Vitamin B12 and Folic Acid Deficiency Overview
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Questions and Answers

What happens to erythropoiesis if there is a deficiency in Vitamin B12 or Folic acid?

  • Erythroblastic cells grow but cannot divide rapidly. (correct)
  • Erythropoiesis continues without any issues.
  • Mature RBCs are produced more rapidly.
  • Cytoplasmic maturation is significantly delayed.
  • What are megaloblasts?

  • Erythroblasts that grow larger than normal and cannot divide. (correct)
  • Normal-sized erythrocytes.
  • Immature red blood cells that develop without any nutrient deficiencies.
  • Defective white blood cells caused by anemia.
  • Which of the following is a consequence of macrocyte production due to B12 or folic acid deficiency?

  • Increased number of normal-sized RBCs.
  • Abnormal shape and fragility leading to decreased RBC count. (correct)
  • Rapid cycle of effective erythropoiesis.
  • Normal RBCs are produced with enhanced functionality.
  • What is megaloblastic anemia characterized by?

    <p>Delayed DNA synthesis and abnormal RBCs.</p> Signup and view all the answers

    Why does cytoplasmic maturation remain relatively unimpeded despite B12 or folic acid deficiency?

    <p>It does not rely on DNA synthesis.</p> Signup and view all the answers

    Study Notes

    Vitamin B12 and Folic Acid Deficiency

    • Vitamin B12 and folic acid are essential for DNA synthesis, crucial for the development and maturation of red blood cells (RBCs).
    • Deficiency in either Vitamin B12 or folic acid slows down DNA synthesis and nuclear maturation while cytoplasmic maturation (mostly reliant on RNA function) proceeds relatively unaffected.
    • This disrupts the normal process of red blood cell production (erythropoiesis), leading to the creation of large, immature red blood cell precursors in the bone marrow, called megaloblasts.
    • These megaloblasts grow but cannot divide quickly, eventually forming abnormally large red blood cells known as macrocytes.
    • Macrocytes are irregular in shape and are fragile, making them prone to breakdown, resulting in a decreased number of red blood cells in the blood.
    • The deficiency-induced reduction in red blood cell count leads to a condition known as megaloblastic anemia, also referred to as maturation failure anemia.

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    Description

    Explore the critical roles of Vitamin B12 and folic acid in DNA synthesis and red blood cell formation. This quiz covers the effects of their deficiency, including the formation of megaloblasts and macrocytes, leading to megaloblastic anemia. Test your knowledge on this essential topic in hematology.

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