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Biochemistry · Amino acid metabolism
Sample itemClassic phenylketonuria is caused by deficiency of which enzyme?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Phenylalanine hydroxylase
Phenylalanine hydroxylase converts phenylalanine to tyrosine using tetrahydrobiopterin. Its deficiency raises phenylalanine, causing intellectual disability, a musty odour and fair skin if untreated. Newborn screening and a low-phenylalanine diet prevent damage.
Option by option
A. Phenylalanine hydroxylase (correct)
Correct. Phenylalanine cannot be converted to tyrosine, so it accumulates.
B. Tyrosinase
Tyrosinase deficiency causes albinism by blocking melanin synthesis.
C. Homogentisate oxidase
Homogentisate oxidase deficiency causes alkaptonuria, with dark urine and arthropathy.
D. Fumarylacetoacetate hydrolase
Fumarylacetoacetate hydrolase deficiency causes hereditary tyrosinaemia type I.
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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