Vitamins C, A, D, E, and K Quiz
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Questions and Answers

What is the primary transport protein for Vitamin A in the blood?

  • Vitamin D Binding Protein
  • Lipid Transport Protein
  • Retinol Binding Protein (RBP) (correct)
  • Chylomicron Transporter
  • Which form of Vitamin A is considered the active form?

  • Beta-carotene
  • Carotenes
  • Retinal (correct)
  • Carotenoids
  • What condition is primarily associated with Vitamin A deficiency and involves dryness and cloudiness of the cornea?

  • Glaucoma
  • Keratomalacia
  • Night Blindness
  • Xerophthalmia (correct)
  • Vitamin A can prevent which specific vision-related issue in low light conditions?

    <p>Night Blindness</p> Signup and view all the answers

    What is a consequence of Vitamin A deficiency on cellular behavior?

    <p>Transformation of cells into keratin-producing cells</p> Signup and view all the answers

    Which of the following is NOT a function of retinoic acid, one of the active forms of Vitamin A?

    <p>Maintains vision</p> Signup and view all the answers

    What can increase the risk of toxicity regarding fat-soluble vitamins like Vitamin A?

    <p>Storage in body fat</p> Signup and view all the answers

    Which form of Vitamin A is derived from animal sources and supports reproductive functions?

    <p>Retinol</p> Signup and view all the answers

    What is the primary function of Vitamin D in the body?

    <p>Mineralization of bones</p> Signup and view all the answers

    Which vitamin has its RDA stated in micrograms of Retinol Activity Equivalent (RAE)?

    <p>Vitamin A</p> Signup and view all the answers

    How is Vitamin D2 primarily obtained?

    <p>From plant sources</p> Signup and view all the answers

    Which of the following foods provides the highest amount of Vitamin A?

    <p>4 oz liver</p> Signup and view all the answers

    What form of Vitamin D is synthesized in the skin upon exposure to sunlight?

    <p>Cholecalciferol</p> Signup and view all the answers

    Which carbohydrate is a precursor for the synthesis of Vitamin D?

    <p>Cholesterol</p> Signup and view all the answers

    What is the active form of Vitamin D called?

    <p>Calcitriol</p> Signup and view all the answers

    What would be the RDA of Vitamin A for a female?

    <p>700 ug</p> Signup and view all the answers

    What is the recommended approach to determining the correct dose of Vitamin C for stopping a cold?

    <p>Increase the dose until bowel tolerance is reached.</p> Signup and view all the answers

    Which vegetable has the highest Vitamin A content per cup?

    <p>Carrots</p> Signup and view all the answers

    Based on the studies, which finding is consistent across the research regarding Vitamin C and colds?

    <p>Vitamin C may reduce the severity but does not affect the number of colds.</p> Signup and view all the answers

    In which organ is Vitamin D converted to its active form?

    <p>Kidneys</p> Signup and view all the answers

    What negative effect can overdosing Vitamin C have on immune defense?

    <p>It inhibits oxidative processes needed for immune defense.</p> Signup and view all the answers

    What cooking method is least advisable to preserve Vitamin C content in vegetables?

    <p>Long exposure of cut vegetables to air.</p> Signup and view all the answers

    What mineral should be avoided in cookware to prevent Vitamin C degradation during cooking?

    <p>Iron</p> Signup and view all the answers

    Which product is not subject to mandatory addition of Vitamin C according to Canadian regulations?

    <p>Fresh vegetables</p> Signup and view all the answers

    Which factor contributes to the instability of Vitamin C in a solution?

    <p>Exposure to light and air</p> Signup and view all the answers

    How does the dosage of Vitamin C that might reduce the duration of cold symptoms vary?

    <p>It is typically suggested to take at least 1 gram or more per day.</p> Signup and view all the answers

    What is a primary reason for prothrombin deficiency in newborn infants?

    <p>Poor placental transfer of Vitamin K</p> Signup and view all the answers

    Which of the following could lead to a secondary deficiency of Vitamin K?

    <p>Intestinal surgeries</p> Signup and view all the answers

    Which food is considered the best dietary source of Vitamin K?

    <p>Broccoli</p> Signup and view all the answers

    How does the metabolism of Vitamin K get affected by anticonvulsants?

    <p>They increase the rate at which Vitamin K is metabolized</p> Signup and view all the answers

    What is the maximum allowable dose of vitamins and minerals in supplements regulated by Health Canada typically based on?

    <p>Tolerable Upper Intake Levels (ULs)</p> Signup and view all the answers

    What percentage of the required Vitamin K does bacterial synthesis in the digestive tract provide?

    <p>40 to 70%</p> Signup and view all the answers

    What is a significant action recommended regarding vitamin and mineral supplements?

    <p>They are beneficial for individuals who require them but not a dietary substitute.</p> Signup and view all the answers

    What is the typical recommended daily intake of Vitamin K for males?

