KROK 1 2019 – Question 2 · KROK (Medicine) · Biological Chemistry

A patient, who has been subsisting exclusively on polished rice, has developed polyneuritis due to thiamine deficiency. What substance is an indicator of such avitaminosis, when it is excreted with urine?

  1. A. Malate
  2. B. Pyruvic acid
  3. C. Methylmalonic acid
  4. D. Uric acid
  5. E. Phenyl pyruvate
Hint

Ask which metabolic reaction depends on thiamine pyrophosphate as its coenzyme, and therefore which substrate would build up and spill into urine when that reaction is impaired.

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