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Biochemistry · Amino acids: phenylketonuria
Sample itemWhich dietary intervention is central in phenylketonuria?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Restrict phenylalanine and supplement tyrosine
Phenylketonuria impairs conversion of phenylalanine to tyrosine, making tyrosine conditionally essential. Early phenylalanine restriction prevents severe neurodevelopmental injury.
Option by option
A. Restrict tyrosine and supplement phenylalanine
Tyrosine is needed because it cannot be made adequately in PKU.
B. Eliminate all carbohydrates
Carbohydrate elimination does not correct the enzyme defect.
C. Restrict phenylalanine and supplement tyrosine (correct)
Correct. Phenylalanine is restricted and tyrosine is supplemented.
D. Increase branched-chain amino acids only
Branched-chain amino acids are unrelated to phenylalanine metabolism.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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