EMQs in Clinical Medicine.pdf - Peshawar Medical College

Nutritional deficiencies 197
79 Nutritional deficiencies
A
B
C
D
E
F
thiamine
vitamin D
selenium
folic acid
vitamin C
vitamin A
G pyridoxine
H copper
I vitamin K
J vitamin B 12
K nicotinic acid
For each clinical scenario below, give the most likely cause for the clinical findings.
Each option may be used only once.
1 A 30-year-old woman with poor diet complains of bleeding gums.
2 A 55 year old with alcohol problems presents with nystagmus, ophthalmoplegia
and ataxia.
3 A 35-year-old patient recently diagnosed with coeliac disease complains of
prolonged bleeding after a small cut. The prothrombin time is increased.
4 A 25-year-old African man presents with symmetrical dermatitis on sunexposed
skin, diarrhoea and depression. He has recently been on anti-TB
treatment.
5 A 12-year-old boy presents with night-blindness.
Answers: see page 204.