১.
‘Night blindness’ is the consequence of which of the following vitamin deficiency?
ব্যাখ্যা
Explanation: Night blindness occurs due to Vitamin A deficiency
PrepBank · বিষয়ভিত্তিক প্রশ্ন
Nutritional Deficiencies
Nutritional Deficiencies
PrepBank · পাতা ১ / ১ · ১–৪৫ / ৪৫
২.
Drugs that precipitates scurvy excludes
৩.
Conversion of 7-dehydrocholesterol to vitamin D occurs in which of the following site?
৪.
Deficiency of which vitamin causes pellagra?
ব্যাখ্যা
Explanation: Niacin Deficiency – pellagra, Thiamin Deficiency – beri-beri
৫.
Which deficiency leads to keshan’sdisease?
ব্যাখ্যা
Reference: Davidson 23rd , Page : 718
Explanation : keshan’s disease ( cardiomyopathy in children ) occurs due to selenium deficiency .
Explanation : keshan’s disease ( cardiomyopathy in children ) occurs due to selenium deficiency .
৬.
Feature of acute zinc deficiency-
৭.
Dermatitis is a deficiency feature of vitamin…?
৮.
Which is not Scurvey characterized by
ব্যাখ্যা
Scurvy
Vitamin C deciency affects the normal synthesis of collagen and results in a bleeding disorder characterised by perifollicular and petechial haemorrhage, bruising and subperiosteal bleeding. The key to diagnosis is the dietary history
Vitamin C deciency affects the normal synthesis of collagen and results in a bleeding disorder characterised by perifollicular and petechial haemorrhage, bruising and subperiosteal bleeding. The key to diagnosis is the dietary history
৯.
‘Corkscrew hairs’ found in
ব্যাখ্যা
(Ref : Davidson 23rd ,p – 692 )
১০.
Pellagra occurs due to deficiency of which vitamin?
১১.
Vitamin D-
১২.
Which vitamin is synthesised by bacteria in the colon?
১৩.
BMI indicating adequate nutrition
১৪.
Biochemical assessment of thiamin deficiency is assessed
ব্যাখ্যা
( Ref : Davidson 23rd ,p - 712 , box : 19.32 )
১৫.
Which one is a water-soluble vitamin?
ব্যাখ্যা
Explanation: Vitamins are organic substances with key roles in certain metabolic pathways, and are categorised into those that are fat-soluble (vitamins A, D, E and K) and those that are water-soluble (vitamins of the B complex group and vitamin C).
১৬.
Essential amino acid excludes
১৭.
Absorption of Vitamin B12 occurs in?
১৮.
Deficiency of following vitamin causes ataxia?
১৯.
A 58-year-old man with a history of chronic alcohol use presents with confusion, ataxia, and nystagmus. His condition rapidly improves after administration of thiamine. What is the most likely diagnosis?
ব্যাখ্যা
Stem Breakdown:
Confusion, ataxia, and nystagmus: This classic triad of symptoms is highly suggestive of Wernicke's encephalopathy, a neurological disorder associated with thiamine (vitamin B1) deficiency.
Chronic alcohol use: Chronic alcoholism is the most common cause of thiamine deficiency, leading to Wernicke's encephalopathy.
Rapid improvement with thiamine: This confirms that the symptoms were due to thiamine deficiency, which is rapidly reversible with appropriate supplementation.
Option Analysis:
A) Wernicke’s encephalopathy: This is the correct diagnosis. Davidson and Harrison both highlight that Wernicke’s encephalopathy is caused by thiamine deficiency, commonly seen in chronic alcoholics. The classic symptoms include confusion, ataxia, and ophthalmoplegia (nystagmus or other eye movement abnormalities). Rapid improvement with thiamine supports this diagnosis.
B) Korsakoff’s syndrome: Korsakoff's syndrome is a chronic sequela of untreated Wernicke’s encephalopathy, characterised by irreversible memory loss and confabulation. It does not cause rapid neurological improvement with thiamine administration.
C) Alcohol withdrawal: Alcohol withdrawal causes symptoms such as tremors, agitation, and hallucinations, but it does not typically present with the triad of confusion, ataxia, and nystagmus.
D) Hepatic encephalopathy: Hepatic encephalopathy occurs in patients with liver failure and is due to elevated ammonia levels. It presents with altered mental status but not with the other signs of Wernicke's (ataxia, nystagmus).
Confusion, ataxia, and nystagmus: This classic triad of symptoms is highly suggestive of Wernicke's encephalopathy, a neurological disorder associated with thiamine (vitamin B1) deficiency.
Chronic alcohol use: Chronic alcoholism is the most common cause of thiamine deficiency, leading to Wernicke's encephalopathy.
