Exam - Vitamin K Flashcards

1
Q

supplement label

A

supports bone health

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2
Q

what is Vit K important for

A

bone formation and coagulation

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3
Q

what food source provides vitamin K

A

green leafy plants (as phylloquinone)

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4
Q

what else makes Vit K

A

gut bacteria in the form of menaquinone

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5
Q

why do newborns have poor Vit K status

A

little Vit k in mothers milk
babies have not developed gut bacteria
vit K cannot cross placenta

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6
Q

does phylloquinone require digestion

A

no - incorporated into micelles and absorbed in small intestine

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7
Q

how is phylloquinone absorbed

A

NPC1L1 apical transporter

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8
Q

where is menaquinone produced

A

large intestine with passive diffusion

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9
Q

what are both forms incorporated into

A

chylomicrons and delivered to various tissues around the body

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10
Q

is phylloquinone saturated or unsaturated

A

saturated

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11
Q

is menaquinone saturated or unsaturated

A

unsaturated

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12
Q

what is warfarin

A

medication that blocks/inhibits like rat poison

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13
Q

what are Gla residues

A

the residues from y-carboxyglutamate

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14
Q

what do Gla residues on blood clotting proteins do

A

bind Ca2+

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15
Q

what does Ca2+ allow Gla-containing proteins to do

A

bind to phospholipids on membranes of blood platelets and endothelial cells

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16
Q

why is there virtually no vitamin K deficiency in adults

A

controlled mechanism in gut bacteria

17
Q

what are the populations susceptible for a vitamin K deficiency

A

new born infants
people who take antibiotics chronically
people with malabsorptive illnesses (IBD, Chrohns)

18
Q

why are people who take antibiotics susceptible to vitamin K deficiency

A

antibiotics destroy the gut bacterial community

19
Q

what are Vit K deficiency symptoms

A

impaired blood clotting - hemorrhagic syndrome
impaired activation of calcium binding proteins - accelerates osteoporosis development