    <p>120 ug/day</p> Signup and view all the answers

    Which condition in children is characterized by delayed closing of the fontanel due to Vitamin D deficiency?

    <p>Rickets</p> Signup and view all the answers

    What is the primary symptom of resistance to Vitamin D absorption?

    <p>Brittle bones</p> Signup and view all the answers

    What is a possible consequence of excessive Vitamin D supplementation?

    <p>Kidney stones</p> Signup and view all the answers

    How does skin pigmentation affect Vitamin D synthesis from sunlight?

    <p>Darker skin produces less Vitamin D.</p> Signup and view all the answers

    What is the main function of Vitamin E in the body?

    <p>Antioxidant protection</p> Signup and view all the answers

    Which environmental factors can destroy Vitamin E?

    <p>Oxygen and heat</p> Signup and view all the answers

    What role does Vitamin E play in relation to free radicals?

    <p>It protects cells from free radical damage.</p> Signup and view all the answers

    What is a common presentation of rickets observed in the skeletal structure?

    <p>Bowing of the femur</p> Signup and view all the answers

    During winter, which geographical factor can limit Vitamin D synthesis?

    <p>Latitude</p> Signup and view all the answers

    Which vitamin neutralizes free radicals by donating an electron?

    <p>Vitamin E</p> Signup and view all the answers

    What is a consequence of Vitamin E toxicity?

    <p>Interference with Vitamin K</p> Signup and view all the answers

    What condition can result from the deficiency of Vitamin E?

    <p>Red blood cell breakage</p> Signup and view all the answers

    Which vitamin is noted for potentially increasing the risk of heart disease when supplemented?

    <p>Vitamin E</p> Signup and view all the answers

    What is the DRI for Vitamin E?

    <p>15 mg/day</p> Signup and view all the answers

    Which of the following is a natural form of Vitamin K?

    <p>K1 (phylloquinone)</p> Signup and view all the answers

    Vitamin K is essential for the synthesis of which protein necessary for blood clotting?

    <p>Prothrombin</p> Signup and view all the answers

    What is a primary dietary source of Vitamin E?

    <p>Green leafy vegetables</p> Signup and view all the answers

    What can a deficiency of Vitamin K lead to?

    <p>Hemorrhaging</p> Signup and view all the answers

    Studies have shown that excess Vitamin E supplementation increases the risk of what?

    <p>Heart failure</p> Signup and view all the answers

    What is the form of Vitamin K that is formed as a result of bacterial action in the intestinal tract?

    <p>K2 (menaquinone)</p> Signup and view all the answers

    Which of the following foods is highest in Vitamin E content?

    <p>Sunflower oil</p> Signup and view all the answers

    What mechanism do antioxidants like vitamin E use to protect cells?

    <p>Neutralizing free radicals</p> Signup and view all the answers

    What may Vitamin C do in relation to Vitamin E's activity?

    <p>Restore Vitamin E to its active form</p> Signup and view all the answers

    Study Notes

    Vitamins C, A, D, E, and K

    • Vitamin C (Chapter 8)
    • Vitamins A, D, E, K (Chapter 9)

    Vitamin C: History

    • Scurvy is the oldest vitamin deficiency known, described as early as 1500 BC.
    • In 1535, Jacques Cartier's voyages suffered high rates of scurvy, a deadly disease affecting sailors. Symptoms included swollen limbs, bleeding gums and skin, tooth loss, and severe weakness.
    • In 1747, James Lind, a British physician, conducted one of the first scientific experiments on scurvy. He divided 12 scurvy-stricken sailors into six groups, assigning each a different diet. The group given oranges and lemons recovered, leading Lind to conclude that something in citrus fruits prevents scurvy.
    • In the 1970s, Linus Pauling promoted high doses of vitamin C to prevent and cure the common cold. He theorized the high doses of vitamin C stop colds by consuming 18 grams daily (with 75-90 mg being the Recommended Dietary Allowance). Despite the claims, large-scale studies later proved his theory incorrect.
    • More research followed the 1970s, with randomized control trials generally showing no effect of Vitamin C on the severity or length of colds, though some studies show a slight reduction in symptoms. High doses of vitamin C are not recommended.

    Vitamin C: Properties

    • Water-soluble, making it unstable
    • Easily oxidized by light, air, heat, and iron/copper
    • Added to various food products, such as infant formula and fruit-flavored drinks (mandated in some places)

    Vitamin C: Cooking Implications

    • Minimize air exposure to prevent oxidation
    • Boil vegetables in already boiling water for faster cooking and reduced nutrient loss
    • Cook vegetables until tender, but not overcooked
    • Chop vegetables before cooking
    • Store cut foods in airtight containers in the refrigerator
    • Avoid using iron or copper cookware

    Vitamin C: Functions

    • Collagen formation: crucial for healthy tissue, including skin, joints and blood vessels.
    • Antioxidant: protects cells from damage caused by free radicals.
    • Aids in iron absorption: increases the body's ability to use iron.

