Q. What is the pro-Vitamin for Vitamin A?
------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------
A. Beta carotene present in plants.
Q. What is the major function of Vitamin A?
A. In vision, as the Wald's visual cycle.
Q. What causes the nerve impulse in retina?
A. Photo-isomerisation of 11-cis retinal to
all trans- retinal.
Q. How is all trans-retinal
regenerated?
A. Trans-retinal is taken to liver, where
it is made to trans-retinol, then isomerised to cis-retinol and then to cis
retinal.
Q. What are the enzymes required for this
regeneration?
A. Alcohol dehydrogenase and retinol
isomerase.
Q. What are other minor biological roles of
Vitamin A?
A. Normal
maintenance of epithelium and
skin, glycoprotein synthesis,
reproduction, cell differentiation, and
anti-oxidant role.
Q. What are the sources of Vitamin A?
A. Carrot, mangoes, papaya, green leafy
vegetables, and fish liver oil.
Q. What
are the deficiency manifestations of Vitamin A?
A. Night
blindness, xerophthalmia,
keratomalacia, and keratinisation of epithelium.
Q. Nyctalopia is due to the deficiency of
which Vitamin?
A. Vitamin A.
Q. What is the daily requirement of Vitamin
A?
A. 750 to 1000 microgram.
Q. How cholecalciferol is synthesised?
A. From 7-dehydro cholesterol in the
malpighian layer of epidermis, by the action of ultra violet rays.
Q. How Vitamin D is activated?
A. Cholecalciferol from skin reaches liver.
There it is hydroxylated to form 25-hydroxy cholecalciferol (25-HCC). It then
reaches kidney, where further hydroxylation takes place to form 1,25-dihydroxy
cholecalciferol (DHCC).
Q. What is calcitriol?
A. 1,25-dihydroxy cholecalciferol, or
active Vitamin D, contains three
hydroxyl groups at 1, 3 and 25
positions. So it is called calcitriol.
Q. Which Vitamin acts as a pro-hormone?
A. Vitamin D.
Q. What is the function of Vitamin D?
A. It increases absorption of calcium from
intestine, and it also increases mineralisation of bone.
Q. How Vitamin D increases absorption of
calcium?
A. Calcitriol binds to a cytoplasmic receptor. The
hormone-receptor complex interacts with
DNA and causes transcription
of specific genes that code
for calbindin. Due
to the increased availability of calcium
binding protein, the absorption of calcium is increased.
Q. How is Vitamin D deficiency manifested?
A. Rickets in children and osteomalacia in
adults.
Q. In
renal disease, oral doses of Vitamin D may not be effective, why?
A. Hydroxylation and activation of Vitamin
is taking place in kidney.
Q. What are the causes of rickets?
A. Chronic renal failure, liver diseases, and under- exposure to sunlight.
Q. What is the daily requirement of Vitamin
D?
A. 5-10 microgram.
Q. What is the chemical nature of Vitamin
E?
A. Alpha tocopherol.
Q. What is the function of Vitamin E ?
A. Anti-oxidant.
Q. What is the relationship of selenium
with Vita- min E?
A. They act synergistically as
anti-oxidants.
Q. What is the source of Vitamin E?
A. Vegetable oils are rich sources of
Vitamin E, e.g. wheat germ oil,
sunflower oil, safflower oil, cotton seed oil, and palm oil.
Q. What is the normal daily requirement of
Vitamin E?
A. 15 mg or 33 international units.
Q. What is the chemical nature of Vitamin
K?
A. Naphthoquinone derivative.
Q. What is menadione?
A. It is synthetic water soluble
Vitamin K, widely used in clinical practice.
Q. What is the function of Vitamin K?
A. Gamma carboxylation of clotting factors
such as prothrombin.
Q. Deficiency of Vitamin K
can occur in which
conditions?
A. Obstructive jaundice, antibiotic therapy,
and administration of dicoumarol.
Q. What is the mechanism of action of
dicoumarol?
A. It
competitively inhibits Vitamin
K epoxide reductase.
Q. So, dicoumarol is used for what purpose?
A. To prevent intravascular thrombosis.
Q. Excess dicoumarol will produce what?
A. Bleeding tendency.
Q. Which substance will inhibit Vitamin K?
A. Dicoumarol.
Q. Excess dose of Vitamin K in neonates may
lead to which condition?
A. Hemolysis and jaundice.
Q. Bleeding tendency is common in the
deficiency of which?
A. Vitamin
K, Vitamin C, and platelets.
------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------