Peggy is a 68-year-old woman who has worked long hours indoors her entire life. A recent checkup indicated that she was severely deficient in vitamin D due to inadequate intake and a lack of sun exposure. Following these findings, the doctor diagnosed Peggy with a (1) ______ deficiency of vitamin D, resulting in (2) __________ or poor bone mineralization. Her doctor explained that because of this vitamin deficiency, Peggy was not able to maintain appropriate levels of calcium, which had resulted in hyperparathyroidism. In this example, hyperparathyroidism (3)________a vitamin D deficiency disease.

answer choices to fill in the blank:

1. (A) primary or (B) secondary

2. (A) rickets or (B) osteomalacia

3. (A) is or (B) is not

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Answer:

Peggy is a 68-year-old woman who has worked long hours indoors her entire life. A recent checkup indicated that she was severely deficient in vitamin D due to inadequate intake and a lack of sun exposure. Following these findings, the doctor diagnosed Peggy with a primary deficiency of vitamin D, resulting in osteomalacia or poor bone mineralization. Her doctor explained that because of this vitamin deficiency, Peggy was not able to maintain appropriate levels of calcium, which had resulted in hyperparathyroidism. In this example, hyperparathyroidism is not a vitamin D deficiency disease

Explanation:

A primary nutritional deficiency can be described as a nutritional deficiency which arises when a person is not able to get enough amount of a particular vitamin.

On the other hand, a secondary nutritional deficiency occurs when a person has a problem in absorbing a particular nutrient.

Hence, we can deduce that Peggy's diagnosis was due to a primary deficiency.

Osteomalacia results in the poor mineralization of the bones whereas rickets results in the poor mineralization of the cartilaginous growth plates. Hence, we can infer that Peggy had osteomalacia instead of rickets.

As hyperparathyroidism is not directly related to vitamin D deficiency, hence we can infer that it is not a vitamin D deficiency disease.

Peggy with a primary deficiency of vitamin D, resulting in osteomalacia or poor bone mineralization. hyperparathyroidism is not a vitamin D deficiency disease.

Deficiency of vitamin D for a long time leads to osteomalacia. Osteomalacia is a disease that leads to softening of your bones occurs due to high deficiency of vitamin D.

Hyperparathyroidism is a condition in which parathyroid glands release parathyroid hormone (PTH) in a very large amount. This condition leads to the increase in the levels of calcium in your blood so we can say that the correct answers for the three blanks are primary, osteomalacia and is not.

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