**Core Concept**
Thiamine, also known as vitamin B1, plays a crucial role in carbohydrate metabolism as a coenzyme for several key enzymes. The deficiency of thiamine leads to impaired energy production, particularly in neurons, resulting in the characteristic symptoms of beriberi and Wernicke-Korsakoff syndrome.
**Why the Correct Answer is Right**
The primary enzymic activity affected by thiamine deficiency is the decarboxylation of alpha-keto acids in the Krebs cycle (also known as the citric acid cycle). Thiamine pyrophosphate (TPP), the active form of thiamine, acts as a coenzyme for transketolase and alpha-ketoglutarate dehydrogenase, two enzymes that are essential for the proper functioning of the Krebs cycle. The deficiency of thiamine leads to a decrease in the activity of these enzymes, resulting in impaired energy production and the accumulation of toxic metabolites.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not directly related to the enzymic activity affected by thiamine deficiency.
**Option B:** While thiamine is involved in carbohydrate metabolism, its primary enzymic activity is not related to glycogen synthesis or breakdown.
**Option C:** This option is a distractor and not relevant to the enzymic activity affected by thiamine deficiency.
**Clinical Pearl / High-Yield Fact**
Thiamine deficiency is a classic example of a condition where the lack of a single vitamin can lead to severe neurological symptoms. The Wernicke-Korsakoff syndrome, characterized by confusion, ataxia, and short-term memory loss, is a well-known complication of thiamine deficiency, particularly in chronic alcoholics.
**Correct Answer:** B. Thiamine pyrophosphate (TPP) is a coenzyme for transketolase and alpha-ketoglutarate dehydrogenase, and its activity is decreased in thiamine deficiency.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.