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Kaplan Qbank USMLE



Author10 Posts
  #1

A 40-year-old, formerly obese woman presents to her physician. She was very proud of having lost 80 lbs. during the previous 2 years, but now noticed that her "hair is falling out." On questioning, she reports having followed a strict fat-free diet.

Her alopecia is probably related to a deficiency of which of the following vitamins?

A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin E
E. Vitamin K


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

A, vit A


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  #3

vitamin A ?shaking head

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  #4

vit A excess would cause alopecia.. rite?

with 2 yrs of fat free diet.. she would have much bigger problems to worry about than just losing hair.

if i had to, i would guess vit. C before the fat soluble vitamins.

biotin (b vit.) is a good answer to look for in the choices.. if they provide it.

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  #5

NNL, is this is a case of PCOD???

Well Vit A excess and even long time def also causes hair loss, so i guess answer is A



  #6

hope4dabest wrote:
NNL, is this is a case of PCOD???

Where did you get that idea. lets us suppose even if she was a candidate for PCOD she lost weight which is quite contary to PCOD and she followed a fat free diet

hope4dabest wrote:
Well Vit A excess and even long time def also causes hair loss, so i guess answer is A


nodnod


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

Fyred-up wrote:
vit A excess would cause alopecia.. rite?

with 2 yrs of fat free diet.. she would have much bigger problems to worry about than just losing hair.

if i had to, i would guess vit. C before the fat soluble vitamins.

biotin (b vit.) is a good answer to look for in the choices.. if they provide it.

care to elaborate your answer mate.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

by elimination ans may be A, not sure. smiling face



  #9

Not sure, 'cause too much Vit. A causes alopecia.

Would have to go with Vitamin E since people take E supplements for hair loss.


Edited by Tiff on 12/21/07 - 12:58 PM

  #10

The correct answer is A.

While it is hard to develop a deficiency in oil-soluble vitamins (A, D, E, K) because the liver stores these substances, deficiency states can be seen in chronic malnutrition (specifically chronic fat deprivation) and chronic malabsorption. Vitamin A is necessary for formation of retinal pigments (deficiency can cause night blindness) and for appropriate differentiation of epithelial tissues (including hair follicles, mucous membranes, skin, bone, and adrenal cortex).

Vitamin C (choice B), which is water soluble rather than oil soluble, is necessary for collagen synthesis.

Vitamin D (choice C) is important in calcium absorption and metabolism.

Vitamin E (choice D) is a lipid antioxidant that is important in the stabilization of cell membranes.

Vitamin K (choice E) is necessary for normal blood coagulation.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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