Difficulty: Easy
Correct Answer: Zinc
Explanation:
Introduction / Context:
Night vision depends on the rapid interconversion of vitamin A compounds within the retina. A trace mineral cofactor is required by key enzymes that convert retinol to retinal (retinaldehyde), the chromophore that couples to opsins to form rhodopsin for low-light vision. This question checks recognition of the trace element that enables vitamin A activation in ocular tissues.
Given Data / Assumptions:
Concept / Approach:
Zinc acts as a structural and catalytic cofactor for multiple retinol dehydrogenases and supports hepatic synthesis of retinol-binding protein, enabling transport of vitamin A. Insufficient zinc compromises the conversion of retinol to retinal and reduces rhodopsin regeneration, clinically manifesting as impaired dark adaptation or night blindness even when vitamin A intake is adequate.
Step-by-Step Solution:
Verification / Alternative check:
Clinical and experimental data show delayed dark adaptation in zinc deficiency, improved by zinc repletion when vitamin A status is normal. Serum retinol-binding protein also depends on adequate zinc, reinforcing this relationship.
Why Other Options Are Wrong:
Common Pitfalls:
Assuming night blindness always equals vitamin A deficiency. Zinc deficiency can mimic it by impairing vitamin A utilization rather than intake per se.
Final Answer:
Zinc.
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