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15.下列新生兒篩檢的疾病,何者與脂肪酸代謝有關?A.苯酮尿症(phenylketonuria)B.高胱胺酸尿症(homocystinuria)C.楓糖尿症(maple syrup urine disease)D.中鏈醯基輔酶A去氫酶缺乏症(medium-chain acyl-CoA dehydrogenase deficiency, MCAD)答案為D 解析

Question

15.下列新生兒篩檢的疾病,何者與脂肪酸代謝有關?A.苯酮尿症(phenylketonuria)B.高胱胺酸尿症(homocystinuria)C.楓糖尿症(maple syrup urine disease)D.中鏈醯基輔酶A去氫酶缺乏症(medium-chain acyl-CoA dehydrogenase deficiency, MCAD)答案為D 解析

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Solution

答案是D。中鏈醯基輔酶A去氫酶缺乏症(medium-chain acyl-CoA dehydrogenase deficiency, MCAD)是一種與脂肪酸代謝有關的疾病。這種疾病是由於體內一種名為中鏈醯基輔酶A去氫酶的酶的活性降低或缺失,導致體內無法正常分解脂肪酸,從而影響能量的產生。若新生兒有此疾病,可能會出現食慾不振、嘔吐、肌肉無力等症狀。

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A full-term infant boy is delivered without complications andhas normal APGAR scores. Routine newborn screening tests revealelevated levels of phenylalanine in his blood, leading to a diagnosisof phenylketonuria (PKU). What is the likely outcome if a dietaryintervention with restricted intake of high-protein foods is notinitiated by the age of 3 weeks?A. Development of cholestasisB. Development of neonatal seizuresC. Malformation of the enteric nervous systemD. AutismE. Profound intellectual disability

In humans, the disease phenylketonuria is inherited through a recessive gene. A phenotypically normal couple produced one normal child and one phenylketonuric child (i) Using symbol A for normal gene and a for phenylketonuric gene, write down the genotypes of the parents (ii) Work out the possible genotype of the normal child

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