#february2020mccqe1
A newborn presents with severe acidosis, vomiting, hypotonia, and neurologic deficits. Laboratory analysis reveals elevated levels of lactate and alanine. These observations suggest a deficiency of which of the following enzymes?
(A) Alanine aminotransferase
(B) Glutamate dehydrogenase
(C) Lactate dehydrogenase
(D) Phenylethanolamine N-methyltransferase
(E) Pyruvate dehydrogenase
A newborn presents with severe acidosis, vomiting, hypotonia, and neurologic deficits. Laboratory analysis reveals elevated levels of lactate and alanine. These observations suggest a deficiency of which of the following enzymes?
(A) Alanine aminotransferase
(B) Glutamate dehydrogenase
(C) Lactate dehydrogenase
(D) Phenylethanolamine N-methyltransferase
(E) Pyruvate dehydrogenase
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