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Questions and Answers
What is a common neurological manifestation associated with thiamine deficiency?
What is a common neurological manifestation associated with thiamine deficiency?
Which type of beriberi is characterized by high-output cardiac failure?
Which type of beriberi is characterized by high-output cardiac failure?
Which vitamin deficiency leads to the syndrome known as Pellagra?
Which vitamin deficiency leads to the syndrome known as Pellagra?
What biochemical role does riboflavin (B2) play in the body?
What biochemical role does riboflavin (B2) play in the body?
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Which symptom is primarily associated with severe niacin deficiency?
Which symptom is primarily associated with severe niacin deficiency?
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What is the primary treatment for thiamine deficiency?
What is the primary treatment for thiamine deficiency?
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What is a characteristic symptom of Wernicke-Korsakoff syndrome?
What is a characteristic symptom of Wernicke-Korsakoff syndrome?
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What is a significant health effect of pharmacological doses of niacin?
What is a significant health effect of pharmacological doses of niacin?
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Which of the following is a common side effect of increased lipoprotein lipase (LPL) activity?
Which of the following is a common side effect of increased lipoprotein lipase (LPL) activity?
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What is a primary role of pantothenic acid (B5) in the body?
What is a primary role of pantothenic acid (B5) in the body?
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Which of the following enzymes is dependent on pyridoxine (vitamin B6) for its function?
Which of the following enzymes is dependent on pyridoxine (vitamin B6) for its function?
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What syndrome can result from a deficiency of vitamin B6?
What syndrome can result from a deficiency of vitamin B6?
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Which of the following symptoms is NOT associated with biotin deficiency?
Which of the following symptoms is NOT associated with biotin deficiency?
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What is the consequence of avidin found in egg whites on biotin absorption?
What is the consequence of avidin found in egg whites on biotin absorption?
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What is biotinidase deficiency usually screened for in newborns?
What is biotinidase deficiency usually screened for in newborns?
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Which metabolic process is directly aided by biotin (B7)?
Which metabolic process is directly aided by biotin (B7)?
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What is the primary clinical manifestation of folic acid deficiency?
What is the primary clinical manifestation of folic acid deficiency?
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What role does methotrexate play in folate metabolism?
What role does methotrexate play in folate metabolism?
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How does a deficiency in vitamin B12 induce neurological symptoms?
How does a deficiency in vitamin B12 induce neurological symptoms?
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Which condition most commonly leads to vitamin B12 deficiency?
Which condition most commonly leads to vitamin B12 deficiency?
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What is a likely complication associated with hyperhomocysteinemia?
What is a likely complication associated with hyperhomocysteinemia?
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In the presence of folic acid deficiency, which type of anemia is expected?
In the presence of folic acid deficiency, which type of anemia is expected?
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What distinguishes trimethoprim from sulfonamides in terms of antimicrobial action?
What distinguishes trimethoprim from sulfonamides in terms of antimicrobial action?
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What blood test result would most likely indicate a deficiency in folate during pregnancy?
What blood test result would most likely indicate a deficiency in folate during pregnancy?
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Which water-soluble vitamin deficiency is specifically associated with beriberi?
Which water-soluble vitamin deficiency is specifically associated with beriberi?
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What is a common disease associated with niacin deficiency?
What is a common disease associated with niacin deficiency?
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Which enzyme requires thiamine as a coenzyme in the TCA cycle?
Which enzyme requires thiamine as a coenzyme in the TCA cycle?
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What physiological role does riboflavin primarily serve?
What physiological role does riboflavin primarily serve?
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Which condition is NOT directly linked to a deficiency of the vitamin B6 (pyridoxine)?
Which condition is NOT directly linked to a deficiency of the vitamin B6 (pyridoxine)?
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Which vitamin is essential for collagen synthesis?
Which vitamin is essential for collagen synthesis?
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What is the most likely cause of the elderly female's symptoms in this case?
What is the most likely cause of the elderly female's symptoms in this case?
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What is the primary cause of peripheral neuropathy related to vitamin deficiencies?
What is the primary cause of peripheral neuropathy related to vitamin deficiencies?
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Which vitamin deficiency is connected to a magenta-colored tongue and characterized by symptoms including poor growth and skin inflammation?
Which vitamin deficiency is connected to a magenta-colored tongue and characterized by symptoms including poor growth and skin inflammation?
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Which disease is a classic manifestation of folate deficiency?
Which disease is a classic manifestation of folate deficiency?
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Which vitamin is primarily responsible for the prevention of microcytic anemia?
Which vitamin is primarily responsible for the prevention of microcytic anemia?
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Which of the following vitamins is synthesized from the amino acid tryptophan in addition to dietary sources?
Which of the following vitamins is synthesized from the amino acid tryptophan in addition to dietary sources?
