KROK 1 2019 – Question 37 · KROK (Medicine) · Biological Chemistry

Examination of a patient shows decreased leukocyte and erythrocyte count and low hemoglobin levels in peripheric blood, as well as appearance of large cells (megaloblasts). What vitamin deficiency can cause these clinical presentations?

  1. A. Niacin
  2. B. Folic acid
  3. C. Biotin
  4. D. Ascorbic acid
  5. E. Riboflavin
Hint

Large immature marrow cells together with low counts of all blood lines suggest slowed DNA synthesis; ask which vitamin-dependent coenzyme is needed for that.

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