Metabolism USMLE Step 1 Practice Question
A 9-year-old girl is brought to the emergency department for sudden-onset slurring of speech and weakness of her right arm and leg. She has a mild intellectual disability. She is at the 10th percentile for weight and at the 85th percentile for height. Physical examination shows bilateral inferonasal subluxation of the lens and a high-arched palate. Her fingers are long and slender. Neurological examination shows an extensor plantar response on the right. This patient is most likely to respond to treatment with which of the following?
Answer choices
- ASupplementation of methionine
- BRestriction of phenylalanine
- CAlkalinization of urine
- DSupplementation of vitamin B6Correct answer
- ERestriction of cysteine
- FSupplementation of folate and vitamin B12
- GInitiation of warfarin anticoagulation
See the full explanation
Get the correct-answer rationale, why each distractor is wrong, the underlying mechanism, and high-yield associations — plus adaptive practice that targets your weak areas — with a free MedBoardPRO account.