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MEDCH402 Fall 2005 Problem Set #4 I. Match the vitamin or mineral with the corresponding amount and unit. Vitamin/Mineral 1) Vitamin D 2) Thiamin 3) Biotin 4) Vitamin A 5) Folacin 6) Vitamin E 7) Niacin 8) Pantothenic Acid 9) Vitamin C 10) Vitamin B6 11) Vitamin B12 12) Riboflavin II. Increased urinary xanthurenic acid Increased plasma pyruvate Increased plasma homocysteine Decreased erythrocyte glutathione reductase activity List the vitamins associated with the following functions. a) b) c) d) e) IV. Unit x) mg y) g z) IU The following are signs of a vitamin deficiency. List the most appropriate single deficient vitamin for each. a) b) c) d) III. Amount a) 20 b) 0.3 c) 5000 d) 400 e) 6 f) 60 g) 10 h) 1.5 i) 30 j) 1.7 k) 0.4 l) 2 Decarboxylation Transamination Purine and pyrimidine synthesis Electron transport Niacin synthesis For the following conditions, name the vitamin that has been shown to be of some benefit and what enzyme/reaction is activated by high doses of that vitamin. a) b) c) d) Homocysteineurea Wernicke-Korsakoff syndrome Methylmalonic acidurea Xanthuronic acidurea V. Why is it important that a woman who is pregnant or is planning on becoming pregnant should be receiving supplemental folate? VI. Why does folic acid require a prescription for high doses even though it is essentially nontoxic? VII. L-Dopa is used in the treatment of Parkinson’s disease. Why is vitamin B6 contraindicated for patients using L-Dopa and why is Carbi-Dopa often used in combination with L-Dopa? VIII. Provide a metabolic explanation for the following scenarios (schemes, not structures may be necessary for a complete answer). a) A folate deficiency is observed during a vitamin B12 deficiency. b) Homocysteine levels may be elevated if vitamin B6 intake is inadequate. c) Niacin may be deficient if B6 intake is inadequate. IX. Suggest the vitamin antagonized and one symptom that you might expect with chronic administration of the following vitamin antagonist listed below. a) NH2 + N N H3C N H3C S OH b) CH3 HO H3C OH N c) O CH3 N N H3C N N O N H N CH3 OH O OH