שאלה משלב א׳ בכירורגיה אורולוגית · מועד 2024 (May), שאלה 43

Correct: D — in muscle. The catabolic response to injury mobilises amino acids principally by breaking down skeletal muscle protein, releasing glutamine and alanine for hepatic gluconeogenesis and for the acute-phase response and immune function — at the cost of the loss of lean body mass, weakness and impaired ventilation that characterise prolonged critical illness. The liver is the site at which those amino acids are *used* rather than the site of proteolysis (option B).

מקור: מטבוליזם בחולה כירורגי תרשים5.1 p.96