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Vitamins and Minerals
Module 2 Study Questions
133
Other
Graduate
05/19/2009

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Term
Which reactive oxygen species do not fit the free radical definition?
Definition
Hydrogen or lipid peroxide
Singlet oxygen
Term
Respiratory burst refers to the use of which reactive oxygen species by the white blood cells to destroy foreign microbes?
Definition
Superoxide
Term
The Fenton reaction involves the production of hydroxyl radical by the interaction of hydrogen peroxide with what trace mineral
Definition
Iron
Term
Which reactive species is considered a major initiator of lipid peroxidation in the body?
Definition
Hydroxyl radical
Term
Which three minerals are necessary to optimize the performance of superoxide dismutase in human tissue?
Definition
Zinc
Copper
Manganese
Term
Vitamin C is capable of directly reacting with which reactive species?
Definition
Hydrogen peroxide
Hydroxyl radical
Superoxide
Term
Which mineral is essential to the function of glutathione peroxidase?
Definition
Selenium
Term
What is the role of glutathione in the reaction between glutathione peroxidase and various peroxide species?
Definition
Hydrogen donor
Term
Which antioxidant vitamin is not very effective in eliminating hydroxyl radicals
Definition
Vitamin E
Term
When reacting with peroxyl radicals, which antioxidant functions at the cell surface and which functions in the cell interior?
Definition
Beta-carotene functions more in the interior of a cell, while vitamin E functions more on the cell surface
Term
Which reactive species is referred to as an “electronically excited” molecule, and is inactivated by a process called “quenching”?
Definition
Singlet oxygen
Term
Name the source of hydrogen atoms necessary for the regeneration of ascorbic acid from dehydroascorbate.
Definition
Glutathione
Term
Which B-vitamin functions as a coenzyme to regenerate oxidized glutathione?
Definition
Niacin
Term
Which enzyme is required for the synthesis of vitamin C and not present in human biochemistry?
Definition
Gulonolactone oxidase
Term
Which category of enzyme reaction is typical of the kind catalyzed by vitamin C
Definition
Hydroxylation
Term
List the functions in human biology that involve vitamin C.
Definition
Carnitine synthesis
Norepinephrine synthesis
Serotonin synthesis
Collagen synthesis
Term
Which two minerals can be reduced by ascorbate, leading to increased capacity for generation of reactive oxygen species?
Definition
Copper
Iron
Term
An intervention trial found that large doses of vitamin C reduced blood levels of which toxic metal
Definition
Lead
Term
Are there any known differences in the biological activities or bioavailabilities of natural and synthetic vitamin C?
Definition
Natural and synthetic vitamin C are chemically identical and there are no known differences in their biological activities or bioavailability.
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: 1) Primarily stored in the liver
Definition
retinol
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: Primarily stored in adipose tissue
Definition
tocopherol
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: Stored in liver and body lipids
Definition
beta-carotene
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: Most essential for differentiation of epithelial cells
Definition
retinol
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: Most effective for inhibiting LDL oxidation
Definition
tocopherol
Term
Comparing retinol, beta-carotene, and tocopherol, which of these are associated with each of the following characteristics: Most effective for inhibiting neoplastic transformation
Definition
beta-carotene
Term
Comparing vitamin A and E, Hemolytic anemia
Definition
vit. E
Term
Comparing vitamin A and E - Keratinization
Definition
vit. A
Term
Comparing vitamin A and E - Xerosis
Definition
vit. A
Term
Comparing vitamin A and E - Night blindness
Definition
vit. A
Term
Comparing vitamin A and E - Neuromuscular degeneration
Definition
vit. E
Term
Which fat-soluble micronutrient shows the greatest promise as therapy for hypercholesterolemia?
Definition
Tocotrienols
Term
Where is the primary site for conversion of provitamin A to vitamin A in the human body?
Definition
Intestinal mucosal cell
Term
What are the four steps for the use of vitamin A in the visual cycle?
Definition
Correct Oxidation of retinol to all-trans retinal
Correct Conversion of all-trans retinal to 11-cis retinal
Correct Binding of 11-cis retinal to opsin
Correct Uptake of retinol into photoreceptor rod cells
Term
Which form of vitamin A supports the development of cells by influencing gene expression?
Definition
Retinoic acid
Term
What is the mechanism for the effect of vitamin A on the growth of epithelial tissue?
