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Question

Which one of the following conditions is NOT inborn error of metabolism?

The correct answer is
Neural tube defects

Identifying Non-Metabolic Disorders

The question asks to identify the condition that is NOT an inborn error of metabolism (IEM). IEMs are genetic disorders typically caused by a mutation in a single gene that leads to a deficiency in a specific enzyme, disrupting a metabolic pathway.

Condition Analysis

  • Tay-Sach's disease: This is an IEM. It's a lysosomal storage disorder caused by a deficiency in the enzyme hexosaminidase A, leading to the buildup of GM2 gangliosides.
  • Maple syrup urine disease (MSUD): This is also an IEM. It involves defects in the metabolism of branched-chain amino acids due to enzyme deficiencies.
  • Neural tube defects (NTDs): These are birth defects affecting the brain, spine, or spinal cord. They occur during embryonic development and are generally considered developmental malformations, not errors of specific metabolic enzyme function.
  • Down's syndrome: This is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21 (trisomy 21). While it involves genetic factors, it's primarily a chromosomal abnormality, not an error of metabolism in the typical sense of IEMs.

Conclusion on Neural Tube Defects

Neural tube defects represent a failure of the neural tube to properly close during fetal development. Unlike Tay-Sach's disease and Maple syrup urine disease, which are clearly defined IEMs affecting specific metabolic pathways, NTDs are classified as structural birth defects. Down's syndrome is a chromosomal disorder.

Therefore, among the given options, Neural tube defects are not classified as an inborn error of metabolism.

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Important Questions from Genetic Disorders & Public Health

  1. Amniocentesis is called for in all of the following circumstances EXCEPT:
  2. Consider the following pairs of genetic diseases that show Mendelian inheritance. Each of the following pairs represents a genetic disease and it has been matched with a type of inheritance :
    1Cystic fibrosisAutosomal recessive
    2Huntington's choreaAutosomal dominant
    3Marfan's syndromeRecessive sex-linked
    How many of the pairs given above are correctly matched?
  3. Consider the following statements : 

    Statement I: 

    Signs of thalassemia major usually develop after 6 months of age. 

    Statement II: 

    This is the time when haemoglobin synthesis switches from haemo-globin F to haemoglobin A.

     Which one of the following is correct in respect of the above statements?

  4. Cystic fibrosis involves which of the following organs?
    1. Lungs
    2. Liver
    3. Pancreas
    4. Kidney

    Select the correct answer using the code given below.
  5. Which of the following statements are correct in respect of haemophilia?
    1. It is hereditary bleeding disorder.
    2. It has a higher incidence among Asians.
    3. It affects females occasionally and mildly.

    Select the correct answer using the code given below.
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