular lumen, _____ residues of thyroglobulin react with I2 to form monoiodotyrosine (MIT) and diiodotyrosine (DIT)
Answer: tyrosine
Flashcard 32: In the muscle, glutamate transfers its NH3 group to _____, forming alanine and -ketoglutarate
Answer: pyruvate
Flashcard 33: What enzyme deficiencies may cause homocystinuria? _____ and methionine synthase deficiencies
Answer: Cystathionine synthase
Flashcard 34: Creatine is synthesized from _____, arginine, and methionine (GAM)
Answer: glycine
Flashcard 35: _____ disease is due to a deficiency of neutral amino acid transporters (especially tryptophan) in the proximal renal tubular cells and enterocytes
Answer: Hartnup
Flashcard 36: What are the 9 (10*) essential amino acids? _____ValineThreonineTryptophan IsoleucineMethionineHistidine Arginine* during periods of growthLysineLeucine
Answer: Phenylalanine
Flashcard 37: _____ urine is characteristically seen in multiple carboxylase deficiency.
Answer: Tomcat
Flashcard 38: _____ is also called the 22nd amino acid and is encoded by UAG
Answer: Pyrrolysine
Flashcard 39: Pyruvate is converted to _____ via the enzyme alanine aminotransferase (ALT) (Cahill cycle)
Answer: alanine
Flashcard 40: Ornithine transcarbamylase (OTC) deficiency presents with _____ NH4+ and hyper-ammonemia
Answer: increased
Flashcard 41: In the kidney, glutamine may be broken down into _____ and glutamate via the enzyme glutaminase
Answer: NH4+
Flashcard 42: In the liver, glutamate may transfer its NH3 to _____, forming aspartate and -ketoglutarate
Answer: oxaloacetate
Flashcard 43: Difference in proportion of _____ and Pheomelanin leads to difference in skin colours
Answer: Eumelanin
Flashcard 44: _____ is a metabolic disorder associated with black-colored urine after prolonged exposure to air
Answer: Alkaptonuria
Flashcard 45: After organification of I2, coupling between _____ may combine to form thyroxine (T4)
Answer: two molecules of DIT
Flashcard 46: _____ cleaves the amino acid arginine into citrulline and nitric oxide
Answer: NO synthase
Flashcard 47: The amino acid _____ is essential during periods of positive nitrogen balance
Answer: arginine
Flashcard 48: _____ and Histidine are semi-essential amino acids
Answer: Arginine
Flashcard 49: Argininosuccinate may be broken down into _____ and fumarate via the enzyme argininosuccinase
Answer: arginine
Flashcard 50: Once in target tissues, the enzyme _____ converts T4 to T3 by removing one atom of I2; a certain portion is also converted to reverse T3 (rT3) which is inactive
Answer: 5'-deiodinase
Flashcard 51: _____ may be generated via the "VOMIT" pathway:V: valineO: odd-carbon fatty acidsM: methionine I: isoleucineT: threonine
Answer: Propionyl-CoA
Flashcard 52: NH3 is excreted in the urine primarily in the form of _____ (from the liver) and NH4+ (from glutamine breakdown)
Answer: urea
Flashcard 53: In the liver, amino acids transfer their NH3 group to _____, forming glutamate and -ketoacids
Answer: -ketoglutarate
Flashcard 54: Methylmalonyl-CoA may be converted to _____ via the enzyme methylmalonyl-CoA mutase (with vitamin B12 as a cofactor)
Answer: succinyl-CoA
Flashcard 55: A positive _____ test may help in the diagnosis of cystine kidney stones
Answer: sodium cyanide nitroprusside
Flashcard 56: _____ may be combined with aspartate to form argininosuccinate via the enzyme argininosuccinate synthetase (requires 1 ATP)
Answer: Citrulline
Flashcard 57: Fumarylacetoacetate converts to _____ and Acetoacetate with the help of enzyme hydrolase
Answer: Fumarate
Flashcard 58: The amino acids _____ and arginine are positively charged at body pH (basic)
Answer: lysine
Flashcard 59: _____ is synthesized from L-arginine via NO synthase
Answer: NO
Flashcard 60: Urea has two nitrogen molecules, one from _____ and one from aspartate
Answer: NH3
Flashcard 61: Tyrosine converts to _____ with the help of enzyme aminotransferase
Answer: 4-OH phenylpyruvate
Flashcard 62: People with a genetic deficiency of _____ present with hypermethioninemia
Answer: /-methionine adenosyltransferase
Flashcard 63: The treatment for propionic acidemia is a low _____ diet that does not include valine, methionine, isoleucine, or threonine
Answer: protein
Flashcard 64: Glutathione is a tripeptide composed of _____, CystEine and Glycine
Answer: Glutamate
Flashcard 65: In the muscle, amino acids transfer their NH3 group to _____, forming glutamate and -ketoacids
Answer: -ketoglutarate
Flashcard 66: An odour of _____ is diagnostic of type 1 tyrosinemia and hypermethioninemia
Answer: boiled cabbage
Flashcard 67: _____ may be converted to methionine via the enzyme methionine synthase (with methyl-THF and vitamin B12 as cofactors)
Answer: Homocysteine
Flashcard 68: After release from iodinated thyroglobulin, MIT and DIT are _____ by the enzyme thyroid deiodinase, reproducing I- and tyrosine
Answer: deiodinated
Flashcard 69: _____ is a dipeptide that is a marker of meat consumption
Answer: Anserine
Flashcard 70: _____ is a dipeptide that can be found in excitable tissues like brain and muscle.