Definition
Increases numbers of receptors for growth factors
Term
Name the mineral deficiency that interferes with vitamin A metabolism
Definition
zinc
Term
List the signs of vitamin A toxicity.
Definition
Bone pain
Headache
Liver damage
Skin irritations
Term
How many vitamers of vitamin E are there?
Definition
8 vitamers, including tocopherols and tocotrienols
Term
Which food category is the richest source of dietary vitamin E?
Definition
Vegetable oils
Term
Alpha-tocopherol has the greatest vitamin E activity in the human body due to a selective preference for this specific vitamer in what part of vitamin E processing?
Definition
Hepatic cell production of VLDL
Term
Name the primary lipoprotein that distributes tocopherol to the tissues.
Definition
LDL
Term
Regeneration of oxidized vitamin E requires which three cofactors?
Definition
Reduced glutathione
NADPH
Vitamin C
Term
A placebo-controlled intervention study found that a vitamin E supplement reduced the incidence of cancer in what tissue?
Definition
Prostate
Term
What vitamin is bound to enzymes used by carboxylase enzymes
Definition
Biotin
Term
What B vitamin functions as a coenzyme as NADP/NADPH?
Definition
Niacin
Term
What vitamin functions as a coenzyme as FMN/FMNH2?
Definition
Riboflavin
Term
What vitamin is a component of Coenzyme A
Definition
Pantothenic acid
Term
What B vitamin functions as a coenzyme as TPP
Definition
Thiamin
Term
Name the condition that is associated with thiamin deficiency and alcoholism.
Definition
Wernicke-Korsakoff Syndrome
Term
What are the essential roles of thiamin in the body?
Definition
Energy transformation
Synthesis of pentoses and NADPH
Membrane and nerve conduction
Term
What is the best dietary source of riboflavin?
Definition
Milk and milk products
Term
Which amino acid is a precursor to niacin
Definition
Tryptophan
Term
Which form of vitamin B3 is used in the treatment of hypercholesterolemia
Definition
nicotinic acid (niacin)
Term
Name the metabolic pathways that require Acetyl CoA.
Definition
Cholesterol
Ketogenesis
Fatty acid synthesis
Citric acid cycle
Term
What glycoprotein found in raw egg whites may prevent biotin absorption?
Definition
Avidin
Term
What disease or condition results from an absence or insufficient activity of the branched-chain alpha-keto acid dehydrogenase enzyme complex?
Definition
Maple Syrup Urine Disease
Term
The activity of erythrocyte glutathione reductase is useful for assessing the adequacy of which vitamin
Definition
Riboflavin
Term
The activity of erythrocyte transketolase is useful for assessing the adequacy of which vitamin
Definition
Thiamin
Term
Acetyl CoA carboxylase depends on which B vitamin to begin fatty acid synthesis
Definition
Biotin
Term
Which B vitamins use the AI recommendation for adult recommendations because there is insufficient available data to establish EAR and subsequent RDA?
Definition
Biotin
Pantothenate
Term
Excretion of fluorescent orange yellow urine follows oral ingestion of which vitamin
Definition
Riboflavin
Term
Name the B vitamins synthesized by intestinal bacteria
Definition
Biotin
Term
Subclinical deficiency of which B-vitamins may develop in a substantial number of pregnant women
Definition
biotin deficiency
Term
Which B-vitamin plays a role in transamination
Definition
B6
Term
What B-vitamin deficiencies are associated with megaloblastic anemia
Definition
B12
Term
What B-vitamin deficiency is associated with microcytic anemia?
Definition
B6
Term
Name a functional test used for assessing vitamin B6.
Definition
Xanthurenic acid excretion following tryptophan loading loading is a functional test used for B6.
Term
The coenzyme form of B6 (PLP) is involved in which metabolic reactions?
Definition
Serine synthesis
Synthesis of heme
Formation of GABA from glutamate
Term
Vitamin B12 is stored mainly in what part of the body
Definition
Liver
Term
Why is intrinsic factor important
Definition
A characteristic that is unique to vitamin B12 is that it requires intrinsic factor for absorption.
Term
What is the source of all vitamin B12 synthesis in nature
Definition
Microorganisms
Term
Which mineral is a component of vitamin B12?
