| Term 
 
        | Porphyrins are named with a word and a number or roman numeral.
 The word denotes_______________
 |  | Definition 
 
        | the kinds of substituents |  | 
        |  | 
        
        | Term 
 
        | The number denotes ______________ |  | Definition 
 
        | how the substituents are arranged |  | 
        |  | 
        
        | Term 
 
        | Porphyria cutanea tarda is due to a deficiency of __________________. |  | Definition 
 
        | uroporphyrinogen decarboxylase |  | 
        |  | 
        
        | Term 
 
        | Heme contains 4-five-membered nitrogen containing rings called _____________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | a mineral cofactor for the enzyme porphobilinogen synthase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The product of the first reaction in the biosynthesis of heme is _____________. |  | Definition 
 
        | 5-amino or delta amino levulinic acid |  | 
        |  | 
        
        | Term 
 
        | This cobalt containing molecule has some chemical resemblance to heme _________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The correct terminology for the ring system found in vitamin B12 or cyanocobalamin
 is____________________
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This magnesium containing molecule has some chemical resemblance to heme _________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | This heme is bound covalently to the protein of cytochrome c through thioester
 bonds to 2 cysteine residues:
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The protein found in the sclera (conjunctiva) which is first to react with bilirubin in jaundice
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The first annular (ring) compound formed in the biosynthesis of heme is _______.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The enzyme which finishes the biosynthesis of heme  by adding iron in the form of ferrous ion
 is known as  _________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The most common form of genetic porphyria is ___________.
 |  | Definition 
 
        | acute intermittent porphyria |  | 
        |  | 
        
        | Term 
 
        | A drug that is classically associated with precipitating  symptoms of acute intermittent
 porphyria
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which methylene bridge carbon is affected in the breakdown of heme to biliverdin |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The main sites of heme catabolism are the ____________  and the __________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The indirect van den Bergh test measures ______________  bilirubin. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In the van den Bergh assay ___________________ is coupled to bilirubin
 |  | Definition 
 
        | diazotized sulfanilic acid |  | 
        |  | 
        
        | Term 
 
        | Bilirubin encephalopathy is normally referred to as ______________
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A drug used in photodynamic therapy for the treatment of age-related macular degeneration
 is __________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A drug used in photodynamic therapy for the treatment of esophageal cancer _________.
 |  | Definition 
 
        | Porfimer sodium or Photofrin |  | 
        |  | 
        
        | Term 
 
        | Tryptophan pyrrolase is a heme-containing enzyme which oxidizes tryptophan to
 ______________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The heme structure normally contains ____________ side chains
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | An inherited disorder of bilirubin metabolism resulting from predominantly unconjugated
 hyperbilirubinemia _________
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | this vitamin as the phosphate cofactor is essential for the activity of ALA synthase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | an orally effective iron chelator used to reduce iron overload in patients receiving long-term blood transfusions |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A drug used in photodynamic therapy for the treatment of non-hyperkeratotic keratoses
 ____________.
 |  | Definition 
 
        | aminolevulinic acid (Levulan Kerastick |  | 
        |  | 
        
        | Term 
 
        | Porphobilinogen synthase is also known as ALA _______________  and is sensitive to
 inhibition by _______.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Head to tail condensation of 4 molecules of porphobilinogen produces a linear tetrapyrrole  intermediate known as __________________. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | 85% of heme is biosynthesized in the ________________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A deficiency of uroporphorynogen III cosynthase produces congenital __________________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A deficiency of uroporphorynogen I synthase is the major cause of ________________.
 |  | Definition 
 
        | acute intermittent porphyria |  | 
        |  | 
        
        | Term 
 
        | King George III suffered from ____________________. |  | Definition 
 
        | acute intermittent porphyria |  | 
        |  | 
        
        | Term 
 
        | a solvent required to solubilize unconjugated bilirubin in the indirect van den Bergh assay or test |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | When heme is degraded a small amount of a gas is formed. This is _____________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Variegate porphyria is another type of porphyria. It is relatively common in the
 white African population of South Africa.
 The enzyme defect is:
 |  | Definition 
 
        | protoporphyrinogen oxidase |  | 
        |  | 
        
        | Term 
 
        | A yellow bile pigment which colors the urine is ________________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Neonatal "physiologic jaundice" is due to a deficiency of ______________  and   a reduced activity of _________________. |  | Definition 
 
        | UDP-glucuronic acid,UDP-glucuronyl transferase |  | 
        |  | 
        
        | Term 
 
        | The two main sites of heme biosynthesis are the __________  and the _________.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | A congenital absence of bilirubin UDP-glucuronyl transferase activity leads
 to the ____________
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In type I Crigler-Najjar syndrome serum bilirubin usually exceeds ___________  and is usually  fatal within the first ___________ months of life. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | An iron porphyrin enzyme that degrades hydrogen peroxide is known as
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In the conversion of uroporphyrinogen III to protoporphyrinogen IX at total of _____  carbon dioxide molecules are lost. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The oxidation of protoporphyrinogen IX to protoporphyrin IX by protoporphyrinogen oxidase results in the loss of _________  protons and _______  electrons. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Of the two ionic forms of iron _________ is the form which is best absorb
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | an acid which when diazotized will react with bilirubin and produce a reddish-purple compound which can be measured spectrophotometrically |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which of the following is NOT an intermediate in the synthesis of heme? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The two most common forms of iron storage are known as __________  and ________.
 |  | Definition 
 | 
        |  |