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Level two – Semester 4 - PharmD      Biochemistry-II PB-403 (Practical course)     2024/2025


                   3. Elevated ammonia levels in the blood are primarily associated with

                   which condition?


                   A. Hepatic encephalopathy


                   B. Hypoglycemia


                   C. Renal failure


                   D. Cardiac arrest


                   Answer: A. Hepatic encephalopathy


                   4. Which of the following conditions in children may require an ammonia

                   test for diagnosis?


                   A. Reye’s syndrome


                   B. Cystic fibrosis


                   C. Type 1 diabetes mellitus


                   D. Juvenile rheumatoid arthritis




                   Answer: A. Reye’s syndrome


                   5. In patients with impaired liver function, why does ammonia

                   accumulate in the blood?


                   A. Increased production of ammonia in the kidneys


                   B. Decreased metabolism of ammonia to urea by the liver


                   C. Increased reabsorption of ammonia in the intestine



                   D. Decreased excretion of ammonia by the lungs



                   Answer: B. Decreased metabolism of ammonia to urea by the liver





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