KROK 1 2014 – Question 99 · KROK (Medicine) · Biological Chemistry

Degenerative changes in posterior and lateral columns of spinal cord (funicular myelosis) caused by methylmalonic acid accumulation occur in patients with B₁₂-deficiency anemia. This results in synthesis disruption of the following substance:

  1. A. Serotonin
  2. B. Norepinephrine
  3. C. Myelin
  4. D. Acetylcholine
  5. E. Dopamine
Hint

Ask which component of the spinal cord tracts depends on normal fatty acid synthesis, and what accumulating methylmalonic acid would do to it.

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