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Deficiency of which vitamin can lead to a magenta-colored tongue?
Deficiency of which vitamin can lead to a magenta-colored tongue?
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Which deficiency is linked to hypersegmented neutrophils and can cause megaloblastic anemia?
Which deficiency is linked to hypersegmented neutrophils and can cause megaloblastic anemia?
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Which vitamin is necessary for the reduction of iron and copper in various enzymes within the body?
Which vitamin is necessary for the reduction of iron and copper in various enzymes within the body?
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What combination of symptoms is most likely due to pernicious anemia?
What combination of symptoms is most likely due to pernicious anemia?
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What symptom can indicate a deficiency in vitamin B3?
What symptom can indicate a deficiency in vitamin B3?
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Given the symptoms presented, which vitamin is less likely to be a cause of the elderly female's health issues?
Given the symptoms presented, which vitamin is less likely to be a cause of the elderly female's health issues?
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What is the main consequence of vitamin C deficiency on connective tissue?
What is the main consequence of vitamin C deficiency on connective tissue?
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Which vitamin's deficiency is associated with symptoms such as gingival hemorrhages, bruising, and delayed wound healing?
Which vitamin's deficiency is associated with symptoms such as gingival hemorrhages, bruising, and delayed wound healing?
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What key process does vitamin C support that is crucial for carnitine synthesis?
What key process does vitamin C support that is crucial for carnitine synthesis?
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Which vitamin levels could potentially mimic the skeletal abnormalities seen in vitamin C deficiency?
Which vitamin levels could potentially mimic the skeletal abnormalities seen in vitamin C deficiency?
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What mechanism leads to the development of scurvy symptoms?
What mechanism leads to the development of scurvy symptoms?
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Which vitamin is specifically noted for its role in the function of dopamine β-hydroxylase?
Which vitamin is specifically noted for its role in the function of dopamine β-hydroxylase?
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Which of the following is NOT a symptom of vitamin C deficiency?
Which of the following is NOT a symptom of vitamin C deficiency?
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Which vitamin deficiency would a 14-month-old likely NOT present with symptoms of hemorrhages and bruising?
Which vitamin deficiency would a 14-month-old likely NOT present with symptoms of hemorrhages and bruising?
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What is a major side effect of increased lipoprotein lipase (LPL) activity?
What is a major side effect of increased lipoprotein lipase (LPL) activity?
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Pyridoxine deficiency is most likely to be observed in which population?
Pyridoxine deficiency is most likely to be observed in which population?
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Which of the following compounds is NOT a component of CoA?
Which of the following compounds is NOT a component of CoA?
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Which symptom is NOT typically associated with biotin deficiency?
Which symptom is NOT typically associated with biotin deficiency?
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What is a key symptom that distinguishes vitamin C deficiency from vitamin D deficiency in a patient?
What is a key symptom that distinguishes vitamin C deficiency from vitamin D deficiency in a patient?
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Which vitamin deficiency could lead to delayed collagen hydroxylation, affecting connective tissue integrity?
Which vitamin deficiency could lead to delayed collagen hydroxylation, affecting connective tissue integrity?
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What characterizes the role of pyridoxal phosphate (PLP) in metabolic processes?
What characterizes the role of pyridoxal phosphate (PLP) in metabolic processes?
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What is a potential consequence of isoniazid treatment on vitamin absorption?
What is a potential consequence of isoniazid treatment on vitamin absorption?
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In the context of vitamin deficiencies, which symptom is least likely to be associated with vitamin C deficiency?
In the context of vitamin deficiencies, which symptom is least likely to be associated with vitamin C deficiency?
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Which vitamin is dependent on a vitamin C-related enzyme for its synthesis in the body?
Which vitamin is dependent on a vitamin C-related enzyme for its synthesis in the body?
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Which group of enzymatic reactions is biotin (B7) specifically involved with?
Which group of enzymatic reactions is biotin (B7) specifically involved with?
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What is a common clinical feature of scurvy that develops due to vitamin C deficiency?
What is a common clinical feature of scurvy that develops due to vitamin C deficiency?
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What is the primary condition that can result from biotinidase deficiency?
What is the primary condition that can result from biotinidase deficiency?
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Which vitamin is most closely linked with the enzymatic activity of hydroxylating prolyl and lysyl residues in procollagen?
Which vitamin is most closely linked with the enzymatic activity of hydroxylating prolyl and lysyl residues in procollagen?
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Which vitamin deficiency could lead to symptoms mimicking those of vitamin C deficiency in a child?
Which vitamin deficiency could lead to symptoms mimicking those of vitamin C deficiency in a child?
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What metabolic process is primarily affected by vitamin C deficiency leading to symptoms such as bruising and delayed wound healing?
