KROK 1 2011 – Question 167 · KROK (Medicine) · Biological Chemistry

A newborn child was found to have reduced intensity of sucking, frequent vomiting, hypotonia. Urine and blood exhibit increased concentration of citrulline. What metabolic process is disturbed?

  1. A. Cori cycle
  2. B. Ornithinic cycle
  3. C. Glycolysis
  4. D. Tricarboxylic acid cycle
  5. E. Glyconeogenesis
Hint

Ask which liver pathway for disposal of nitrogen uses citrulline as an intermediate, and what accumulates and harms the brain when it is blocked.

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