Vitamins Flashcards

1
Q

Why are vitamins important?

A

They act as co-enzymes and co-factors in Biological Reactions

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2
Q

What are the water soluble vitamins?

A
  • B1 (Thiamine)
  • B2 (Riboflavin)
  • B6 (Pyridoxine)
  • B12 (Cobalamin)
  • C
  • Choline
  • Folates
  • Niacin (Nicotinic Acid)
  • Pantothenic Acid
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3
Q

What are the fat soluble vitamins?

A
  • A
  • D
  • E
  • K
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4
Q

What are the dietary sources of Thiamine?

A

Liver, fresh veg and husk cereal grains

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5
Q

What is thiamine a co-factor in?

A

Oxidative decarboxylation reactions

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6
Q

What is Pyruvate Dehydrogenase?

A

Multienzyme complex located in the mitochondria that links glycolysis and the Krebs cycle

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7
Q

what are the 3 subunits of Pyruvate dehydrogenase and their co-factors?

A
  • Pyruvate dehydrogenase (Thiamine Pyrophosphate)
  • Dihydropropyl transacetylase (CoA, Lipoate)
  • Dihydropropyl dehydrogenase (FAD/NAD+)
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8
Q

What are the symptoms of Beri Beri (Thiamine deficiency)?

A
  • Parasthesia (Pins and Needles)
  • Enlarged heart
  • Wrist and foot drop
  • Muscle weakness and atrophy
  • Digestive disturbance
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9
Q

What demographics can beri beri occur in?

A
  • Alcoholics

- Communities subsisting on polished rice

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10
Q

What are the two types of beri beri?

A
  • Wet (oedema and heart failure)

- Dry (Neuropathies)

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11
Q

What is Wernicke’s Encephalopathy?

A
  • Nystagmus (involuntary eye movement)
  • Opthalmoplegia (eye paralysis)
  • Ataxia (unsteady movements)
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12
Q

What is Korsakoff’s Syndrome?

A

Amnesia and other additional psychiatric manifestations

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13
Q

What are dietary sources of Niacin (Nicotinic Acid)?

A

Liver, Legumes, Lean Meats, Cereals

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14
Q

What reaction/enzyme is niacin a cofactor for?

A

Lactase dehydrogenase, in the reaction:

Pyruvate + NADH –> Lactate + NAD

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15
Q

Where is pellagra (niacin deficiency) common?

A

In remote areas where veg, fruit and animal protein are hard to find and primarily eat grains like maize where nicotinic acid is bound tightly

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16
Q

What are the 4 Ds of Pellagra?

A

Dermatitis
Diarrhoea
Dementia
Death

17
Q

What are the details of the dermatitis experienced by sufferers of Pellagra?

A
  • Butterfly, gauntlet and boot rash.

- Perineal Lesion

18
Q

What is absorption of B12 dependent upon?

A

Gastric Intrinsic Factor

19
Q

What is GIF (Gastric Intrinsic Factor) secreted be?

A

Parietal cells of the stomach

20
Q

What are the two key features of cobalamin (B12) deficiency?

A
  • Megaloblastic Anaemia

- Neurological Disorder

21
Q

What can B12 deficiency be caused by?

A
  • Lack of HCL in the stomach
  • Dietary deficiency
  • GIF deficiency from Gastrectomy
22
Q

What are the symptoms of megaloblastic anaemia?

A
  • Excessive tiredness
  • Breathlessness
  • Fatigue
  • Pallor
23
Q

Why does B12 deficiency cause megaloblastic anaemia?

A

B12 is a cofactor for methionine synthase. Decreased methionine leads to decreased protein synthesis in cells with high turnover, e.g. blood cells