Answer: Carnosine
Flashcard 71: Amine hormones are derivatives of the amino acid _____
Answer: tyrosine
Flashcard 72: All amino acids undergo transamination except: _____
Answer: Proline, Lysine, Threonine and Hydroxyproline (4)
Flashcard 73: Hyperammonemia type 1 occurs due to deficiency of the enzyme _____
Answer: CPS-1
Flashcard 74: _____ is a purely glucogenic amino acid.
Answer: Alanine
Flashcard 75: Which enzyme is involved in oxidative deamination?_____
Answer: Glutamate dehydrogenase
Flashcard 76: _____, a derivative of histidine is found to be unusually low in urine in patients of Wilson's disease
Answer: 3-methyl-histidine
Flashcard 77: Which amino-acid metabolism disorder clasically presents with sweaty feet?_____
Answer: Isovaleric aciduria
Flashcard 78: Patients treated with nitisinone may develop corneal crystals of _____ which can be reduced by strict dietary control
Answer: tyrosine
Flashcard 79: Taurine is biosynthesized from _____.
Answer: cysteine
Flashcard 80: Phenylalanine levels are _____ in a patient of Segawa syndrome, after a phenylalanine loading test (100mg/kg)
Answer: increased
Flashcard 81: _____ in eukaryotes is also known as 21st amino acid
Answer: Selenocysteine (Sec)
Flashcard 82: Plasma levels of _____ are elevated in gyrate atrophy of retina and choroid.
Answer: ornithine
Flashcard 83: Urine FeCl3 test done for PKU detects the presence of _____
Answer: Phenylpyruvate
Flashcard 84: How does hyperammonenemia deplete alpha-ketoglutarate?_____
Answer: 1. the excess free ammonia binds to glutamate and forms glutamine2. To compensate for the reduced glutamate, alpha-ketoglutarate is aminated to glutamate.
Flashcard 85: The amount of _____ excreted in the urine is directly proportional to muscle mass
Answer: creatinine
Flashcard 86: What kind of odour is seen in Hawkinsinuria?_____
Answer: Swimming pool
Flashcard 87: HHH syndrome occurs due to the deficiency of enzyme _____
Answer: ornithine permease
Flashcard 88: N-Formimino glutamate (FIGLU) is an intermediate in the metabolism of _____.
Answer: histidine
Flashcard 89: What is the most common acquired cause for increased plasma tyrosine levels?_____
Answer: Transient tyrosinemia of the newborn
Flashcard 90: Which amino acids present in human milk help in neuromodulation and neurotransmission?_____
Answer: Taurine and cysteine
Flashcard 91: Phenylketonuria can be treated by large neutral amino acid supplementation, or use of commercially available BH4 also called as _____
Answer: sapopterin
Flashcard 92: A musty odour in PKU is due to _____ in sweat.
Answer: phenylacetate
Flashcard 93: Which amino acid has an indole group?_____
Answer: Tryptophan
Flashcard 94: Which amino-acid is formed after co-translational modification?_____
Answer: Selenocysteine
Flashcard 95: Homocarnosine is made up of _____ and GABA.
Answer: histidine::AA
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