Definition
Cobalt
Term
What is the primary cause of B12 deficiency seen in the US?
Definition
Inadequate absorption is the primary cause of B12 deficiency seen in the US.
Term
What vitamin deficiency can result in a tissue deficiency of active folate
Definition
Vitamin B12
Term
Active folate participates in the synthesis of which pyrimidine base
Definition
Thymine
Term
A deficiency of either B12 or folate can be determined by what laboratory test
Definition
Deoxyuridine suppression test
Term
Which B vitamin can mask a B12 deficiency
Definition
Folic acid
Term
Which vitamin is more easily absorbed from supplements because the food form contains glutamic acid residues that must be removed by the digestive process?
Definition
Folic acid
Term
Which vitamin may become deficient due to reduced absorption when protein digestion is impaired
Definition
Vitamin B12
Term
What B vitamin is required by law to be fortified into food
Definition
Folic acids
Term
Prevention of cancer with optimal folate nutrition appears most promising for cancer in which tissue
Definition
Colorectum
Term
Prevention of birth defects with folic acid is best accomplished by starting supplementation when
Definition
Before Conception
Term
Which groups of people are vitamin B12 supplements likely to be necessary in order to prevent B12 deficiency?
Definition
People over 50 years of age
People with atrophic gastritis
People using gastric acid-reducing drugs long-term
Term
Vitamin D3 produced in the skin
Definition
cholecalciferol
Term
Synthetic vitamin D2 available commercially
Definition
ergocalciferol (ercalciol)
Term
Most abundant form of vitamin D in the blood
Definition
calcidiol
Term
Fully activated form of vitamin D
Definition
calcitriol
Term
Precursor to pre-vitamin D3
Definition
7-dehydrocholesterol
Term
Vitamin D precursor found only in plant
Definition
ergosterol
Term
Which foods are high in vitamin D because they are typically fortified?
Definition
milk
margarine
Term
Name all of the organs in the body where vitamin D must be hydroxylated in order to achieve full potency
Definition
liver and kidney
Term
What factors will stimulate 1-alpha hydroxylase in the synthesis of calcitriol?
Definition
Low plasma calcium concentrations
Elevated blood parathyroid hormone
Low concentrations of 1, 25-(OH)2 D3
Term
The primary function of vitamin D is to regulate absorption and metabolism of which minerals?
Definition
Calcium and phosphorus
Term
What is the stimulus that ultimately signals the 1-alpha hydroxylation of vitamin D?
Definition
Hypocalcemia
Term
What are the characteristics of rickets
Definition
Deformed fingers
Term
Name the disorder associated with insufficient serum calcium and phosphorus, which leads to defective bone mineralization with preservation of bone matrix?
Definition
Osteomalacia
Term
Dosages of 10,000 IU/day of vitamin D for several months can result in what conditions?
Definition
hypercalcemia
nephrolithiasis
Term
How does the 1997 suggested Adequate Intake of vitamin D vary among age categories in adults?
Definition
5 mcg for adults under age 51
10 mcg for adults between 51 and 70
15 mcg for adults over 70
Term
By what mechanisms does vitamin D influence psoriasis?
Definition
decreases proliferation of the keratinocytes
increases skin epidermal cell differentiation
Term
List the reasons why adequate amounts of vitamin K are usually present in the body?
Definition
Recycling of vitamin K is quite efficient
A normal diet contains much more than recommended requirements.
Intestinal bacteria synthesis contributes to total intake
Term
For what category of enzyme does vitamin K act as a cofactor?
Definition
carboxylase
Term
Vitamin-K dependent modification of proteins such as the clotting factors affects the binding of which mineral ion by those proteins?
Definition
Calcium ions
Term
Name the anticoagulants that antagonize vitamin K action.
Definition
Warfarin
Coumadin
Term
Name the bone proteins that depend upon vitamin K for their production.
Definition
osteocalcin
matrix Gla protein
Term
What role may vitamin K play in the health of soft tissue structures?
Definition
Prevention of calcification
Term
What population groups and clinical situations are associated with increased risk for vitamin K deficiency?
Definition
liver damage or disease
chronic antibiotic treatment
newborn infants
fat malabsorption disorders
Term
Name the blood disorder associated with a vitamin K deficiency.
Definition
Hemorrhagic disease
Term
List the methods for determining vitamin K status.
