Nutrition

Question 1

Fat soluble vitamins: ADEK (test serum levels for all except Vit K - PTT)

A (Retinol): def, excess,

D (Cholecalciferol): def, excess,

E (Tocopherol): def, excess,

K (Phyomenadione): def, excess,

Answer 1

A - retinol

• colour blindness
• exfoliation hepatitis

D

• osteomalacia/ rickets
• hypercalcaemia

E

• anemia, neuropathy, malignancy, IHD

K

• defective clotting

Question 2

B1 - Thiamine

• Def features (3)
• Test (1)

Answer 2

Def

1. Neuropathy
2. Beri-Beri
3. Wernicke

Test - RBC Transketolase

Question 3

B2 - Riboflavin

• def (1)
• Test (1)

Answer 3

• def - glossitis
• test - RBC glutathione reductase

Question 4

B3 - niacin

• Def (3)

Answer 4

Pellagra 3 Ds

1. dermatitis
2. dementia
3. diarrhoea

Question 5

B6 - pyridoxine

• Def (2)
• test (1)

Answer 5

def

1. dermatitis
2. anaemia

Test - RBC AST activation

Question 6

B12 - Cobalamin

Def (1)

test (1)

Answer 6

• pernicious anemia
• serum B12

Question 7

Vit C - Ascorbate

def (1)

test (1)

Answer 7

• scurvy
• plasma level

Question 8

Folate

def (2), test (2)

Answer 8

Def - megaloblastic anemia, neural tube defects

test - rbc, folate

Question 9

Iron

• def (1), excess (1), test (3)

Iodine

• def (2), test (1)

zinc

• def

Copper

• def, excess, test

Fluoride

• def (1), excess (1)

Answer 9

Iron

• hypochromic anaemia
• excess - haemachromatosis, test - FBC, ferritin, Fe

Iodine def = hypothyroid, Goitre, test - TFT

Zn def = Dermatitis

Cu - def = anaemia, excess- wilsons, tests - Cu, caeruloplasmin

Fluoride - def = dental caries, excess - flurosis