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37 Cards in this Set

  • Front
  • Back

Why would a high-protein diet be Illin vies for the patient and his laboratory report indicates a pathological detoxifier pattern?

It would exacerbate the effects of low fees to detoxification capacity

How does the stimulation of hepatic cytochrome P4 50 activity by compounds and cigarette smoke illustrate the hormesis model of toxic and affects

Very low-dose is of a toxic compound can have favorable affects

Ammonia detoxification is not described by phase 1 and phase 2 reactions because

It does not require oxidation and conjugation for clearance

Which type of Organo talks in his famous for originating from soft plastic products?

Phthalates

Which of the following toxicants is considered to be iatrogenic?

Acetaminophen

How does dietary fiber help control total estrogen exposure in pre-menopausal women?

Reduction of Intero hepatic estrogen circulation

Why is oral challenging with DMSA used prior to toxic element testing of urine?

To demonstrate metallothionein loading status

What is the most common reason for finding elevated benzoic acid in urine?

Hepatic glycine conjugation capacity has been exceeded

What urinary porphyrin becomes uniquely elevated in urine due to mercury toxicity?

Pre-coproporphyrin

What are Urinary products of glutathione conjugation called?

Mercaptans

Which of the following agents asked to protect enzymes inside of the mitochondria from oxidative damage?


Manganese super oxide dismutase


catalase


zinc – copper super oxide dismutase


ceruloplasmin

Manganese super oxide dismutase

What amino acid is unusually high inside erythrocytes to afford oxidative stress protection?

Taurine

Which vitamin sits near the center of the cellular redox potential spectrum?

Vitamin C

Accumulation of which compound tend to produce reductive stress?

NADH

Which compound is sometimes used as a biomarker of total body protein oxidative damage?

Nitrotyrosine

Match the laboratory markers with their category of oxidative stress damage:


Isoprostanes, methionine sulfoxide, 8-hydroxy2’-deoxyguanosine, 3-nitrotyrosine


Lipid damage, protein damage, or DNA damage

Isoprostanes- Lipid damage


methionine sulfoxide- protein damage


8-hydroxy2’-deoxyguanosine- DNA damage


3-nitrotyrosine- Protein damage

In a patient with multiple signs of oxidative stress, physiological forms of which two micro nutrients are needed because they act in tandem directly upon glutathione to achieve the recycling of the oxidized to the reduced form?

Lipoate and nicotinamide

What factor released during sleep and strong protection against oxidative stress?

Melatonin

What antioxidant is specifically indicated to be under stress, leading to reduce antioxidant stress response capacity when a patient is found to have elevated Pyroglutamate and Alpha hydroxybutyrate?

Glutathione

Which three trace elements are required for the action of superoxide dismutase Enzymes?

Copper zinc and manganese

Production of which cell regulator is directly affected by deficiency of iodine?

Tyrosine

Production of which cell regulator is directly affected by deficiency of tryptophan?

Serotonin

Production of which cell regulator is directly affected by deficiency of arginine?

Nitric oxide

Production of which Sell regulator is directly affected by excessive consumption of broccoli?

Thyroxine

Which of the following is a hormone that is not derived from cholesterol? Testosterone, cortisol, estrone, norepinephrine

Norepinephrine

Which of the following test results is a marker for chronic stress response? High thyroxine, low insulin, low SIGA, or high estradiol?

Low SIGA

What hormonal abnormality would be suspected in a patient with elevated serum triglycerides, elevated serum LDL cholesterol, obesity and non-alcoholic liver disease?

Hyperinsulinemia

Which of the following is used to assess risk of cancer from poor regulation of estrogen metabolism?


Pregnenalone/testosterone ratio


Estrone/estriol ratio


Estradiol/estriol ratio


2/16 hydroxyestrogen ratio

2/16 hydroxyestrogen ratio

Cytokines signaling pathways frequently use which type of chemical reaction to transmit and amplify signals?

Phosphorylation

The AKT signaling pathway is involved in the initiation of which cellular process?

APoptosis

What kind of clinically relevant information is found at the website named OMMBID?

Metabolic defects are described for inherited diseases

What advantage may be derived from the use of a patient’s genomics data when choosing drug therapies?

Dosages may be adjusted according to SNP’s that affect their metabolism

The designation A856G conveys what information?

At bass position 856 in the related gene there is a single nucleotide polymorphism due to replacement of adenosine by guanosine

Which steps in gene expression can be altered by environmental factors?

RN a translation, DNA transcription, Post translational protein alterations

The patient is found to be homozygous for SNP that causes Lowered activity of the enzyme required for conversion of dopamine to epinephrine, what laboratory report abnormality would show metabolic confirmation of the effect?

Low urinary vanilmandelic acid

Which response describes the level at which microRNAs act to affect processes like the uptake of micronutrients such as iron?


Alteration of gene expression rates


shifting gene products due to the presence of SNP’s


preventing the formation of ribosomal RNA


changing protein structures by modifying amino acid side chains

Alteration of gene expression rates

How is an enzyme activity altered by the presence of a homozygous SNP in the genes that express that enzyme?

The rate of the catalyzed reaction is decreased, there is no change in the rate of the catalyzed reaction, the rate of the catalyzed reaction is increased.


Any of the above three responses may apply