    Vitamin C: Deficiency

    • Scurvy: results from severe vitamin C deficiency; characterized by bleeding, swollen gums, wounds that do not heal, dry skin, muscle cramps, skeletal changes in children, and joint pain.

    Vitamin C: Toxicity

    • Large quantities of vitamin C (greater than 2000mg/day) can cause adverse effects (diarrhea, nausea, abdominal cramps, kidney stones, acidic urine, etc).

    Vitamin C: Dietary Sources

    • Fruits like oranges, kiwi, and berries, tomatoes, and broccoli are rich sources of Vitamin C.

    Vitamin A: Properties and Functions

    • The first vitamin to be discovered
    • Fat-soluble, stored in the liver
    • Destroyed by light and oxygen
    • Retinol Binding Protein: a transport protein that picks up Vitamin A from the liver
    • Occurs in two forms:
      • Retinoids: the active form found in animal products.
        • Retinol: involved in reproduction
        • Retinal: participates in vision
        • Retinoic acid: regulates growth, tooth and bone development, and maintaining skin
      • Carotenoids (precursors): found in plants.
        • Beta-carotene: converted to vitamin A; functions as an antioxidant
    • Important to maintain vision and various cellular functions.

    Vitamin A: Deficiency

    • Xerophthalmia: eye disorder associated with vitamin A deficiency; begins with night blindness, then progressing to dryness in the eye, wrinkling, cloudiness, and softening of the cornea (keratomalacia). Without treatment, it can cause rupture and infection leading to persistent blindness.
    • Damage to epithelial tissues leads to keratinization (hardened skin).

    Vitamin A: Toxicity

    • Hypervitaminosis A (Vitamin A poisoning); characterized by nausea, vomiting, headaches, dizziness, blurred vision, lack of muscle coordination, weak bones, birth defects, increased tumor size in lung cancer patients, dry skin resulting from medications created from Vitamin A.
    • Beta-carotene toxicity: does not cause the same problems as the intake of Vitamin A; instead, excess beta-carotene is stored in fat tissue, and the skin may turn yellow.

    Vitamin A: Dietary Sources

    • Best sources are milk and milk products, liver, eggs, butter. Yellow and orange vegetables (like carrots), and dark green leafy vegetables contain beta-carotene, a Vitamin A precursor.

    Vitamin D: Properties and Functions

    • Vitamin D can be synthesized by the body through exposure to sunlight.
    • Vitamin D can be acquired from animal products.
    • Essential for bone mineralization, calcium absorption. Active form: calcitriol.

    Vitamin D: Deficiency

    • Rickets (in children): characterized by beaded ribs and a delayed closing of the fontanels (soft spots in the skull), leading to bone malformation and weak, brittle bones.
    • Osteomalacia (in adults): adult form of rickets with similar symptoms.

    Vitamin D: Toxicity (Hypervitaminosis D)

    • Excessive Vitamin D intake can lead to hypercalcemia, characterized by excess calcium in the body.
    • Excess calcium can accumulate in soft tissues, causing calcification and potentially damaging blood vessels, leading to kidney stones.

    Vitamin D: Dietary Sources

    • Fortified milk (a great source)
    • Egg yolks
    • Liver
    • Fatty fish (salmon, sardines)

    Vitamin E: Properties and Functions

    • Also called tocopherol; this compound was initially discovered as an essential chemical for reproduction in rats.
    • Fat-soluble (stored in body fat)
    • Sensitive to oxygen, light, heat, and metals.
    • Functions as a powerful antioxidant; protect cell membranes from damage caused by free radicals.

    Vitamin E: Deficiency

    • Red blood cell breakdown. Can lead to anemia.
    • May interfere with vitamin K's role in blood clotting.

    Vitamin E: Toxicity

    • High intake may interfere with vitamin K absorption. Research suggests it can increase the risk for heart disease.

    Vitamin E: Dietary Sources

    • Vegetable oils (e.g., wheat germ oil, sunflower oil)
    • Nuts
    • Seeds
    • Green leafy vegetables
    • Some fish such as salmon and sardines

    Vitamin K: Properties and Functions

    • The compound was first discovered when attempting to treat hemorrhagic disease in chickens.
    • Involved in blood clotting (synthesis of clotting factors); prothrombin plays a key role.

    Vitamin K: Deficiency

    • Inability/Inadequate absorption from the small intestine
    • Liver impairment
    • Infants are susceptible to prothrombin deficiency; given an injection shortly after birth due to difficulties in placental transfer
    • Secondary deficiencies can result from antibiotics that disrupt synthesis, and anticoagulant/anticonvulsant medications.

    Vitamin K: Dietary Sources

    • Key to the diet; found in green leafy vegetables (e.g., broccoli, kale, spinach), other vegetables, and some fruits. Milk, eggs, and certain oils may contain modest amounts.

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