Chart 32-4 · 12 min
The second turn
A read of this page, with the plate.


Citrulline. Blocked by lack of ornithine and manganese. Carbamoyl phosphate as the join — ammonia, ATP, CO₂. Course 28 named the furnace. With aspartic, argininosuccinate, then arginine.
Her voice, from the class.
The second turn — CO2, ATP, manganese; citrulline on the wheel
Practice
Point the join, the need, the next. If the furnace belongs with a physician, Course 28 already covered the stop.
Check
The spelling on 32-4 is:
- Arginosuccinate
- Argininosuccinate — matching the plate ✓
- Fumarate unnamed
That's the work.
Aspartic plus citrulline makes:
- Only arginine
- Argininosuccinate, which splits to arginine and fumarate ✓
- Bone
That's the work.
Fumarate on 32-4:
- Unnamed
- Named on the split ✓
- Manganese bone
That's the work.
Manganese/bone-field under boards that don’t mention manganese:
- Stays
- Dropped — Needs is the manganese board; Next is the join ✓
- Arginine
That's the work.
Carbamoyl phosphate:
- A dose you write
- The join — ammonia, ATP, CO₂ ✓
- Bone
That's the work.
Blocked by lack of:
- Lysine
- Ornithine and manganese ✓
- Fumarate
That's the work.
Course 28 named:
- This join
- The furnace — ATP as a name ✓
- Bone
That's the work.
You do not write a dose from this practice because:
- The turn is named ✓
- A blood titer is a doctor's number
- Course 04 said so
That's the work.
You do not write a dose from this practice because:
- The letter is named ✓
- A blood titer is a doctor's number
- Course 28 said so
That's the work.
High ammonia still:
- A dose you write
- A physician ✓
- Bone
That's the work.