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Biochemistry · Vitamins
Sample itemWernicke encephalopathy results from deficiency of which vitamin?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Thiamine (B1)
Thiamine is a cofactor for pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase and transketolase. Deficiency, classically in alcohol use disorder, causes Wernicke encephalopathy (confusion, ataxia, ophthalmoplegia). Glucose given before thiamine can precipitate it.
Option by option
A. Niacin (B3)
Niacin deficiency causes pellagra: dermatitis, diarrhoea and dementia.
B. Thiamine (B1) (correct)
Correct. Thiamine is needed for the energy metabolism that the brain depends on.
C. Pyridoxine (B6)
Pyridoxine deficiency causes neuropathy, sideroblastic anaemia and seizures in infants.
D. Riboflavin (B2)
Riboflavin deficiency causes angular stomatitis, glossitis and cheilosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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