Q: About a patient with a strict fat-free diet


 

 

 

Question N-07: A 40-year-old, overweight female patient  presents to her physician. She was very proud of having lost 40 lbs. during the previous year, but now noticed that her “hair is falling out.” and she is losing vision, mainly at night. On questioning, she reports having followed a strict fat-free diet. Her complains are probably related to a deficiency of which of the following vitamins?

 

a)     Vitamin A

 

b)     Vitamin D

 

c)      Vitamin E

 

d)     Vitamin F

 

e)     Vitamin K

 

   

Q: About a patient with anemia


 

parietal cells

parietal cells

 

 

Question N-06:  A 45 year-old patient presents with severe pallor, peripheral neuropathy and psychosis. Lab tests show:  severe anemia, MCV (Mean Corpuscular Volume) = 140 fl (Reference range: 80-100 fl), WBC and platelets low, and presence of antibodies to intrinsic factor, produced by parietal cells.

 

This anemia is caused in this patient by a deficit of:

 

a)     Ascorbate

 

b)     Cobalamine

 

c)      Folate

 

d)     Iron

 

e)     Niacine

 

f)       Thiamine