KROK 1 2009 – Question 178 · 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. Glyconeogenesis
  2. B. Tricarboxylic acid cycle
  3. C. Glycolysis
  4. D. Ornithinic cycle
  5. E. Cori cycle
Hint

Ask in which metabolic pathway citrulline appears as an intermediate and what toxic nitrogen-containing substance would build up if that pathway were blocked in a newborn.

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