Vitamins/minerals Flashcards

1
Q

What are the essential vitamins?

A

A
B 12
C
D
E
K
B1 (thiamine)
B2 (riboflavin)
B6 (pyridoxine)
B5 (pantothenic acid)
Biotin
Folate

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2
Q

What are the essential roles of vit A?

A

-vision
-cellular differentiation (esp. eyes)
-immune system function

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3
Q

What are the symptoms of vit A deficiency?

A

-xeropthalmia (cornea/conjunctiva abnormalities)
-night or complete blindness
-dermatologic problems (hyperkeratosis)
-impairment of humoral and cell-mediate immunity (phagocytes and T-cells)

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4
Q

What are the essential roles of thiamine (B1)?

A

-cofactor in carbohydrate metabolism
-nerve impulse propagation
-cellular metabolic activities

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5
Q

What are the symptoms of thiamine (B1) deficiency?

A

-Beri-beri = cardiac and neurologic dysfunction
-Wernicke-Korsakoff syndrome
-Wernicke’s = nystagmus, ophthalmoplegia, ataxia
-Korsakoff’s = chronic neurologic disorder (follows Wernicke’s)

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6
Q

What electrolyte deficiency leads to a functional form of thiamine (B1) deficiency?

A

Mg

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7
Q

What are the essential roles of riboflavin (B2)?

A

-coenzyme component in energy producing respiratory pathways
-mitochondrial function
-RBC production

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8
Q

What are the symptoms of riboflavin (B2) deficiency?

A

-pharyngeal edema/sore throat/glossitis/stomatitis
-anemia (normocytic-normochromic)

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9
Q

What are the essential roles of niacin (B3)?

A

-forms NAD and NADP
-crucial in synthesis of carbs, proteins, and fatty acids

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10
Q

What are the symptoms of niacin (B3) deficiency?

A

pellagra
-symmetric hyperpigmented rash
-diarrhea, vomiting, red tongue
-neurologic symptoms

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11
Q

What are the essential roles of panthothenic acid (B5)?

A

-converted to coenzyme A (first step in TCA cycle)
-molecular synthesis

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12
Q

What are the symptoms of panthothenic acid (B5) deficiency?

A

rare
-distal paresthesias
-GI distress

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13
Q

What are the essential roles of pyridoxine (B6)?

A

-Schiff base formation
-amino acid and neurotransmitter synthesis
-gluconeogensis

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14
Q

What are the symptoms of pyridoxine (B6) deficiency?

A

rare
-stomatitis, glossitis, cheliosis
-confusion and depression
-increased homocysteine concentrations/atherosclerosis

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15
Q

What are the essential roles of cyanocobalamin (B12)?

A

-DNA synthesis
-RBC production
-myelin formation

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16
Q

What are the symptoms of cyanocobalamin (B12) deficiency?

A

-megaloblastic anemia
-distal neuropathy (> arms) = paresthesias, ataxia, weakness
-osteoporosis/bone loss/spine and hip fx

17
Q

What are the essential roles of vit C?

A

-fatty acid transport
-collagen synthesis
-norepi and prostaglandin synthesis

18
Q

What are the symptoms of vit C deficiency?

A

Scurvy (syndrome of disordered connective tissue)
-ecchymoses, bleeding gums, hyperkeratosis
-arthralgias
-impaired wound healing

19
Q

What are the essential roles of vit D?

A

-stimulates intestinal absorption of calcium and phos
-stimulates mobilization of calcium from bone
-stimulates the kidney to reabsorb calcium

20
Q

What are the symptoms of vit D
deficiency?

A

-hypocalcemia and hypophosphatemia
-Rickets, osteomalacia, osteoporosis
-secondary hyperparathyroidism

21
Q

What are the essential roles of vit E?

A

-free radical scavenger/antioxidant
-inhibition of cell proliferation and platelet aggregation

22
Q

What are the symptoms of vit E
deficiency?

A

-neuromuscular symptoms: ataxia, hyporeflexia, sensory loss
-hemolysis
-decreased RBC lifespan

23
Q

What are the essential roles of vit K?

A

-cofactor for activation of factors 10, 9, 7, 1 (prothrombin)
-cofactor for activation of proteins C and S
-cofactor for proteins in bone mineralization

24
Q

What are the symptoms of vit K
deficiency?

A

coagulation disorders
-easy bruising
-melena or hematuria
-prolonged bleeding

25
What are the essential roles of biotin?
-essential component of several enzymatic complexes -carbohydrate and lipid metabolism -protein and DNA synthesis
26
What are the symptoms of biotin deficiency?
-increased lactate and fatty acid production -myalgias, dysethesias, mental status changes -anorexia, nausea
27
What are the essential roles of folate?
-DNA synthesis -RBC production
28
What are the symptoms of folate deficiency?
-megaloblastic anemia -neural tube defects
29
What are the essential roles of zinc?
-amino acid binding/protein structure maintenance -cell division and apoptosis - ~250 proteins contain zinc
30
What are the symptoms of zinc deficiency?
-growth retardation/impotence/hypogonadism -immune dysfunction/impaired wound healing -skin lesions
31
What are the essential roles of iron?
-heme proteins: hemoglobin, myoglobin, cytochrome C -metalloenzymes used in protein synthesis -cofactor in gluconeogenesis, TCA cycle, DNA synthesis
32
What are the symptoms of iron deficiency?
-microcytic, hypochromic anemia -lethargy and decreased work performance -developmental delays
33
What are the essential roles of selenium?
-forms over 30 proteins -antioxidant defense -thyroid hormone production
34
What are the symptoms of selenium deficiency?
-cardiomyopathy (Keshan disease) -skeletal muscle dysfunction -immune dysfunction