KROK 1 2016 – Question 31 · KROK (Medicine) · Biological Chemistry

A 16-year-old adolescent is diagnosed with hereditary UDP (uridine diphosphate) glucuronyltransferase deficiency. Laboratory tests revealed hyperbilirubinemia caused mostly by increased blood content of the following substance:

  1. A. Urobilinogen
  2. B. Stercobilinogen
  3. C. Unconjugated bilirubin
  4. D. Biliverdine
  5. E. Conjugated bilirubin
Hint

Ask which form of the pigment lies upstream of the blocked glucuronic acid step and therefore accumulates when the enzyme is deficient.

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