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WorksheetsFat- and Water-Soluble Vitamins Scenarios
Total questions: 26
Worksheet time: 7hrs 30mins
The patient is a male 12 years of age. He experiences bruising throughout whole body. Bruising is occurring with minimal contact with the patient.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
The patient is a male 50 years of age. The patient is having problems with excessive bleeding, and frequent bruising. The patient was administered to the hospital after undergoing a hemorrhagic shock from a small laceration. In the past few years, the patient has multiple broken bones and was diagnosed with osteoporosis.
Lab: Coagulation test: 24.5 sec (normal time: 11-13.5 sec)
Vitamin A
Vitamin D
Vitamin E
Vitamin K
This patient is a female 40 and has been hospitalized over the past few days Her body is weak and fatigued, with a loss of appetite. The patient also has visible, scaly sores which are whole body. During her time in the hospital the patient has also experienced frequent diarrhea. She is also showing signs of dementia and depression.
Vitamin B3
Vitamin C
Vitamin D
Vitamin B12
The patient is a male age 34 and is experiencing dementia and has sores located on his tongue. The patient is also having frequent diarrhea and has had testing done which showed their metabolic processes have been slowed within their body. They are having problems metabolizing fats.
Vitamin B9
Vitamin C
Vitamin B3
Vitamin B2
A 24 year old male has been experiencing easy bruising, and blood in his urine. He normally sits in an office all day in front of a computer. He does not consume any green, leafy vegetables in his inadequate diet. The other day in the office he dropped his coffee cup trying to make coffee and it landed on his foot. He got a big purple bruise that lasted more than a week. Physical examination: contusions on arms and legs, hematuria, and petechiae. Labs: platelet count - 50,000 platelets per microliter of blood (normal - 150,000-450,000)
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 6 year old girl was running outside in a game of tag when she fell and scraped her knee. Although she did not cry and the cut was not deep, the bleeding would not stop. Her parents decided to take her to the hospital to stop the bleeding. The doctor asked if she had been eating leafy vegetables and they said she had not. Physical examination: contusions, hemorrhaging of the genu. Labs: platelet count - 50,000 platelets per microliter of blood (normal - 150,000-450,000)
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 19 year old women has been a vegetarian for 3 months now. She does not consume meat or eggs. She has been experiencing swelling in her mouth for the past couple weeks as well as vision problems. She tends to have to wear sunglasses often because her eyes do not adjust to the sunlight. The other day she was driving with a group of friends when she could not talk because her tongue became so swollen. Physical Examination: cheilosis, glossitis, photophobia. Labs: white blood cell count - 12,000 per microliter (normal - 4,500 to 11,000 per microliter
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B9
A 74 year old man suffers from chronic alcoholism. He came into the hospital claiming he felt bloated and has gained significant weight. He also had not eaten very much but had mood swings and irritability. Physical examination: Abdominal distention, mental confusion. Labs: red blood cell count - 4.0 million cells per microlitre (normal - 4.7-6.1 million in men) High blood sugar
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B9
A 40 year old male has been complaining about an abnormal amount of weight loss in the past few weeks. The patient has also been severely fatigued throughout the last week and has been suffering with a behavior disorder. When doing a review of his diet, he’s informed that his diet hasn’t been sufficient and has had more than 16 drinks per week.
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B9
A newborn baby was born in the hospital with a mother who showed signs of spina bifida but did not take prenatal vitamins. The baby’s red blood cells did not properly add up and the baby was given transfusions from the mother to make up for a lack of red blood cell production.
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B9
A 17 year old female has come into the hospital with increased intracranial pressure and past check-ins have proven that her growth has been momentarily stunted. She’s also had constant joint pain, but has still not grown any taller. In the past few weeks, she’s also been too tired to go to school or work.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 15 year old male patient has come into the hospital and weighed in at 80 lbs, reporting that he’d been eating a superabundant amount of food as opposed to his weight. He’s also been getting hurt a lot more often than normal.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 27 year old male came in with infections all over his hand. He claims the infections started from his hunting trip when he was having trouble seeing in the dark. This is unusual for the patient. He ran into thorny bushes and obtained multiple small cuts which seemed to never fully heal. The cuts then started to produce excessive heat, aching pain and began to swell. Physical examination: infections are bright red, tender to touch, infection indents with touch. Labs: Infection samples are sent to the lab
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 47 year old man who has been seen for alcohol abuse in the past shows signs of muscle weakness during a checkup. Lab results show damage in his red blood cells diagnosing him with sickle cell anemia.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 17 year old named Allie was at basketball practice when she went for a layup and her right arm started to tingle and become numb. She has complaints of short term vision loss and her right arm repeatedly becomes numb at random times. She says she has severe headaches come on in short amounts of time. Labs: An electromyography test will be conducted
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B1
A 42 year old female came in with a complaint of her body’s muscles being too weak to pick up a brick. She's a construction worker and her day to day activities involve muscular activity. She feels tired even when she sleeps 9 hours every night. She has noticed her upper abdomen has a burning sensation and she feels full too quickly. Physical examination: HR- 50 bpm, weight loss of 10 pounds in short amount of time. Labs: Went to a nutritionist for weight loss in short amount of time
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B1
A 30 year old man eats a bowl of cereal or eggs every morning. This is necessary to maintain his metabolism and to keep his muscles protected.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 55 year old woman who has been a vegetarian for 20 years complains of muscle weakness and numbness in her hands. Her symptoms also include fatigue and weakness. Lab results indicate that she has developed anemia.
