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Questions and Answers
Which of the following is NOT a major element?
What percentage of total calcium in the human body is extracellular?
What is the recommended daily intake of calcium for an adult?
Which of the following is a minor element?
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What is the primary source of calcium?
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What is the role of vitamin D in calcium absorption?
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What is the effect of phytic acid on calcium absorption?
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Which of the following minerals is toxic and should be avoided?
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What is the effect of cooking on phytate content?
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Oxalates are commonly found in which type of vegetables?
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What is the function of calcium in muscle contraction?
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What is the normal range of calcium levels in blood?
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What is the function of calcium in the transmission of nerve impulses?
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What is the role of calcium in the coagulation cascade?
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What is the effect of vitamin D on calcium absorption?
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What is the function of calcitriol in the body?
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What is the effect of vitamin D on osteoblasts?
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Which cells secrete parathyroid hormone (PTH)?
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What is the effect of PTH on bones?
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What is the effect of calcitonin on serum calcium level?
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What is the relationship between PTH and calcitonin?
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What is the effect of calcitonin on osteoclasts?
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What is the effect of PTH on kidney function?
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What is the effect of PTH when blood calcium levels are low?
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What is the term for when the blood calcium level is more than 10.5 mg/dl?
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What is the major cause of hypercalcemia?
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What is the condition characterized by a serum calcium level less than 8 mg/dl?
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What can be a life-threatening consequence of hypocalcemia?
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What is a possible consequence of chronic calcium deficiency?
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Which of the following does not cause tetany?
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Study Notes
Minerals for Normal Growth and Maintenance
- The human body requires certain minerals for normal growth and maintenance.
- Minerals are classified into two groups: major elements (required in amounts > 100 mg/day) and minor elements or trace elements (required in amounts < 100 mg/day).
Major Elements
- Calcium (Ca++)
- Magnesium
- Phosphorus
- Sodium
- Potassium
- Chloride
- Sulfur
- Fluoride
Minor Elements (Microminerals or Trace Elements)
- Iron
- Iodine
- Copper
- Manganese
- Zinc
- Molybdenum
- Selenium
Toxic Minerals to Avoid
- Aluminium
- Lead
- Cadmium
- Mercury
Calcium (Ca++)
Sources of Calcium
- Milk (good source)
- Egg, fish, and vegetables (medium sources)
- Cereals (wheat, rice) (small amount)
Daily Requirement of Calcium
- Adult: 500 mg/day
- Child: 1200 mg/day
- Pregnancy and lactation: 1500 mg/day
Absorption of Calcium
- Takes place in the first and second parts of the duodenum
- Requires a carrier protein helped by calcium-dependent ATPase
- Factors affecting absorption:
- Vitamin D (induces synthesis of carrier protein)
- Parathyroid hormone (increases calcium transport)
- Acidity (favors calcium absorption)
- Phytic acid (reduces uptake of calcium)
- Oxalates (reduce absorption)
- Phosphate (precipitates calcium phosphate)
Functions of Calcium
- Activation of enzymes
- Muscle contraction and relaxation
- Transmission of nerve impulses
- Secretion of hormones
- Second messenger (with cyclic AMP)
- Coagulation (factor IV in blood coagulation cascade)
- Myocardium function
- Bone and teeth formation
Calcium in Blood
- Normal level: 8.5-10.5 mg/dl
- Ionized calcium: 5 mg/dl (metabolically active)
Factors Regulating Blood Calcium Level
- Vitamin D (increases calcium absorption and bone formation)
- Parathyroid hormone (increases calcium transport and bone resorption)
- Calcitonin (decreases serum calcium level and bone resorption)
Hypercalcemia
- Blood calcium level > 10.5 mg/dl
- Causes: hyperparathyroidism
- Effects: osteoporosis, bone resorption, and pathological fractures
Hypocalcemia and Tetany
- Serum calcium level < 8 mg/dl (hypocalcemia)
- Serum calcium level < 7.5 mg/dl (tetany, a life-threatening condition)
- Causes: accidental surgical removal of parathyroid glands, vitamin D deficiency, and dietary deficiency of calcium
- Effects: mild tremors, increased neuromuscular irritability, and laryngeal spasm
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Description
Learn about the importance of minerals for human growth and maintenance, including major and minor elements, and their daily requirements.