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Q.The deficiency of which of the following vitamins causes increased fragility of red blood cells and muscular weakness : (A) Vitamin A (B) Vitamin K (C) Vitamin E (D) Vitamin D

CBSECBSE Class XII Board 2026MCQ· 1mImportance★★★★★
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Vitamin E acts as a membrane antioxidant protecting red blood cells from oxidative damage; its deficiency leads to hemolysis (RBC fragility) and muscular weakness. The answer is (C).

Vitamin E (tocopherol) is the body's primary lipid-soluble antioxidant, and understanding its role in cell membranes explains why its deficiency produces this specific clinical picture.

Cell membranes are rich in polyunsaturated fatty acids (PUFAs), which are highly susceptible to oxidative damage through lipid peroxidation. When free radicals attack these fatty acids, they trigger a chain reaction that destroys membrane integrity. Vitamin E sits within the lipid bilayer and interrupts this chain reaction by donating electrons to free radicals, neutralizing them before they can propagate damage.

Red blood cells are particularly vulnerable because they:

  • Have high membrane surface area relative to volume
  • Constantly carry oxygen, generating reactive oxygen species
  • Lack a nucleus and cannot synthesize new proteins to repair damage

Skeletal muscle cells face similar oxidative stress due to their high metabolic activity and oxygen consumption.

Why each option does or doesn't fit

  1. Vitamin E deficiency causes the exact syndrome described. Without adequate tocopherol, RBC membranes undergo peroxidation, become fragile, and rupture easily (hemolytic anemia). Muscle cell membranes similarly deteriorate, leading to myopathy and weakness. This is seen in conditions like abetalipoproteinemia or chronic fat malabsorption.

  2. Vitamin A deficiency primarily affects vision (night blindness, xerophthalmia), epithelial integrity, and immune function—not RBC fragility or muscle strength directly. …

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