Folate deficiency

[PsychoDan]

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There is a question about possible causes of folate deficiency. Two of the answer choices are lack of leafy green vegetables and overcooked food. The answer is overcooked food, but nothing I found discriminates between the more likely cause. Am I missing something obvious here?

 

[Idiopathic]

I think that 'leafy green vegetables' is too specific. Two risk factors are eating overcooked food and diets poor in fruits and vegetables, but not necessarily only 'leafy green vegetables'. Also folic acid is put in breads now, too. Overcooked foods is definitely a risk factor.

 

[lord_jeebus]

There is a question about possible causes of folate deficiency. Two of the answer choices are lack of leafy green vegetables and overcooked food. The answer is overcooked food, but nothing I found discriminates between the more likely cause. Am I missing something obvious here?

Perhaps because there are lots of foods besides leafy green vegetables with enough folate to prevent deficiency? If you overcooked all your food that would probably be less folate than a standard diet minus leafy greens.

I agree though that it's weird to have lack of leafy green vegetables as a wrong answer choice.

 

[DrPak]

What were the other choices?

 

[DOCTORSAIB]

That's interesting b/c on pg.114 of FA (2006), under Folic Acid Deficiency, it states "eat green leaves..(b/c folic acid is not stored very long)."

I definitely would have missed that question had I gone with my FA knowledge.

Btw, did you know "Giardia lamblia" infection is a cause of malabsorption that can also lead to Folic acid deficiency? (BRS Path, pg. 174, 2nd edition)

What's the freshwater fish tapeworm that can cause Vit. B12 deficiency??? Starts with a "D"

 

[CanIMakeIt]

That's interesting b/c on pg.114 of FA (2006), under Folic Acid Deficiency, it states "eat green leaves..(b/c folic acid is not stored very long)."

I definitely would have missed that question had I gone with my FA knowledge.

Btw, did you know "Giardia lamblia" infection is a cause of malabsorption that can also lead to Folic acid deficiency? (BRS Path, pg. 174, 2nd edition)

What's the freshwater fish tapeworm that can cause Vit. B12 deficiency??? Starts with a "D"

Diphyllobothrium latum

 

[DOCTORSAIB]

Diphyllobothrium latum

👍

How do you treat it?

 

[CanIMakeIt]

👍

How do you treat it?

praziquantel w/ vit B12

 

[AmoryBlaine]

There is a question about possible causes of folate deficiency. Two of the answer choices are lack of leafy green vegetables and overcooked food. The answer is overcooked food, but nothing I found discriminates between the more likely cause. Am I missing something obvious here?

Had that very question today and I fell for it too. Qbank is not perfect...

 

[DOCTORSAIB]

praziquantel w/ vit B12

Gotcha!

Answer: Niclosamide (FA, Pg.178)

Praziquantel is used for Trematode/fluke infections.

 

[lord_jeebus]

Gotcha!

Answer: Niclosamide (FA, Pg.178)

Praziquantel is used for Trematode/fluke infections.

Uptodate says Praziquantel is first-line, Niclosamide is alternative for Diphyllobothriasis. (and for taeniasis) In fact, Niclosamide is not currently available in the US.

 

[DOCTORSAIB]

Just did a quick search. It seems you can use both, although one paper did mention Praziquantel as primary Tx and Niclosamide as "alternative."

Alright, back to the books...

 

[DrPak]

Just curious, but how are you so sure "overcooking" is the correct answer?

 

[Idiopathic]

Just curious, but how are you so sure "overcooking" is the correct answer?

look at emedicine. risk factors are alcoholism, overcooked foods, and absence of fruits and vegetables.

 

[BlackNDecker]

Maybe, in addition to the above, you are expected to generalize about the average american diet. 3 servings of vegetables (based on minimum current RDA) probably isn't going to include that many leafy green vegetables/day. Most americans are getting the majority of their folate from fortifed grains and cereals...most kids cereals provide close to a day's supply.

 

[PsychoDan]

Just curious, but how are you so sure "overcooking" is the correct answer?

Unless I'm a total nut, I'm pretty sure that's the answer QBank gave.


Yeah, FA really brings out the leafy vegetables part.