A 53-year-old woman with celiac disease visits the physician because of difficulty seeing at night. The woman has frequent, foul-smelling stools. Stool analysis reveals a high content of partially digested fat. A decrease in blood levels of which of the following is the most likely cause of her night blindness?

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Question 1 of 5

A 53-year-old woman with celiac disease visits the physician because of difficulty seeing at night. The woman has frequent, foul-smelling stools. Stool analysis reveals a high content of partially digested fat. A decrease in blood levels of which of the following is the most likely cause of her night blindness?

Correct Answer: D

Rationale: Vitamin A malabsorption in celiac disease reduces rhodopsin synthesis, causing night blindness. TMP13 pp. 648-649

Question 2 of 5

Loss of which structure is most likely to contribute to the hearing deficit?

Correct Answer: B

Rationale: Noise-induced hearing loss primarily damages inner hair cells, the sensory receptors. TMP13 pp. 682, 683

Question 3 of 5

Which statement regarding the transmission of auditory information from the ear to the cerebral cortex is correct?

Correct Answer: C

Rationale: Most cochlear nuclei neurons synapse contralaterally in the superior olivary nucleus. TMP13 p. 679

Question 4 of 5

Which of the following provides about two thirds of the 59 diopters of refractive power of the eye?

Correct Answer: A

Rationale: The anterior cornea provides ~40 diopters due to its refractive index difference with air. TMP13 p. 638

Question 5 of 5

Which brain stem structure plays a major role in determining the direction from which a sound originates?

Correct Answer: D

Rationale: The superior olivary nucleus detects sound direction via intensity and time differences. TMP13 pp. 681-682

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