Lipid metabolism: Farber disease: practice question

A Biochemistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Biochemistry · Lipid metabolism: Farber disease

Sample item

An infant has a hoarse cry, painful swollen joints, subcutaneous nodules and progressive neurological decline. Tissues show lysosomal accumulation of ceramide. Which enzyme is deficient?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Acid ceramidase

Farber disease is a lysosomal storage disorder caused by deficiency of acid ceramidase, which splits ceramide into sphingosine and a fatty acid. The ceramide accumulates in joints, subcutaneous tissue, the larynx and the nervous system. The other enzymes act on sphingomyelin, glucosylceramide and galactosylceramide.

Option by option

  • A. Acid sphingomyelinase

    Acid sphingomyelinase deficiency causes Niemann-Pick disease with sphingomyelin storage.

  • B. Glucocerebrosidase

    Glucocerebrosidase deficiency causes Gaucher disease with glucosylceramide storage.

  • C. Galactocerebrosidase

    Galactocerebrosidase deficiency causes Krabbe disease with galactosylceramide storage.

  • D. Acid ceramidase (correct)

    Correct. Acid ceramidase deficiency causes ceramide storage with joint nodules, hoarseness and neurological decline.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Biochemistry question

What is the answer to this Biochemistry question?

The best answer is D, Acid ceramidase. Farber disease is a lysosomal storage disorder caused by deficiency of acid ceramidase, which splits ceramide into sphingosine and a fatty acid.

Why is "Acid sphingomyelinase" not the answer?

Acid sphingomyelinase deficiency causes Niemann-Pick disease with sphingomyelin storage.

Why is "Glucocerebrosidase" not the answer?

Glucocerebrosidase deficiency causes Gaucher disease with glucosylceramide storage.

Why is "Galactocerebrosidase" not the answer?

Galactocerebrosidase deficiency causes Krabbe disease with galactosylceramide storage.

What concept does this question test?

It tests Lipid metabolism: Farber disease in Biochemistry. The ceramide accumulates in joints, subcutaneous tissue, the larynx and the nervous system. The other enzymes act on sphingomyelin, glucosylceramide and galactosylceramide.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Lipid metabolism: Farber disease?

Build one table of enzyme deficiency, disease, inheritance and key finding, then revise it by spaced recall. Then use the flashcards and the other Biochemistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.