others

Question 1

vit D- who is at risk (7)

Answer 1

1. House-bound person (disable pt who is at home all the time, including RACF)
2. A person who wear covered clothes all the time (ex occupational/niqab)
3. dark skin
4. Chronic disease (liver/kidney/hyperparathyroidism)
5. Disease leads to fat malabsorption (coeliac disease, cystic fibrosis, IBD)
6. Rifampicin/antiepileptic
7. Pregnant women at 1st trimester

Question 2

vit D - classification of severity

Answer 2

Mild → 30-50
Moderate → 12-30
Severe → <12

in osteoporosis - target Vit D >75

Question 3

Vit D - treatment and follow up

Answer 3

1. increase sun exposure 15-30min/day
2. Ca intake 1300mg/day
3. mild –> vit D 1000 IU /day for 3 months
   repeat Vit D in 6 months
4. moderate-severe –> 3000 IU/day for 3 months then 1000 IU/day for 3 months
   repeat vit D in 3 mnths