Part 1. 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
Part 2. In order for the synthesis of vitamin D to occur, a series of steps are necessary and any disruption in this process can result in a deficiency of vitamin D. With this in mind, choose the situations or conditions that could contribute to a vitamin D deficiency. Choose all that apply.
(a)Living in a region without a lot of sunlight
(b)Having a lighter skin pigmentation
(c)Limited or no use of sunscreen outdoors
(d)Having liver disease

1. 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 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.

2. Based on the information given, the situations or conditions that could contribute to a vitamin D deficiency include:

• Living in a region without a lot of sunlight

• Having liver disease.