Rapid improvement with thiamine: This confirms that the symptoms were due to thiamine deficiency, which is rapidly reversible with appropriate supplementation.
Option Analysis:
A) Wernicke’s encephalopathy: This is the correct diagnosis. Davidson and Harrison both highlight that Wernicke’s encephalopathy is caused by thiamine deficiency, commonly seen in chronic alcoholics. The classic symptoms include confusion, ataxia, and ophthalmoplegia (nystagmus or other eye movement abnormalities). Rapid improvement with thiamine supports this diagnosis.
B) Korsakoff’s syndrome: Korsakoff's syndrome is a chronic sequela of untreated Wernicke’s encephalopathy, characterised by irreversible memory loss and confabulation. It does not cause rapid neurological improvement with thiamine administration.
C) Alcohol withdrawal: Alcohol withdrawal causes symptoms such as tremors, agitation, and hallucinations, but it does not typically present with the triad of confusion, ataxia, and nystagmus.
D) Hepatic encephalopathy: Hepatic encephalopathy occurs in patients with liver failure and is due to elevated ammonia levels. It presents with altered mental status but not with the other signs of Wernicke's (ataxia, nystagmus).
২০.
Cardiomyopathy results from deficiency of
২১.
Under Nutrition is indicated where BMI
ব্যাখ্যা
২২.
Followings are Essential amino acid, excludes?
২৩.
Which of the following is an essential amino acid?
২৪.
Parameter that is monitored weekly in patients receiving parenteral nutrition in hospital?
২৫.
Which one is a rich source of vitamin C?
ব্যাখ্যা
Davidson 23rd, Box-19.28
২৬.
Example of fat soluble vitamin-
২৭.
Wernicke’s encephalopathy is caused by which of the following vitamin deficiency?
ব্যাখ্যা
Explanation: Dry (or neurological) beri-beri manifests with chronic peripheral neuropathy and with wrist and/or foot drop, and may cause Korsakoff’s psychosis and Wernicke’s encephalopathy
২৮.
Defficiency of folate level is best assessed by which of the following invstigation?
ব্যাখ্যা
Explanation: Red cell folate levels are a more accurate indicator of folate stores and tissue folate deficiency.
২৯.
Coffee is a rich source of
৩০.
A 24 year old lady came to your chamber with complaints of Extreme cachexia with history of diet control, heavy exercise, induced vomiting and amenorrhea .Diagnosis will be
৩১.
Which nutrient deficiency can be seen in case of prolonged parenteral nutrition?
৩২.
In which is site carotenemia is not seen
ব্যাখ্যা
Hypercarotenaemia occurs due to excessive ingestion of carotene-containing vegetables or in situations of impaired metabolism such as hypothyroidism or anorexia nervosa.
A yellowish discoloration is seen on the face, palms and soles but not the sclera or conjunctiva, and this distinguishes it from jaundice
Macledo 14th/P-26
A yellowish discoloration is seen on the face, palms and soles but not the sclera or conjunctiva, and this distinguishes it from jaundice
Macledo 14th/P-26
৩৩.
Iodine is rich in
ব্যাখ্যা
Reference: Davidson 23rd , Page : 717 , Box : 19.34
৩৪.
Which vitamin deficiency is seen in carcinoid syndrome?
ব্যাখ্যা
Reference: Davidson 23rd , Page : 1233
Explanation : Niacin deficiency ( Vitamin B3 ) - pellagra can also seem in carcinoid syndrome.
Explanation : Niacin deficiency ( Vitamin B3 ) - pellagra can also seem in carcinoid syndrome.
৩৫.
Biochemical assessment of vitamin B2 deficiency is assessed by
ব্যাখ্যা
Reference: Davidson 23rd , Page : 712 , Box : 29.32
৩৬.
The World Health Organization (WHO) recommends a minimum intake of --- μg/day iodine
৩৭.
Water soluble vitamin is-
৩৮.
Urinary metabolites are used for biochemical assessment of vitamin
৩৯.
Milk is a rich source of vitamin
৪০.
Which of the following is not a function of Vitamin E?
৪১.
Deficiency of which vitamin may causes high output cardiac failure?
ব্যাখ্যা
High-output failure
Sometimes cardiac failure can occur in patients without heart disease
due to a large arteriovenous shunt, or where there is an excessively high
cardiac output due to beri-beri, severe anaemia or thyrotoxicosis.
৪২.
Which of the following is responsible for pathological fracture?
৪৩.
Which vitamin is synthesised by bacteria in the colon?
৪৪.
Muscle function and global nutritional status is measured by
ব্যাখ্যা
( Ref : Davidson 23rd ,p –693 )
৪৫.
Acrodermatitis enteropathica is a consequence of which nutrient malabsorption?