Clozapine
Forum Elite
Topics: 15
Posts: 167
|
Mr. and Mrs. Smith, a famous couple in the area where you practice, brought their beautiful blond and blue-eyed baby to your clinic. The parents are concerned that the kid is not growing up as fast as other kids in the locality !! Mrs. Smith also complains that the baby sometimes smells so bad that it`s hard to cover that mousy odor with any brand of kiddy-colognes. Mr. Smith is worried if the kid had any problem during delivery, since the kid was born outside US where, he doubts, if routine pediatric screening tests were performed. Which of the following statements is true about the disease of this kid ?
A.The kid would have a high level of phenylalanine in urine
B.The enzyme deficient in the kid carboxylases phenylalanine
C.The possible reason for the developmental delay is high phenylketones in blood
D.The mousy body odor is caused by phenylacetic acid
E.A negative Guthrie test will confirm the findings
And bonus q. what`s the name of the kid  ???
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
A) and the kids name will be Smith Jr 
|
| Palaniappan
Forum Senior
Topics: 30
Posts: 148
|
I will go with C for Jr.Smith
|
| Clozapine
Forum Elite
Topics: 15
Posts: 167
|
OKay.... I went too overboard ... shouldn`t have asked the name  ... name of the country where the kid was born will do 
|
| Sayulita
Forum Guru
Topics: 103
Posts: 539
|
Phenylalanine deficience
any 3 wolrd country
JOE Smith II
Nice posting by the way
|
| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
|
D
I thought it would be elvated phenylalanine in the blood and phynlketones in the urine. I go with D. I have read that phynelyacetic acid(in usmle world q I think) causes the mousy odor. It would make a wonderful cologne. I dont know who Mr and Mrs Smith is if they are actually people and not actors. If you talking about the movie, Ms smith- Angelina, is totally hot. Got to love the women. The kid was shiloh and he was born in Africa I think. Who is joe smith the third?
|
| me007
Forum Guru
Topics: 72
Posts: 803
|
ans c.
Where he was born?
Japan? they started develop screening in late 90th
Thailand?
all European counries do Guthrie test
|
| Sayulita
Forum Guru
Topics: 103
Posts: 539
|
yes you are correct PKU Phenyketonuria
treatment {they don't ask but good to know }
remove phenylalanine from the diet
good one guys (girls }
|
| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
|
Lol if they ask something as simple as just the disease on the exam, I will dance around naked in the streets. Did you guys see the funny spider video? If you guys havent heres the link. It too funny not to take a 2 mins to see.
http://www.prep4usmle.com/forum/comments.php?id=4...
|
| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
|
I forgot to mention, someone posted the qbanks in the support forum. Under the title "Step 1 Qbanks". I know most of us have Q banks but the physio Qbank is included with others. The post is by residency 2008 . I know we are all taking our test soon. But more questions cant hurt.
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
Ha Ha, that was cool... and Ancylostoma, after your exam if they ask something as simple as just the disease, do let us know what stret you'll be dancing around naked, maybe that would be fun watching as well !
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
and maybe Smith Jr was born in Turkey since they have highest incidence, or maybe is yemenite jewish population or Itlay or China ???
Whas the answer?
|
| Clozapine
Forum Elite
Topics: 15
Posts: 167
|
A) Incorrect, phenylketones are increased in urine (phenylacetate,phenylpyruvate and phenyllactate), not phenylalanine
B) Incorrect, the enz is Phe hydroxylase, not carboxylase
C) Developmental delays are caused by high phenylalanine in blood, not for the ketones
E) A positive Guthrie test will confirm the diagnosis, not a negative one
D) correct.
The name of the kid doesn`t really matter .... it was a bad joke ... anyways, Anky is right, and she was born in Namibia.
I`m voting for constitution ave. Anky.
|
| residency_2008
Forum Newbie
Topics: 3
Posts: 16
|
the answer is " D ".......the musty odour is due to phelylacetate.
cheers
___________________
I wOn'T gRaTiFy ThE dEvIl By GeTtInG dIsCoUrAgEd !!
|
| residency_2008
Forum Newbie
Topics: 3
Posts: 16
|
thanks anky......and those physio questions are really cool.....
___________________
I wOn'T gRaTiFy ThE dEvIl By GeTtInG dIsCoUrAgEd !!
|
|
| |
| | | | | | | | | | | | | | | |