What metabolic process is primarily affected by vitamin C deficiency leading to symptoms such as bruising and delayed wound healing?
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Which vitamin deficiency is most likely to lead to neurological symptoms in elderly patients?
Which vitamin deficiency is most likely to lead to neurological symptoms in elderly patients?
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Which of the following conditions is associated with increased homocysteine levels?
Which of the following conditions is associated with increased homocysteine levels?
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What is a common manifestation of riboflavin (B2) deficiency?
What is a common manifestation of riboflavin (B2) deficiency?
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Which vitamin is involved in the absorption of iron and is crucial for connective tissue maintenance?
Which vitamin is involved in the absorption of iron and is crucial for connective tissue maintenance?
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Which of the following symptoms is NOT typically associated with vitamin B6 deficiency?
Which of the following symptoms is NOT typically associated with vitamin B6 deficiency?
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What deficiency is linked to cheilosis and a sore throat?
What deficiency is linked to cheilosis and a sore throat?
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Which of the following best describes a physiological effect of vitamin C beyond its antioxidant properties?
Which of the following best describes a physiological effect of vitamin C beyond its antioxidant properties?
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Which vitamin's deficiency is primarily associated with delayed wound healing and easy bruising?
Which vitamin's deficiency is primarily associated with delayed wound healing and easy bruising?
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Which of the following is NOT a symptom associated with Wernicke-Korsakoff syndrome?
Which of the following is NOT a symptom associated with Wernicke-Korsakoff syndrome?
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What is the primary cause of riboflavin (B2) deficiency in infants undergoing phototherapy?
What is the primary cause of riboflavin (B2) deficiency in infants undergoing phototherapy?
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Which of the following describes the chronic form of thiamine deficiency known as dry beriberi?
Which of the following describes the chronic form of thiamine deficiency known as dry beriberi?
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How do pharmacological doses of niacin primarily affect lipid levels in the body?
How do pharmacological doses of niacin primarily affect lipid levels in the body?
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What is a key feature of the severe niacin deficiency known as Pellagra?
What is a key feature of the severe niacin deficiency known as Pellagra?
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What is the primary source of dietary niacin (B3)?
What is the primary source of dietary niacin (B3)?
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Which of the following symptoms is specifically linked to riboflavin (B2) deficiency?
Which of the following symptoms is specifically linked to riboflavin (B2) deficiency?
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The enzyme activities that depend on riboflavin (B2) primarily involve which of the following processes?
The enzyme activities that depend on riboflavin (B2) primarily involve which of the following processes?
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What is a primary consequence of a folic acid deficiency during pregnancy?
What is a primary consequence of a folic acid deficiency during pregnancy?
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Which vitamin deficiency is primarily associated with neurological dysfunction and demyelination?
Which vitamin deficiency is primarily associated with neurological dysfunction and demyelination?
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How does methotrexate affect folate metabolism?
How does methotrexate affect folate metabolism?
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What laboratory finding is indicative of folate deficiency?
What laboratory finding is indicative of folate deficiency?
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Which drug specifically inhibits bacterial dihydrofolate reductase?
Which drug specifically inhibits bacterial dihydrofolate reductase?
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What is a significant risk factor for developing hyperhomocysteinemia?
What is a significant risk factor for developing hyperhomocysteinemia?
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Which of the following is a likely cause of megaloblastic anemia?
Which of the following is a likely cause of megaloblastic anemia?
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During which condition is the folate pool quickly depleted?
During which condition is the folate pool quickly depleted?
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What is the primary biochemical process impaired by thiamine (B1) deficiency?
What is the primary biochemical process impaired by thiamine (B1) deficiency?
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Cyanocobalamin (B12) is specifically linked to which condition when deficient?
Cyanocobalamin (B12) is specifically linked to which condition when deficient?
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Which water-soluble vitamin is essential for one-carbon group transfer in metabolic processes?
Which water-soluble vitamin is essential for one-carbon group transfer in metabolic processes?
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Deficiency of which vitamin leads to the symptoms of megaloblastic anemia?
Deficiency of which vitamin leads to the symptoms of megaloblastic anemia?
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What is the role of riboflavin (B2) in metabolic pathways?
What is the role of riboflavin (B2) in metabolic pathways?
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Which deficiency is most directly associated with impaired collagen synthesis?
Which deficiency is most directly associated with impaired collagen synthesis?
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Which condition is the result of inadequate folate in the body?
Which condition is the result of inadequate folate in the body?
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What symptom might be expected in a patient with biotin (B7) deficiency?
What symptom might be expected in a patient with biotin (B7) deficiency?
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Lactate buildup in tissues as a result of thiamine deficiency primarily affects which organ systems?
