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CME/CE Test

Clinician and Patient Perspectives in the Management of Long-Chain Fatty Acid Oxidation Disorders

  1. While avoiding catabolism and always maintaining anabolism are key to managing patients with fatty acid oxidation disorders, meeting dietary fat requirements using medium-chain triglycerides or anaplerotic therapy has proven important also for the management of these patients.
    In a study following 12 patients with different LC-FAODs given anaplerotic therapy with triheptanoin, how many patients were reported to remain in a clinically stable condition?
    12
    9
    5
    3
  2. Which of the following is considered a red flag that allows to distinguish patients with very-long-chain acyl-CoA dehydrogenase (VLCAD) from other LC-FAODs?
    Presents only with hepatic symptoms
    The onset in neonates in often severe and associated with brain and kidney malformations
    Affected patients do not develop retinopathy or neuropathy
    Episodic rhabdomyolysis can present with extreme exercise
  3. The mother of one of your pediatric patients with LCHAD deficiency diagnosed since birth calls into the metabolic outpatient clinic because she has been complaining on increasing hypoesthesia on the legs.
    Which specialty should she be referred to for further evaluation?
    Ophthalmology
    Neurology
    Cardiology
    No need for referral
  4. A study with the emerging treatment REN001 in patients with LCHAD, CPT2, and VLCAD, reported an increase of 73.7 m and 51.9 m in the 12-minute walk test respectively in which group of patients?
    LCHAD and VLCAD
    LCHAD and CPT2
    CPT2 and VLCHAD