Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  This One Made Me Think # 5 




 
Kaplan Qbank USMLE



Author8 Posts
  #1

A newborn baby has multiple hemorrhages. Clotting studies demonstrate an elevated prothrombin time. An abnormality of which of the following biochemical processes is likely present in this patient?

A. Conversion of homocysteine to methionine
B. Conversion of methylmalonyl CoA to succinyl CoA
C. Degradation of cystathionine
D. Formation of gamma-carboxyglutamate residues
E. Hydroxylation of proline


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

D


  #3

D

Vit K deficiency???


___________________
Great works are performed not by strength, but by perseverance.

  #4

is it D coz of abnormality of g caroxylation

  #5

D

___________________
Every disaster hides an opportunity.

  #6

doc499 wrote:
is it D coz of abnormality of g caroxylation
nod
nod


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

The correct answer is D.

Deficiency of vitamin K produces a clotting disorder characterized by an elevated prothrombin time and easy bleeding, particularly in neonates (hemorrhagic disease of the newborn). The biochemical basis for this hemorrhagic tendency is that glutamate residues on Factors II (Thrombin), VII, IX, and X must be converted to gamma-carboxyglutamate residues (in a vitamin K-requiring reaction) for optimal activity.

The conversion of homocysteine to methionine (choice A) requires vitamin B12.

Conversion of methylmalonyl CoA to succinyl CoA (choice B) requires vitamin B12.

Degradation of cystathionine (choice C) requires vitamin B6.

Hydroxylation of proline (choice E) requires vitamin C. Vitamin C deficiency can cause easy bruising, but will not prolong the prothrombin time.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

D







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.