Pathology EMQ

Name: Michael Foster

Theme: Nutrition

 

OPTION LIST

 

A

Ascorbate (vitamin C)

I

Niacin

B

Cholecalciferol (vitamin D)

J

Phytomenadione (vitamin K)

C

Cobalamin (vitamin B12­)

K

Pyridoxine (vitamin B)

D

Copper

L

Retinol (vitamin A)

E

Fluoride

M

Riboflavin (vitamin B2)

F

Folate

N

Thiamine (vitamin B1)

G

Iodine

O

Tocopherol (vitamin E)

H

Iron

P

Zinc

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A woman in the 17th week of an unplanned pregnancy has elevated serum alpha-fetoprotein levels. What is the most likely deficiency?

 

2. A 14-year-old girl of Indian parents presents to her GP with bone pain and weakness. Investigations show a raised parathyroid hormone level. What is deficient?

 

3. A 47-year-old man is brought into A&E. He is walking unsteadily and seems not to understand where he is. He has recently undergone bariatric surgery. What is the most likely deficiency?

 

4. A 24-year-old vegan woman presents to her GP complaining of tiredness and headaches. Blood film shows macrocytosis, anaemia and hypersegmented polymorphs. What is likely deficient?

 

5. A 31-year-old woman recently moved from Pakistan presents with a neck lump. It is large and smooth, and moves with swallowing. She also reports tiredness and constipation. What is most likely deficient?

 

 

ANSWERS

1. F

2. B

3. N

4. C

5. G