Vitamins Flashcards
plays a major role in epithelial differentiation
Vit A
affects bone development and growth in children
Vit A
principal storage of the vitamin A
Liver
Where does precursor of Vit A comes from
carrots contain carotene
Condition result from Vit A Def.
NIGHTBLINDNESS, XEROPHTHALMIA, HYPERKERATOSIS (because of decreased epithelial differentiation) and growth cessation
Vit A Def results from?
MALABSORPTION OF FAT and IMPAIRMENT OF ITS STORAGE in the LIVER
How does Vit D formed?
action of ultraviolet irradiation on sterols.
2 Forms of Vit D
Cholecalciferol (vitamin D3)
Calciferol (vitamin D2)
Precursor of Vit D.
7-dehydrocholesterol and Ergosterol from irradiation
Converrsion of Vit D3 happens in?
Skin
Vit D from Liver become?
25‐hydroxyvitamin D
Vit D from Kidney become?
1,25‐dihydroxyvitamin D
1,25‐dihydroxyvitamin D is done in response to?
need for Calcium and Phosphate.
Vit D Def result to?
Rickets (Children) Osteomalacia (Adults)
Rickets is due to?
Stimulation Parathyroid hormone due to low calcium and phosphate
Vit D requirement is high in what set of individuals?
Dark people due to Melanin that interferes irradiation of Vit D3
Vit E other name
ALPHA-TOCOPHEROL
Vit E function
Potent antioxidant Enhance vitamin A usage
Principal source of Vit E
Plant oils
biochemical markers needed to diagnose vitamin E deficiency
Serum tocopherol levels are LOW
POSITIVE hydrogen peroxide hemolysis test
Hypervitaminosis E symptoms?
Muscle weakness
Fatigue, Headache, Nausea
Premature infants Vit E Def symptoms?
edema, anemia and low tocopherol levels
How you will reduce toxicity due to Vit E
Discontinuation of supplementation
Vit K is associated with what kind of quinones?
Phylloquinone (vitamin K1)
Menadione (vitamin K3)
Menaquinones (vitamin K2)
What part of Blood coagulation does Vit K involved?
Prothrombin Factor VII (Proconvertin) Factor IX (Plasma thromboplastin) Factor X (Stuart factor)
Sources of Vit K
Green vegetables
Bacteria (gram-positive organisms) ->vitamin K2
Vitamin K3 -> chemically synthesized quinone that possess the same activity as vitamin K1
Vit K Excess result into
Kernectiirus
Vit K Def result into
Increased bleeding time, lead to Hypoprothrombenemia
Population at risk in Vit K Def?
Newborn infants
Patients receiving anticoagulant therapy
vitamin B12 get from
Animal products
Richest source of B vitamin group
Seeds including the germ of wheat or of rice
Active form of Vit B1
Thiamine pyrophosphate
Vit B1 def result into
Beriberi
Alcoholic person will have def in what Vit?
Vit B1
Other name of Vit B2
Riboflavin
Vit B2 result into?
ARIBOFLAVINOSIS
ARIBOFLAVINOSIS px will have?
Local seborrheic Dermatitis limited to the face and scrotum
Vit B3 other name
Niacin
Vit B3 Def
Pellagra
Pellgra symptomes
Dermatitis, Dementia, Diarrhea
Vit B6 othere name
Pyridoxine
Vit B6 Def
Sensory neuritis, mental depression, and convulsions
Hypochromic sideroblastic anemia
Pellagra‐like symptoms
HYPOCHROMIC Sideroblasts due to
Vit B6 Def
Vit B12 Def
Pernicious anemia due to absence of Intrinsic Factor
Pernicous anemia character?
Megaloblastic anemia and neuropathies
Vegan Px will have what Vit Def
Vit B12
Presence of Avidin result into
Biotin Def
Biotin Def will result into?
Anorexia, nausea, vomiting, glossitis, depression, and dry scaly dermatitis
Folic Acid Def result into?
Megaloblastic anemia, Glossitis, Diarrhea, Weight loss
Required for Pregnancy and Lactation
Folic Acid
Hypoervitaminosis B result into?
Peripheral neuropathies
Niacin excess:result into?
Flushing, pruritus, GI disturbances
Essential for the maintenance of the ground substance that binds cells together
Vit C
Needed in the formation and maintenance of collagen
Vit C
Vit C Def result into
Gum hemorrhage Scurvy Abnormal bone and tooth development in growing children
Excess Vit C result into
diarrhea due to intestinal irritation
Therapeutic role of Vit A
Cancer, Acne
Therapeutic role Vit C and E
Antioxidant
Therapeutic role Vit C, E, beta carotene
Anti atherosclerosis
Therapeutic role Niacin
lowers serum Cholesterol
Antioxidant properties of vitamins C and E inhibits
formation of Carcinogens
Antoxidant properties of Vitamin C, E and β-carotene
reduce LDL oxidation
Vit K given to neonated due to
Intestinal bacteria unable to produce the Vit
Folic acid given to pregnant women due to
Decrease risk of neural tube defects
Mineral oil, neomycin and cholestyramine impair
Vit A absorption
Oral contraceptives
Increase Vit A plasma levels
It Impair physiological function of vitamin A
Ethanol
What Enzyme does ethanol impairs
Alcohol dehydrogenase
Alcohol dehydrogenase def result to
Decreased conversion of retinol to retinal
how does Glucocorticoids affect Vit D
Interfere with hepatic metabolism of vitamin D
Phenobarbital, Phenytoin will cause
Accelerates degradation of vitamin D3 to inactive metabolites
Sunscreens will cause
Impairs synthesis of vitamin D3
Oral contraceptives will cause
Decrease plasma levels of ascorbic acid
Ethanol, phenytoin, oral contraceptives
Accelerates loss of folate
It Compete with folic acid for plasma protein binding
Salicytates
Folate antagonist which inhibits the biosynthesis of the coenzyme
Methotrexate