Audio Qbank – Q156 – A 44M with vitamin D deficiency

 

A 44-year-old man presents to the physician for a routine health maintenance examination. Serum studies show a decreased vitamin D level. He works in an office and says he infrequently gets outside. He eats plenty of fish and dairy. Direct production of which molecule in this patient is decreased as a result of not getting adequate sunlight?

 

  1,25-(OH)2-D3 (calcitriol)
  24,25-(OH)2-D3
  25-OH-D3 (calcidiol)
  7-dehydrocholesterol
  Cholecalciferol

 

Cut-to-the-chase Answer (1:17):
HY USMLE Answer (4:19):