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Trace elements deficiency

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MCQ on Trace Element Deficiency
Q) Which of the following trace elements deficiency causes impaired glucose tolerance, anemia, neutropenia, and leukopenia?
✅ Answer: B. Copper

🔍 Explanation:
Copper deficiency is associated with impaired glucose tolerance, anemia, neutropenia, leukopenia, and changes in skin and hair pigmentation.
Copper also plays a crucial role in collagen and elastin synthesis, scavenges free radicals, and is linked to fatal arrhythmias in its deficiency.

- **Zinc deficiency** causes growth retardation, immune dysfunction, and delayed wound healing but is not typically linked to significant neutropenia.
- **Molybdenum deficiency** is rare and linked to metabolic disorders but not hematological abnormalities.
- **Selenium deficiency** leads to cardiomyopathy (Keshan disease) and myopathy, but not neutropenia or leukopenia.

🧠 Key Point: Copper plays a vital role in multiple metabolic processes, and its deficiency can cause a range of hematological and metabolic abnormalities.

📘 Reference: MCQs on Nutrition and Perioperative Management

Hepatic artery Anomalies

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Q)  Most common anomaly of hepatic artery noted during liver resection is
a. Accessory right hepatic artery originating from superior mesenteric artery
b. Replaced right hepatic artery originating from superior mesenteric artery
c. Accessory left hepatic artery originating left gastric artery

d. Replaced left hepatic artery originating from left gastric artery

Skin Grafting

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Q) Skin Grafting is healing by 

a) Primary Intention

b) Secondary intention

c) Tertiary Intention

d) None of the above

Questions on Wound Healing

Ans c

Delayed primary closure, or tertiary intention, is utilised when there is a high probability of the wound being infected.

The wound is left open for a few days and, provided any infective process has resolved, the
wound is closed to heal by primary intention.

Skin grafting is another form of tertiary intention healing

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