need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 15 Answers

nbme15/Block 2/Question#45 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Abnormal targeting of these enzymes to lysosomes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: biochem icell repeat

 Login (or register) to see more


 +4  upvote downvote
submitted by โˆ—ergogenic22(401)
get full access to all contentpick a username

This question describes I-cell disease (inclusion cell disease/mucolipidosis type II). You can tell because there is mixed accumulation of junk forming the inclusion bodies. Other lysosomal storage diseases have accumulation of one type of substance.

Essentially, there is a defect in defect in the enzyme N-acetylglucosaminyl-1-phosphotransferase.

This means the mannose-6-phosphate tag cannot be added to proteins. Without this tag, proteins are incorrectly sent to the extracellular space rather than delivered to lysosomes.

get full access to all contentpick a username
ergogenic22  ^^correction. You can tell because there are elevated lysosomal enzymes in the plasma. This is because the proteins are not tagged with M6P and thus are excreted to the extracellular space. +27
sarganobhaibhand  Please Review FA2020, PageNO.47 I Cell Disease +3



 +0  upvote downvote
submitted by โˆ—namesthegame22(13)
get full access to all contentpick a username
  • I-cell disease is an autosomal recessive inherited lysosomal storage disease that results from a defect in N-acetylglucosaminyl-1-phosphotransferase enzymes.

  • results in a defect of addition of mannose phosphate to lysosomal enzymes.

  • This results in the failure of mannose residue phosphorylation of lysosomal hydrolases, which subsequently leads to their abnormal expulsion from the cell instead of to their normal site of action within the lysosome.

  • Presents with coarse facial features, generalized hypotonia, bilateral hip dislocation, and inguinal hernias. Also presents with developmental delay and delayed growth.

  • increase serum activity of lysosomal enzymes.

get full access to all contentpick a username



Must-See Comments from nbme15

cassdawg on Deoxyhemoglobin is a better buffer of ...
andro on T-lymphocyte thymocytes localized to the ...
cassdawg on Burning
cassdawg on 1000
cassdawg on Left ventricular pressure increased, right ...
cassdawg on Pancreatic enzymes
cassdawg on Decreased smoking
cassdawg on Low blood solubility
cassdawg on Glutamine
cassdawg on Prolonged fecal excretion of the organism
cassdawg on The neural plate is present, but the neural ...
cassdawg on Immunohistochemistry
cassdawg on epp Amplitude: 1; mepp Amplitude: 1; ...
cassdawg on Action of pancreatic enzymes on adipose

search for anything NEW!