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...

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%.

Extracted text: 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


Extracted text: 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