5. Since in this patient pyruvate kinase is abnormal not only is less pyruvate made but intermediates above pyruvate in the glycolytic pathway build up slowing the pathway. Which of the following products may not be made in the appropriate amounts in the RBC because of the deficiency of pyruvate ?

Surgical Tech For Surgical Tech Pos Care
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Chapter9: Surgical Pharmacology And Anesthesia
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CASE STUDY #2
A 2-year-old black girl is being seen by the hematologist after her pediatrician found her to be
severely anemic with splenomegaly and jaundice. Her mother gives a possible history of a “blood
problem" in her family but doesn't know for sure. Her hemoglobin electrophoresis was normal, and
the complete blood count (CBC) revealed a normocytic anemia. The platelet and white blood cell
On the peripheral smear, there are many bizarre erythrocytes, including
counts are normal.
spiculated cells. A diagnosis of pyruvate kinase deficiency is made.
5. Since in this patient pyruvate kinase is abnormal not only is less pyruvate made but intermediates above
pyruvate in the glycolytic pathway build up slowing the pathway. Which of the following products may not be
made in the appropriate amounts in the RBC because of the deficiency of pyruvate
A. Glucose
B. Oxaloacetate
C. acetyl-CoA
D. Lactate
Explanation for answer in no. 5:
?
Transcribed Image Text:CASE STUDY #2 A 2-year-old black girl is being seen by the hematologist after her pediatrician found her to be severely anemic with splenomegaly and jaundice. Her mother gives a possible history of a “blood problem" in her family but doesn't know for sure. Her hemoglobin electrophoresis was normal, and the complete blood count (CBC) revealed a normocytic anemia. The platelet and white blood cell On the peripheral smear, there are many bizarre erythrocytes, including counts are normal. spiculated cells. A diagnosis of pyruvate kinase deficiency is made. 5. Since in this patient pyruvate kinase is abnormal not only is less pyruvate made but intermediates above pyruvate in the glycolytic pathway build up slowing the pathway. Which of the following products may not be made in the appropriate amounts in the RBC because of the deficiency of pyruvate A. Glucose B. Oxaloacetate C. acetyl-CoA D. Lactate Explanation for answer in no. 5: ?
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