I would say that this child may need iodine drops as it may be deficient in this or perhaps a synthroid type medication. Also, it may be wise for such a child to run on a treadmill about 3x per week as this raises the metabolic rate since it is cardiovascular activity.
Answer: (A) Distilled Water
Answer:1. Pyruvate carboxylase
2. Phosphoenol pyruvate carboxy kinase
Explanation:
The conversion of pyruvate to phosphoenol pyruvate is catalyzed by two enzymes Pyruvate carboxylase and phosphoenol pyruvate carboxy kinase
1. Pyruvate carboxylase reaction
Pyruvate in the cytoplasm enters the mitochondria. Then, carboxylase of pyruvate to oxaloacetate is catalysed by a mitochondrial enzyme, pyruvate carboxylase. It needs the co-enzymes biotin and ATP.
The oxaloacetate formed has to be transported from the mitochondrial to the cytosol because further reaction of gluconeogenesis are taking place in cytosol.
2. Phoaphoenol pyruvate carboxy kinase (PEPCK)
In the cytoplasm, PEPCK enzyme then converts oxaloacetate to phoaphoenol pyruvate by removing a molecule of CO2. GTP or ITP donates the phosphate group.
The net effect of these two reactions is the conversion of pyruvate to phoaphoenol pyruvate. This circumverts the irreversible step in glycolysis catalyzed by pyruvate kinase (step 9 if glycolysis)
