CHEAT SHEET FOR USMLE STEP 1 PREP

-ORIGIN OF REPLICATION- REPEATED A’S AND T’S, THE TATA BOX IS
PROMOTER SITE

  • REPLICATION FORK- Y SHAPED, WHERE LEADING AND LAGGING STRAND ARE
    SYNTHESIZED
    -HELICASE- UNWINDS DNA—–>DEFICIENT IN BLOOM SXN (BLM GENE
    MUTATION)
  • TOPOISOMERASE- CREATES SINGLE OR DOUBLE STRANDED BREAK IN THE
    HELIX TO ADD OR REMOVE SUPERCOILS AS NEEDED—–INHIBITED BY
    FLUOROQUINOLONES (TOPO 2 AKA DNA GYRASE, AND TOPO4)
    -PRIMASE- MAKES RNA PRIMER ON DNA SO POLYMERASE CAN START
    REPLICATION
    -POLYMERASE 3-ONLY PROKARYOTES! ELONGATES LEADING STRAND BY
    ADDING DEOXYNUCLEOTIDES TO THE 3’END (LAGGING) TIL IT REACHES
    PRIMER
    -POLYMERASE 1- PROKARYOTES ONLY! DEGRADES RNA PRIMER
    -LIGASE- GLUE! JOINS OKAZAKI FRAGMENTS WITH PHOSPHODIESTER BONDS
    -TELOMERASE- EUKARYOTES ONLY! REVERSE TRANSCRIPTASE, ADDS DNA
    ‘TAG’ AKA TTAGGG TO 3’ ENDS OF CHROMOSOME TO AVOID LOSS OF GENETIC
    MATERIALS!!!!
    UPREGULATED IN CANCER, DOWN REGULATED IN AGING AND PROGERIA
    SO SHORTER TELOMERASE MEANS OLDER PERSON
    EUKARYOTE RNA POLYMERASES
    RP 1- MAKES RRNA, ONLY IN NUCLEOLUS
    RP2- MAKES MRNA, SNRNA, AND MICRORNA
    RP3- MAKES TRNA AND SSRNA, NO PROOFREADING BUT CAN INITIATE CHAINS
    AMANTAPHALLOIDES AKA DEATH CAP MUSHROOMS CONTAIN ALPHA AMANITIN
    WHICH UPON INGESTION CAN CAUSE DYSENTARY AND SEVERE
    HEPATOTOXICITY–>LIVER FAILURE
    Nucleotide deficiency diseases
    ADD- adenosine deaminase deficiency

    -ultimately leads to decrease in lymphocytes which then leads to SCID (severe
    combined immunodeficiency)
    -AUTOSOMAL RECESSIVE
    LESCH-NYMAN SXN
  • X-LINKED RECESSIVE
  • ABSENT CONVERSION OF HYPOXANTHINE TO IMP AND GUANINE TO GMP
  • HGPRT- HYPERURICEMIA, GOUT, PISSED OFF, RED/ORANGE CRYSTALS
    (SODIUM URATE) IN URINE, TENSE MUSCLES(DYSTONIA)
  • HEY GREG PLS RE TWEET
    PRADER WILLI SXN- POP (PRADER WILLI, OBESITY, PATERNAL ALLELE
    DELETED)
    -MATERNAL CHROMOSOME DUPLICATED, PATERNAL ALLELE IS DELETED OR
    MUTATED
    -HYPERPHAGIA, INSATIABLE HUNGER, OBESITY, INTELLECTUAL DISABILITY,
    HYPOGONADISM, HYPOTONIA
    ANGELMANN SXN
    -PATERNAL CHROMOSOME DUPLICATED, MATERNAL ALLELE DELETED
    -SEIZURES, ATAXIA, INTELLECTUAL DISABILITY, INAPPROPRIATE LAUGHTER
    (SAIL)
    Glycogen storage diseases – VPCAM- Vice President
    Cant Accept Money
    V- Von Gierke
    ● No glycogenolysis no gluconeogenesis
    ● High- blood lactate, triglycerides, uric acid
    ● Gout
    ● Deficient in glucose 6 phosphatase
    P-Pompe
    ● Cardiovascular issues, hepatomegaly,
    ● Pompe=pump= heart, liver, muscle
    ● Deficient in galactosidase (??)
    C-Cori
    ● Mild Von gierke
    ● Gluconeogenesis works!
    ● Deficient in DEbranching enzymes!
    A-Andersen

    ● Cirrhosis, intellectual delay, failure to thrive
    ● Deficient in BRANCHING enzymes
    M-McArdle
    ● Glycogen stores in muscle and muscle cant break it down
    ● Myoglobinuria- RED URINE after strenuous exercise
    ● Mcardle=muscle
    Lysosomal enzyme deficiency diseases
    TaySachs- onion cherry
    ● Progressive neurodegeneration
    ● Cherry red spot on macula of eye, NO HEPATOMEGALY, ONION SKIN LYSOSOMES
    ● Deficient in hexokinase
    Fabry
    ● EARLY STAGE: “think NAH!” neuropathy, angiokeratomas, and hypohidrosis
    (angiokeratoma look like red wet acne)
    ● LATE: RENAL failure and CARDIOVASCULAR disease
    ● Deficient in alpha galactosidase
    Gaucher
    ● Gaucher cells- Macs that look like crumpled tissue paper
    ● Pancytopenia, osteoporosis, bone crises, femur necrosis
    ● Deficient in glucocerebridase
    Metachromatic Leukodystrophy
    ● Central and peripheral demyelination→ ataxia and dementia
    ● Deficient in aryl sulfatase A
    Krabbe- Mr Krabs eyes
    ● Deficient in galactocerebrisidase
    ● Globoid cells, optic atrophy, peripheral neuropathy
    Niemann-Pick- foam liver cherry
    ● Cherry red spot on macula, HEPATOMEGALY, foam cells
    ● Progressive neurodegeneration
    ● Sphingomyelinase deficiency
    Hurlers
    ● Corneal clouding
    ● Heparan and dermatan sulfate buildup
    Hunters
    ● Mild hurlers
    ● No corneal clouding, AGGRESSIVE behaviour
    ● Heparan and dermatan sulfate buildup
    Vitamins!
    Vitamin A aka retinoid, retinol, retinal

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