Vitamin D Flashcards

1
Q

Vitamin D is fat soluble….True or Flase?

A

True

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2
Q

Name the 2 forms of vitamin D

A

D2, D3

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3
Q

Where is Vitamin D3 (cholecalciferol) made?

A

In the skin

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4
Q

Where do you find vitamin D2 made (ergocalcifero)?

A

Plants

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5
Q

Parathyroid hormone secreted by the parathyroid glands in response to a low concentration of __________ in the blood

A

Calcium

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6
Q

Vitamin D3 is converted in the kidneys…True or False?

A

False, it is converted in the liver

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7
Q

What is the prehormone of Vitamin D3?

A

25-hydroxy vitamin D (calcidiol)

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8
Q

What happens in the kidney to 25-dihydroxy vitamin D (calcitriol)

A

It acts like steroid hormone

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9
Q

Vitamin D is also a secosteroid hormone? True or False

A

True

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10
Q

What is vitamin D responsible for?

A

Maintaining a normal concentration of calcium and phosphate in the blood

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11
Q

Name a few things Vitamin D, Calcium and phosphate in the blood are responsible for….?

A
  • Mineralisation of bone
  • Muscle contraction
  • Nerve conduction
  • General cellular function, there are receptors for calcitrol in 30 tissues in the body
  • Possible regulation of over 1000 genes
  • calcium regulating hormone, a secosteroid
  • Regulates transcription of cell proteins in: osteoclasts (bone resorption) enterocytes (gut wall cells) and keratinocytes (skin)
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12
Q

Who is at risk of deficiency?

A
  • Infants
  • Adolescents
  • Pregnant women
  • Elderly
  • Vegetarians
  • Those not exposed regularly to sunlight, esp in high latitudes
  • People with dark skin at high latitudes
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13
Q

How many minutes of UV exposure will meet your daily Vitamin D needs?

A

About 30 min exposure of face and arms if living between 42° N and 42° S

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14
Q

What can affect the amount of Vitamin D you are exposed to?

A
  • Latitude and season
  • Age: skin thins in the elderly, so less effective
  • Skin pigmentation: dark skin protective, but not in high latitudes
  • Clothing: degree of coverage and thickness
  • Use of sunscreen
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15
Q

Rickets, Osteomalacia, Osteoporosis and all what forms of what?

A

Vitamin D deficiency diseases

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16
Q

How do we control rickets?

A

Fortification

Supplements

Diversification = behaviour change

17
Q

Where is 1% of calcium found?

A

Teeth and extracellular fluid, which is important for cell function

18
Q

How do we lose calcium?

A

Filtered from blood in kidney and then most resorbed

In urine (min 140 mg/d)

Skin, hair nails (40 – 80 mg/d)

19
Q

70% of calcium is absorbed when intake is high or low?

A

Low

20
Q

Endocrine, paracrine and autocrine are all actions of…..

A

Vitamin D

21
Q

What is the metabolic pathway of vitamin d?

A

7-de hydrocholesterol converted through the skin to cholecalciferol —> converted in the liver to calcidol —> converted in kidney to calcitrol

MAINTAINS CALCIUM AND PHOSPHATE HOMEOSTASIS