Situation: Clara De Guzman, a 30 year old, is brought to the emergency room due to diarrhea. She is 3 months pregnant. Her mucous membrane is moist, with good skin turgor, no sunken eyes but with dry lips. With hyperactive bowel sounds. History showed that she underwent bariatric surgery 3 years ago that made her stomach small. With maternal and paternal history of diabetes and stroke. Fecalysis showed no parasite infection. But electrolytes revealed hypocalcemia (low serum calcium in the blood). Her BMI is 15. No medications taken. She is advised to take calcium supplements with Vitamin D and B complex. Vital signs: BP: 120/80 mmHg, PR of 75, RR of 21, afebrile, SPO2 of 98%. 3. Based on the situation and the correct answer in Number 2, Calcium isobviously related to vitamin D. Which of the following BEST explains this? *Calcium allows the body to absorb Vitamin D thus a low calcium intake aggravatesthe consequences of vitamin D deficiency.The active vitamin D metabolite binds to the vitamin D receptor in the intestinal celland stimulates calcium transport from the intestine to the circulation.Both calcium and vitamin D metabolites can increase the secretion of parathyroidhormone.All of the above4. Other than Vitamin D deficiency, she is also HIGHLY at risk of whatvitamin deficiency? *Vitamin B12 deficiencyCollagenZincO Vitamin A deficiency5. What is the MAIN cause of the correct answer in #4? *A. Small stomach and pregnancyO B. Diarrhea and vomitingC. Maternal and paternal history of diabetes and strokeO A and B 1. Other than Clara's medication, Clara is also advised to at least beexposed under the sun between 7-9 am daily. Which of the following BESTexplains this? Vitamin D3 (cholecalciferol) is formed in the. *muscles in the presence of ultraviolet light that hydroxylates first in the liver and thenin the kidney to form calcitriol (Vitamin D).skin in the presence of ultraviolet light that hydroxylates first in the liver and heartthen in the kidney to form calcitriol (Vitamin D).muscles in the presence of sunlight and oxygen that hydroxylates first in the liver andheart, then in the kidney to form calcitriol (Vitamin D).skin in the presence of ultraviolet light that hydroxylates first in the liver and then inthe kidney to form calcitriol (Vitamin D).2. How does vitamin D facilitate calcium absorption? *It starts from the small intestines that induce synthesis of calcium-binding proteinwhich increases absorption of calcium.Calcium reabsorption is also from the liver wherein Vitamin D increases tubularreabsorption of calcium and phosphate.In the bone, vitamin D increases neuroblast activity causing bone demineralization,increasing blood calcium into the blood.All of the above

3.Both calcium and vitamin D metabolites can increase the secretion of parathyroid hormone.…

Answered: 3. Based on the situation and the…

Comprehensive Medical Terminology

4th Edition

ISBN:9781133478850

Author:Jones

Publisher:Jones

Chapter22: Pharmacology

Section: Chapter Questions

Problem D1CRE

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Situation: Clara De Guzman, a 30 year old, is brought to the emergency room due to diarrhea. She is 3 months pregnant. Her mucous membrane is moist, with good skin turgor, no sunken eyes but with dry lips. With hyperactive bowel sounds. History showed that she underwent bariatric surgery 3 years ago that made her stomach small. With maternal and paternal history of diabetes and stroke. Fecalysis showed no parasite infection. But electrolytes revealed hypocalcemia (low serum calcium in the blood). Her BMI is 15. No medications taken. She is advised to take calcium supplements with Vitamin D and B complex. Vital signs: BP: 120/80 mmHg, PR of 75, RR of 21, afebrile, SPO2 of 98%.

3. Based on the situation and the correct answer in Number 2, Calcium is
obviously related to vitamin D. Which of the following BEST explains this? *
Calcium allows the body to absorb Vitamin D thus a low calcium intake aggravates
the consequences of vitamin D deficiency.
The active vitamin D metabolite binds to the vitamin D receptor in the intestinal cell
and stimulates calcium transport from the intestine to the circulation.
Both calcium and vitamin D metabolites can increase the secretion of parathyroid
hormone.
All of the above
4. Other than Vitamin D deficiency, she is also HIGHLY at risk of what
vitamin deficiency? *
Vitamin B12 deficiency
Collagen
Zinc
O Vitamin A deficiency
5. What is the MAIN cause of the correct answer in #4? *
A. Small stomach and pregnancy
O B. Diarrhea and vomiting
C. Maternal and paternal history of diabetes and stroke
O A and B

1. Other than Clara's medication, Clara is also advised to at least be
exposed under the sun between 7-9 am daily. Which of the following BEST
explains this? Vitamin D3 (cholecalciferol) is formed in the. *
muscles in the presence of ultraviolet light that hydroxylates first in the liver and then
in the kidney to form calcitriol (Vitamin D).
skin in the presence of ultraviolet light that hydroxylates first in the liver and heart
then in the kidney to form calcitriol (Vitamin D).
muscles in the presence of sunlight and oxygen that hydroxylates first in the liver and
heart, then in the kidney to form calcitriol (Vitamin D).
skin in the presence of ultraviolet light that hydroxylates first in the liver and then in
the kidney to form calcitriol (Vitamin D).
2. How does vitamin D facilitate calcium absorption? *
It starts from the small intestines that induce synthesis of calcium-binding protein
which increases absorption of calcium.
Calcium reabsorption is also from the liver wherein Vitamin D increases tubular
reabsorption of calcium and phosphate.
In the bone, vitamin D increases neuroblast activity causing bone demineralization,
increasing blood calcium into the blood.
All of the above

Definition Definition Organism that lives in the body of another organism and obtains food at the expense of the host. A parasite can directly or indirect harm the host. There are two kinds of parasites: internal and external. An internal parasite lives inside another organism and is known as an endoparasite. An external parasite lives on the body surface of the host and is known as an ectoparasite. Protozoa and helminths are examples of major human parasites.

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