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Exit VCEDump USMLE-STEP-1 United States Medical Licensing Step 1
Question 99 of 100
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Q99 Single choice

A deficiency of argininosuccinate synthetase (ASD) can be suspected in a 2448-hour-old neonate with elevated serum ammonia. To discriminate the fact that the hyperammonemia is indeed due to ASD and not due to a deficiency in other urea cycle enzymes, one can assay for the serum concentration of citrulline and urinary orotic acid concentration.

Which of the following would best describe the expected findings?

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