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Which vitamin B deficiency is associated with cheilosis, glossitis, vascularization of the cornea,
and itchy dermatitis of the scrotum and vulva?
Riboflavin (Vitamin B2)
A patient who is known to be a heavy drinker is brought to the emergency department with
ataxia and confusion. The patient cannot remember the events of the previous day. The
examination reveals nystagmus, and the patient reports having double vision.
Which vitamin should the provider order for this patient?
IV Thiamine (Vitamin B1)
Alcoholics who are malnourished have a form of thiamine deficiency called Wernike-Korsakoff
syndrome: nystagmus, diplopia, ataxia, confusion, and short-term memory loss
A patient appears malnourished. The patient's folic acid levels are low, and vitamin B12 levels
are normal.
What should this patient's treatment include?
A diet high in folic acid
A patient is admitted to the hospital. The patient's initial laboratory results reveal megaloblastic
anemia. The patient complains of tingling of the hands and appears confused.
What should the provider suspect in this patient?
, Vitamin B12 deficiency
When neurologic deficits are present more common to be a vitamin B12 deficiency over folic
acid deficiency
A patient will begin taking immunosuppressant drugs for rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid?
Echinacea
Stimulates the immune system and compromises the effectiveness of immunosuppressive drugs
A patient admitted to the emergency department with abdominal pain tells the provider he has
been taking kava.
Which action should be the provider's priority at this time?
Review liver function studies
Kava can cause severe liver injury
A patient who will begin combination estrogen-progestin therapy (EPT) for menopause asks the
nurse why she cannot take an estrogen-only preparation. The patient has not had a
hysterectomy, has a slightly increased risk of cardiovascular disease, and has mild osteopenia.
What response from the provider about progestin is correct?
"Progestin decreases your risk of endometrial cancer"