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Retired NBME 24 Answers

nbme24/Block 4/Question#2 (reveal difficulty score)
A full-term male newborn has lethargy, poor ...
Enzymatic reaction labeled โ€˜Cโ€™ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by trazabone(16)
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Ornithine transcarbamolase deficiency. Carbomoyl phosphate (CP) is shunted to pyrimidine synthesis --> increased orotic acid production (CPS you would not see orotic acidemia). Urea cycle also inhibited --> increased ammonia levels.

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savethewhales  Sidenote, OTC deficiency is the only X-linked recessive urea cycle deficiency (all others are autosomal recessive) and it's the most common +5
assley  FA2020 pg 74,82,83 +



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