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B1
A 58 year old woman diagnosed with dementia also suffers from paresthesia. Lab results show there is not enough maturation of red blood cells and maintenance in her nervous system.
Vitamin C
Vitamin B2
Vitamin B12
Vitamin B1
A 33 year old female came in with dry and cracked skin covering her torso to her arms and hands. She claims she’s never had any cracked skin problems in her medical history. She has complaints of xerophthalmia (dry eyes) and was previously prescribed eye drops but they’re not working. She claims symptoms started after starting a new job that requires her to move a lot and she has been only consuming fast food. Labs: Went to dermatologist for dry and cracked skin
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 72 year old male patient is experiencing hemiparesis and slight hemiplegia on the anatomical right side of his body, dysarthria, photophobia, dysuria, urinary hesitancy, impotence and hematuria. He has had no recent injury to his prostate. He was also recently diagnosed as a diabetic. Labs: Computerized tomography (CT) scan revealed an arterial blood clot, urine flow test results were at 5.9 mL per second (normal: 10 - 21 mL/sec) and a prostate specific antigen test showed 5 ng/mL (normal: 1.0 - 1.5 ng/ml).
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 28 year old female patient is suffering from unintentional weight gain, refractive errors, xerosis, myasthenia, arrhythmia, lightheadedness and dyspnea. The nurse noted that the patient had slight yellowing of the scleras and cold hands. The patient revealed she has been suffering from alcoholism for over five years and that anemia runs in her family. Labs: Complete blood count was at 3.1 million cells/mcL (normal: 4.2-5.4 million cells/mcL), an electromyography revealed no muscle diseases, phlebotomy showed platelet clumping had decreased.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 37 year old female patient complains of increased tooth mobility, gingival recession, myasthenia, asthenia, sudden rhytids, cachexia, and multiple unexplained contusions. She has not been doing any extreme physical activity, wears sunscreen everyday and has been brushing her teeth regularly. The patient had just recently returned home from a year long road trip throughout the United States, eating primarily junk and fast food. Labs: Phlebotomy proved iron levels were at 21.3% (normal: 35.5 - 44.9%) and a complete blood count showed 4.08 million cells/mcL (normal: 4.2 - 5.4 million cells/mcL).
Vitamin B3
Vitamin C
Vitamin D
Vitamin B12
A mother brings in her 8 year old son who is having issues with gingivitis, abnormal tooth mobility, arthralgia, onychoschizia, glossitis and difficulty healing wounds. He maintains good oral hygiene and doesn’t do physical activity that would cause bone pain and loose teeth. Labs: Complete blood count concluded 8.2 g/dL (normal: 11.3-14.1 g/dL) was present, an X-ray showed developmental abnormalities in the bones, and a phlebotomy proved iron levels were at 4 g/dL (normal: 12 g/dL).
Vitamin B3
Vitamin C
Vitamin D
Vitamin B12
A 72 year old male patient is experiencing hemiparesis and slight hemiplegia on the anatomical right side of his body, dysarthria, photophobia, dysuria, urinary hesitancy, impotence and hematuria. He has had no recent injury to his prostate. He was also recently diagnosed as a diabetic. Labs: Computerized tomography (CT) scan revealed an arterial blood clot, urine flow test results were at 5.9 mL per second (normal: 10 - 21 mL/sec) and a prostate specific antigen test showed 5 ng/mL (normal: 1.0 - 1.5 ng/ml).
Vitamin A
Vitamin D
Vitamin E
Vitamin K
A 28 year old female patient is suffering from unintentional weight gain, refractive errors, xerosis, myasthenia, arrhythmia, lightheadedness and dyspnea. The nurse noted that the patient had slight yellowing of the scleras and cold hands. The patient revealed she has been suffering from alcoholism for over five years and that anemia runs in her family. Labs: Complete blood count was at 3.1 million cells/mcL (normal: 4.2-5.4 million cells/mcL), an electromyography revealed no muscle diseases, phlebotomy showed platelet clumping had decreased.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
