Vitamins Flashcards

1
Q

What is the function of Vitamin A

A

Boosts immune system, vision and skin health

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2
Q

Sources of Vitamin A

A

Cheese, eggs, oily fish, liver products (very rich)

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3
Q

Vitamin A and pregnancy

A

Teratogenic in pregnancy - avoid

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4
Q

How is isotretinoin linked to vitamin A

A

It is a vitamin A analogue - PPP applies

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5
Q

What Vitamin B deficiency is most common

A

B12

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6
Q

What B vitamin is lacked by alcoholics

A

B1 (thiamine)

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7
Q

What is the treatment of Vitamin B deficiency

A

Thiamine (B1), Riboflavin (B2) and nicotinamide

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8
Q

What is the treatment of Wernickes encephalopathy + Korsakoff’s psychosis

A

IV vitamin B followed by oral thiamine

IV vitamin B can cause serious adverse reactions but this should not put anyone off due to fear of this)

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9
Q

What is the treatment of megaloblastic anaemia

A

Folic acid + B12

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10
Q

What is the treatment of isoniazid and penicillamine SE

A

Pyridoxine (vitamin B6)

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11
Q

What is used in association with cytotoxic therapy in megaloblastic anaemia

A

Folinic acid

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12
Q

What can the long term use of pyridoxine cause

A

200mg

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13
Q

What is vitamin C also known as

A

Ascorbic acid

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14
Q

What does vitamin C deficiency lead to

A

Scurvy (bleeding gums)

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15
Q

What is Vitamin C found in

A

Fruits (oranges etc)

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16
Q

What is vitamin C contraindicated in

A

Cardiac dysfunction

17
Q

Where is vitamin D naturally found

A

Sunlight - vital in production of vitamin D

18
Q

What can vitamin D toxicity lead to

A

Hypercalcaemia

19
Q

Who is at risk of vitamin D deficiency

A

Dark skin

Individuals >65 years

No sun exposure e.g. indoors all the time

Pregnant and breastfeeding

Under 4 years

20
Q

What is another name for vitamin E

A

Tocopherol

21
Q

Does vitamin E have any scientific value

22
Q

Why do we need vitamin K

A

Production of blood clotting factors

Also given to newborn babies if their mothers are on epileptic medications

23
Q

What foods contain vitamin K

A

Green leafy veg

24
Q

What drugs should you be careful in whilst taking vitamin K

A

Caution in taking oral anticoagulants because they antagonise the effects of vitamin K

25
What dose of folic acid is given in pregnancy
400mcg up to week 12 5mg and higher for patients with risks of cleft palate, previous births with congenital defects, megaloblastic anaemia
26
When is folic acid given in methotrexate
On a day different to methotrexate to reduce SE of methotrexate
27
How can we prevent Vitamin D deficiency
Oral supplement of ergocalciferol or calicalciferol