This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Metabolism of protein and amino acid, Subject name: Biochemistry
[{'content': '39 years old, male Chronic knee pain,Headache, nausea, epigastric pain, blurred vision,Progressed over next 48 h to confusion, slowed speech,Progressive decline in GCS, requiring intubation,Seizure activity.CT brain showed cerebral oedema.Ammonia level: 652 mmol/L (RR, < 50 mmol/L). profound elevation of urine orotic acid, plasma glutamine level high, arginine level low.What is the pattern of inheritance of the disease? \nSelect and explain. \nA. Autosomal dominant, B. Autosomal recessive, C. X-linked disorder, D. None of the above', 'role': 'user'}, {'content': 'Answer: C \nExplanation: The above clinical features and laboratory investigations suggests the diagnosis of ornithine transcarbamylase deficiency which is an enzyme required in urea cycle Reference: Harpers illustrated biochemistry 30th edition', 'role': 'assistant'}]