<prompt> ADEK deficiency is seen in: September 2007Malabsorption syndromeObstructive jaundiceDeficiency of pancreatic lipaseAll of the above  <response>: Ans. D: All of the aboveFat soluble vitamins A,D,E,K are poorly absorbed in the absence of bilepancreatic lipase.Malabsorption syndrome includes deficient absorption of amino acids, with marked body wasting and, eventually, hypoproteinemia and edema. Carbohydrate and fat absorption are also depressed. Because of the defective fat absorption, the fat-soluble vitamins vitamins A, D, E, and K are not absorbed in adequate amounts. The amount of fat and protein in the stools is increased, and the stools become bulky, pale, foul-smelling, and greasy steatorrhea. 