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Pediatrics · Nutrition and malnutrition: riboflavin deficiency
Sample itemA malnourished child has cracks at the corners of the mouth, a red magenta-coloured tongue, photophobia and corneal vascularisation. Which deficiency is responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Riboflavin
Riboflavin deficiency causes angular stomatitis, cheilosis, a magenta tongue, seborrhoeic dermatitis and corneal vascularisation with photophobia. Dietary sources include milk, eggs and green leafy vegetables.
Option by option
A. Riboflavin (correct)
Correct. This combination of mouth, tongue and corneal vascularisation fits riboflavin deficiency.
B. Vitamin A
Vitamin A deficiency gives night blindness, Bitot spots and xerosis, rather than corneal vascularisation.
C. Niacin
Niacin deficiency causes pellagra, with dermatitis in sun-exposed areas, diarrhoea and dementia.
D. Thiamine
Thiamine deficiency causes beriberi, with neuropathy, heart failure or encephalopathy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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