Trace elements deficiency

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Q ) Which of the following trace elements deficiency causes impaired glucose tolerance, anemia, neutropenia and leukopenia
a) Zinc

b) copper

c) Molybdenum

d) Selenium

MCQs on Nutrition and Periop management

Ans ) B Copper

Copper Promotes cross-linking of collagen and elastin synthesis and  scavenges free radical

Its deficiency causes Skeletal demineralization, impaired glucose tolerance, anemia, neutropenia,
leukopenia, changes in skin and hair pigmentation also it is linked to fatal arrhythmias

  • Zinc deficiency → Causes growth retardation, immune dysfunction, and delayed wound healing but not significant neutropenia.

  • Molybdenum deficiency → Rare; linked to metabolic disorders but not hematological abnormalities.

  • Selenium deficiency → Leads to cardiomyopathy (Keshan disease) and myopathy, but not leukopenia or neutropenia.

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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