Urea Cycle and Blood Urea Levels Quiz
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Questions and Answers

Which organ is the only site for urea formation in the body?

  • Liver (correct)
  • Kidneys
  • Pancreas
  • Lungs
  • In which organelle do the first two reactions of the urea cycle occur?

  • Endoplasmic reticulum
  • Mitochondria (correct)
  • Nucleus
  • Golgi apparatus
  • Which molecule is used to provide phosphate in the synthesis of carbamoylphosphate in the urea cycle?

  • AMP
  • ATP (correct)
  • ADP
  • GTP
  • From which compound is the first nitrogen atom in urea derived in the urea cycle?

    <p>Ammonia</p> Signup and view all the answers

    What is the diagnostic importance of blood urea measurement?

    <p>Assessment of renal function</p> Signup and view all the answers

    How many ATP molecules and high-energy phosphate bonds are utilized in the urea cycle reactions?

    <p>3 ATP molecules and 4 high-energy phosphate bonds</p> Signup and view all the answers

    What is the key enzyme of the urea cycle?

    <p>Carbamoyl phosphate synthetase I</p> Signup and view all the answers

    What stimulates the synthesis of N-acetylglutamate, an allosteric activator of carbamoyl phosphate synthetase I?

    <p>High protein diet</p> Signup and view all the answers

    Which of the following may cause coma and death due to high concentrations of ammonia?

    <p>Flapping tremors</p> Signup and view all the answers

    Which enzyme deficiency leads to hyperammonemia type II, an X-linked inherited disease?

    <p>Ornithine carbamoyl transferase</p> Signup and view all the answers

    What is the treatment for argininemia, a condition caused by deficiency of arginase?

    <p>Low protein diet</p> Signup and view all the answers

    7

    <p>Depletion of alpha-ketoglutarate of Krebs' cycle</p> Signup and view all the answers

    What is a characteristic symptom of hyperammonemia?

    <p>Flapping tremors</p> Signup and view all the answers

    What may stimulate the excretion of citrulline, thereby alleviating citrullinemia?

    <p>Increased intake of arginine</p> Signup and view all the answers

    What is the main cause of inherited hyperammonemia?

    <p>Genetic deficiency of one of the five enzymes of the urea cycle</p> Signup and view all the answers

    Study Notes

    Urea Cycle

    • The liver is the only site for urea formation in the body.

    Urea Cycle Reactions

    • The first two reactions of the urea cycle occur in the mitochondrial matrix.
    • The molecule ATP is used to provide phosphate in the synthesis of carbamoylphosphate in the urea cycle.

    Nitrogen Source

    • The first nitrogen atom in urea is derived from ammonia (NH3) in the urea cycle.

    Blood Urea Measurement

    • Blood urea measurement is diagnostically important.

    Energy Requirements

    • 3 ATP molecules and 2 high-energy phosphate bonds are utilized in the urea cycle reactions.

    Key Enzyme

    • Carbamoyl phosphate synthetase I is the key enzyme of the urea cycle.

    Regulation of Carbamoyl Phosphate Synthetase I

    • N-acetylglutamate, an allosteric activator of carbamoyl phosphate synthetase I, is synthesized in response to arginine, ornithine, or glucagon.

    Hyperammonemia

    • High concentrations of ammonia can cause coma and death.
    • Hyperammonemia type II, an X-linked inherited disease, is caused by a deficiency of ornithine transcarbamylase.
    • Argininemia, a condition caused by a deficiency of arginase, can be treated with a low-protein diet and supplementation with citrulline and arginine.
    • A characteristic symptom of hyperammonemia is vomiting.
    • The excretion of citrulline can be stimulated by supplementation with citrulline, which alleviates citrullinemia.
    • Inherited deficiencies of enzymes involved in the urea cycle are the main cause of inherited hyperammonemia.

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    Description

    Test your knowledge on urea cycle and blood urea levels with this quiz. Learn about the site of urea formation, diagnostic importance of blood urea, and related concepts.

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