Urea Cycle Enzyme Deficiency
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Questions and Answers

Which enzyme deficiency leads to failure to synthesize urea and hyperammonemia during the first week after birth?

  • Carbamoyl phosphate synthetase I
  • Arginase
  • Ornithine transcarbamylase (correct)
  • Argininosuccinate synthetase
  • What is the toxic substance especially to the central nervous system in the context of urea cycle deficiency?

  • Urea
  • Glutamine
  • Ammonia (correct)
  • Blood urea nitrogen (BUN)
  • What combination of symptoms suggests a defect in the urea cycle?

  • Elevated blood glucose, hypocalcemia, decreased blood urea nitrogen (BUN)
  • Hypokalemia, decreased blood urea nitrogen (BUN), normal blood pH
  • Hypernatremia, elevated blood creatinine, increased blood urea nitrogen (BUN)
  • Hyperammonemia, elevated blood glutamine, decreased blood urea nitrogen (BUN) (correct)
  • What symptoms typically appear during the 24 to 72-hour postnatal period if there is a defect in the urea cycle?

    <p>Lethargy, vomiting, hyperventilation</p> Signup and view all the answers

    What mechanism of ammonia intoxication leads to brain edema?

    <p>High level of glutamine within a cell absorbing water</p> Signup and view all the answers

    Study Notes

    Urea Cycle Deficiency

    • Ornithine transcarbamylase (OTC) deficiency leads to failure to synthesize urea and hyperammonemia during the first week after birth.

    Toxic Substance

    • Ammonia is especially toxic to the central nervous system in the context of urea cycle deficiency.

    Symptoms of Urea Cycle Defect

    • A combination of symptoms suggesting a defect in the urea cycle includes lethargy, vomiting, hypotonia, and seizures.

    Symptoms in Newborns

    • Symptoms typically appear during the 24 to 72-hour postnatal period if there is a defect in the urea cycle, including lethargy, vomiting, and seizures.

    Ammonia Intoxication

    • The mechanism of ammonia intoxication leading to brain edema is due to the production of glutamine in the brain.

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    Description

    Test your knowledge about urea cycle enzyme deficiencies and their impact on urea synthesis and ammonia levels in the body, especially in infants.

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