Definition
prothrombin time
undercarboxylated prothrombin
undercarboxylated osteocalcin
Term
List good food sources of vitamin C
Definition
Orange juice – 75 mg
Grapefruit juice – 60 mg
Orange – 70 mg
Strawberries – 82 mg
Red pepper – 141 mg
Term
What are the required digestive steps for normal absorption of vitamin A to occur in the gastrointestinal tract?
Definition
De-esterification
Micelle formation
Protein hydrolysis
Term
List the major members of the family of carotenoids.
Definition
Lutein
Canthaxanthin
Alpha-carotene
Lycopene
Term
What processes can form reactive species in the body?
Definition
Reactive species can be formed during normal physiological processes – defense against microbes or other foreign substances, exposure to smog, ozone, chemicals, drugs, radiation and high levels of oxygen.
Term
What are the sources of hydrogen peroxide production in the human body?
Definition
Superoxide dismutase, ascorbate, oxidation of compounds in peroxisomes, trama or injury, oxidases
Term
Which reactive lipid species is best able to propagate chain reactions in, for example, the cell membrane?
Definition
Lipid peroxyl radicals
Term
What oxidation-reduction state of glutathione is more effective as an antioxidant?
Definition
Reduced glutathione
Term
How does the presence of a lipid or aqueous environment determine which antioxidant is more effective
Definition
Lipid environments – lipid soluble antioxidants – aqueous – water soluble
Term
Large doses of beta-carotene (such as 25 mg/day) are deemed unsafe for adults in what circumstances?
Definition
People who smoke.
Term
Plasma retinol is a good reflection of vitamin A status under what conditions?
Definition
Stores of vitamin A are filled to capacity or have depleted their stores
Term
List the roles of flavoproteins in intermediary metabolism P331
Definition
All require flavoproteins: electron transport chain, oxidative decabolation of pyruvate and alpha-ketoglutarate, succinate dehydrogenase, fatty acid oxidation, sphingosine synthesis, coenzyme for oxidase, B6 meabolism, synthesis of an active form of folate, synthesis of niacin, choline catabolism, some neurotransmitters, reduction of glutathione, thioredoxin reducatse.
Term
List the metabolic roles of NADPH
Definition
Fatty acid synthesis, cholesterol and steroid hormone synthesis, oxidation of glutamate, synthesis of DNA, regeneration of glutathione, vit. C and thioredoxin
Term
List the effects of niacin toxicity on the body
Definition
Vasodilatory effects, gastrointestinal problems, liver injury, hyperuricemia and possible gout and elevation of plasma glucose concentrations
Term
Which B-vitamin plays a role in myelin maintenance
Definition
Folate
Term
What are the most reliable signs of a B12 deficiency
Definition
Megablastic macrocytic anemia
Term
List the potential toxic effects of excess pyridoxine – B6
Definition
Peripheral and sensory neuropathy, dorsal root ganglia in the spinal cord, loss of myelination and degeneration of sensory fibers in peripheral nerves.
Term
Mammals are unable to synthesize folic acid for what reason?
Definition
Mammals do not have the enzyme necessary for coupling of pterin molecules to PABA to form pteroic acid.
Term
Studies have shown that folate is protected from oxidative destruction by what vitamin?
Definition
B12
Term
The metabolism of serine, glycine, methionine and histidine all depend on the involvement of what vitamin?
Definition
Folic acid
Term
Name good food sources of vitamins B6, B12, and folic acid
Definition
B6 – meat, whole-grain products, veggies, fruit, nuts and fortified cereals. B12- meat and meat products, poultry, fish, shellfish and eggs
Folate – mushrooms, green vegetables, peanuts, legumes, lentils, fruits, liver and jucies
Term
List the active forms of vitamin B6.
Definition
Seven forms are known – PLP (most active), PM, PN, PL, PMP, PNP, PA
Term
List the options for treatment of pernicious anemia
Definition
High dose Oral supplementation and injections of vitamin B12 to bypass intestinal absorption.
Term
List the risk factors for vitamin D deficiency
Definition
Rickets and osteomalacia
Term
List the dietary and non-dietary forms of vitamin K
Definition
Intestinal bacteria. Kale, broccoli and Swiss chard
Term
Which form of vitamin K has toxic potential?
Definition
Synthetic form menadione
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