KROK 1 2018 – Question 9 · KROK (Medicine) · Biological Chemistry

The first-aid center has received a victim of a traffic accident diagnosed with closed displaced fracture of the middle third of the thigh. For repositioning of bone fragments the patient received 10 ml of 2% dithylinum solution intravenously, which resulted in prolonged period of apnoea and muscle relaxation. What enzyme is deficient, resulting in such pharmacogenetic enzymopathy?

  1. A. Pseudocholinesterase
  2. B. Uridine diphosphate glucuronyltransferase
  3. C. Methemoglobin reductase
  4. D. Glucose 6-phosphate dehydrogenase
  5. E. N-acetyltransferase
Hint

Think about which plasma enzyme normally hydrolyzes this short-acting muscle relaxant, and what an inherited defect in it would do to the duration of paralysis.

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