GI/Nutrition

Question 1

Deficiency of which nutrient is associated with cardiomyopathy and impaired immunity in patients with longstanding TPN dependence?

Answer 1

Selenium

Question 2

Deficiency of which nutrient is associated with hypochromic anemia unresponsive to iron supplementation?

Answer 2

Copper

Question 3

Deficiency of which fat soluble vitamin is associated with hemolytic anemia?

Answer 3

Vitamin E (alpha-tocophErol)

Question 4

What metabolic disease can present as Fulminant hepatitis with succinylacetone in urine

Answer 4

Tyrosinemia

Question 5

Acute fulminant hepatitis with hemolytic anemia crisis +/- behavior changes

Diagnosis and what 3 main lab findings are seen?

Answer 5

Wilson’s disease; serum copper and ceruloplasmin are low with increased urinary copper

Question 6

Pulmonary stenosis/TOF, butterfly vertebrae, short stature, triangular facies, direct hyperbilirubinemia

Answer 6

Alagille syndrome

Question 7

Which deficiency is associated with seborrheic dermatitis, angular stomatitis, loss of visual acuity, corneal vascularization, glossitis

Answer 7

Riboflavin (B2) deficiency

Question 8

Deficiency of what is associated with neuritis, paresthesias, irritability and anorexia?

Answer 8

Vitamin B1 (thiamin) aka dry beriberi
\+ CHF/edema = wet beriberi

Question 9

Deficiency of what 2 nutrients involve perioral dermatitis and alopecia, and how can they be differentiated?

Answer 9

Zinc and Biotin. Biotin deficiency also has ass’d ataxia.