Question

"Patient: 68-year-old man

Chief complaint: ""My gums are bleeding.""
Background/or patient history: Experiencing chronic homelessness for the past 10 years
Severe alcohol use disorder
Current Findings: Partially edentulous, Gingiva is red, swollen, and bleeds on probing, Petechiae and larger bruises noticed on forearms, and Blood tests reveal low levels of vitamin C

Your patient's syndromes are due to a problem in which step of type I collagen synthesis
a. Transcription of COLa1 and COLa2 genes
b. Translation of preprocollagen molecule
c. Assembly of alpha chains to form procollagen
d. Glycosylation of hydroxylysine
e. Cleavage of propeptides
f. Hydroxylation of proline and lysine"

Answer 1

Gingivitis is inflammation of the gums, which can progress to periodontitis. Scurvy, a deficiency disease of vitamin C, can affect the teeth and lead to bleeding and tooth loss.

Step-by-step explanation:

Gingivitis is inflammation of the gums that can lead to irritation and bleeding. When plaque accumulates on the teeth, bacteria colonize the gingival space, causing inflammation and gum damage. Over time, chronic gingivitis can progress to periodontitis, which is a more serious condition characterized by gum recession, tooth exposure, and potential tooth loss. Scurvy, a deficiency disease of vitamin C, can inhibit collagen production and affect the teeth, resulting in symptoms such as bleeding, tooth loss, and delayed wound healing.