Lactate buildup in tissues as a result of thiamine deficiency primarily affects which organ systems?
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Which vitamin is specifically noted for its association with clinical symptoms such as inflammation and muscle pain?
Which vitamin is specifically noted for its association with clinical symptoms such as inflammation and muscle pain?
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Study Notes
Water-Soluble Vitamins
- Water-soluble vitamins are vitamins that are soluble in water.
- These vitamins include thiamine (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), folic acid (B9), cyanocobalamin (B12), and ascorbic acid (vitamin C).
- Their functions include acting as coenzymes in various metabolic reactions.
- Deficiencies in these vitamins can lead to various disorders.
- Sources vary by Vitamin.
Thiamine (B1)
- Thiamine pyrophosphate (TPP) is the active form of thiamine.
- TPP is a coenzyme for enzymes in carbohydrate metabolism, such as pyruvate dehydrogenase and α-ketoglutarate dehydrogenase.
- Important in energy metabolism, particularly for the nervous system and muscles.
- Deficiency can cause weakness, amnesia, and/or neurological problems, Beriberi, Wernicke-Korsakoff syndrome, and possibly dilated cardiomyopathy.
- Lactate and pyruvate build-up in tissues due to a deficiency.
Riboflavin (B2)
- Riboflavin is a precursor for FAD and FMN.
- It is a coenzyme for several dehydrogenases involved in oxidation-reduction reactions.
- Deficiency may result from poor diet or phototherapy (in infants).
- Deficiency signs include corneal neovascularization, cheilosis, glossitis (inflammation of the tongue), sore throat, skin inflammation, and a magenta-colored tongue.
Niacin (B3)
- Niacin is a precursor for NAD and NADP.
- NAD and NADP are coenzymes for many dehydrogenases.
- Important in metabolism.
- Deficiency results in Pellagra (symptoms include diarrhea, dermatitis, dementia, and possibly death if untreated).
- Dietary sources include whole grains, milk, and meat.
- Niacin deficiency can result from a diet lacking niacin, or due to malnutrition, especially a maize-based diet.
Pantothenic Acid (B5)
- Pantothenic acid is a building block for coenzyme A (CoA).
- CoA is involved in the transfer of acyl groups in various metabolic pathways.
- Deficiency is rare.
Pyridoxine (B6)
- Pyridoxine is involved in amino acid metabolism.
- The active form, pyridoxal phosphate (PLP), is a coenzyme for many enzymes.
- Deficiencies are often seen in alcoholics.
- Symptoms include peripheral neuropathy, stomatitis, glossitis, irritability, psychiatric symptoms,possibly epileptic seizures.
- Sideroblastic anemia is a possible consequence of vitamin B6 deficiency.
- Isoniazid treatment can impact B6 absorption.
Biotin (B7)
- Biotin is a coenzyme in carboxylation reactions.
- It is a prosthetic group of enzymes like pyruvate carboxylase and acetyl-CoA carboxylase.
- Deficiency symptoms can occur if egg white (avidin) is consumed too much.
- Symptoms can include dermatitis, alopecia, glossitis, loss of appetite, nausea.
- Biotinidase deficiency is another cause of biotin deficiency.
Folic Acid (B9)
- Folic acid is tetrahydrofolate, a coenzyme in one-carbon transfer reactions.
- Essential for DNA and RNA synthesis, and amino acid metabolism.
- Deficiency typically occurs in alcoholics or pregnant women.
- Symptoms include megaloblastic anemia, thrombocytopenia (low platelet count), hypersegmented neutrophils, hyperhomocysteinemia, possible neural tube defects, and/or risk of thrombosis.
- Deficiency can occur quickly during pregnancy due to high needs.
Vitamin B12
- Vitamin B12 requires intrinsic factor for absorption.
- Pernicious anemia is a cause of B12 deficiency.
- Deficiency symptoms include neurological dysfunction, neurological and/or psychiatric symptoms, and megaloblastic anemia.
- It can cause hyperhomocysteinemia.
Vitamin C
- Ascorbic acid is involved in redox reactions, collagen synthesis, and iron absorption.
- Deficiency results in scurvy.
- Symptoms include dry mouth and eyes, decaying gums, loosening teeth, delayed wound healing, ecchymosis (bruising), petechiae (tiny red spots), weakness, lethargy, defective connective tissue, and potential bleeding into joints (hemarthrosis).
- Vitamin C is needed for wound healing, and the hydroxylation reaction of collagen for normal connective tissue.
- Consumption of foods rich in antioxidants is connected to lower rates of chronic diseases.
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Description
This quiz explores the neurological manifestations and health effects associated with various vitamin deficiencies, including thiamine, niacin, and biotin. Test your knowledge on symptoms, treatment, and the biochemical roles of essential vitamins in the body.