Fat soluble vitamins Flashcards

1
Q

Disease category associated with fat-soluble vitamin deficiency?

A

fat malabsorption syndomes

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2
Q

why do FSV deficiencies develop only after months of inadequate intake?

A

FSVs are stored in the body and metabolized slowly

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3
Q

excess of which FSVs leads to toxicity?

A

A and D

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4
Q

Vitamin A also known as

A
  • retinol
  • retinal - essential visual pigment
  • retinoic acid - maintains differentiation in epithelial cells
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5
Q

Where do we get vitamin A?

A
  • animal sources

- also derived from B-carotene present in plants

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6
Q

vitamin A deficiency

A
  • causes 1.2 million cases of permanent blindness annually in the developing world
  • first symptom is night blindness
  • signs of deficiency: xeropthalmia, Bitot’s spots
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7
Q

vitamin A therapeutic use

A
  • used for acne and psoriasis
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8
Q

vitamin A toxicity

A
  • skin rash
  • liver damage
  • raised intracranial pressure
  • teratogenic: do not give to pregnant patients
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9
Q

Where do we get vitamin D?

A
  • produced endogenously in skin by UV radiation

- obtained from either animal or plant tissues

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10
Q

Active form of vitamin D?

A

calcitriol

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11
Q

importance of calcitriol?

A

steroid hormone that increases calcium absorption by the intestine epithelium

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12
Q

vitamin D deficiency

A
  • demineralization of formed bone in adults (osteomalacia

- failure to mineralize developing bones in children (rickets)

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13
Q

risk factors for vitamin D deficiency

A
  • lack of milk consumption
  • dark skin
  • low sun exposure
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14
Q

calcitriol therapeutic use

A
  • given for vitamin D deficiency but often causes hypercalcemia “bones, stones, abdominal moans”
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15
Q

vitamin E also known as

A

tocopherol

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16
Q

what does tocopherol (E) do?

A
  • antioxidant that protects lipid membranes
17
Q

tocopherol (E) deficiency

A

red blood cell fragility

18
Q

vitamin K physiological significance

A
  • needed for post-translational carboxylation of glutamate, which is required for calcium binding by blood clotting factors
19
Q

where do our bodies get vitamin K?

A

produced by intestinal bacteria

20
Q

vitamin K deficiency

A
  • leads to hemorrhage with a long prothrombin (clotting) time
21
Q

vitamin K therapeutic use

A
  • administered to premature infants which lack the bacteria that provide vitamin K
  • adults on long-term antibiotics
22
Q

why block vitamin K?

A
  • sometimes intentionally blocked by the drug coumarin to prevent clotting in patients with prosthetic heart valves