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Previous Topic | Next Topic  Calcium Receptor mutation NBME F2 S2 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

a 3 yo boy has a mutation in the calcium receptors on cell surfaces of his parathyroid gland and on the basolateral (blood) side of the thick ascending limb of the loop of henle. Which of the following patterns is expected with a mutation that leads to activation of this receptor in the absence of binding of itss ligand, calcium?

Ca2+ PTH Urine Ca

a. Hyper-Ca Hi Hi
b. Hyper- Ca Hi Lo
c. Hyper-Ca Lo Hi
d. Hyper-Ca Lo Lo
e. Hypo-Ca Hi Hi
f. Hypo-Ca Hi Lo
g. Hypo-Ca Lo Hi
h. Hypo-Ca Lo Lo

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  #2

the answer to this is supposedly...G
the receptor mutation on the parathyroid gland causes it to sense Ca++ to be present in the blood inspite of low levels.......so PTH wont be secreted...and Ca levels keeps falling.....bcoz of the hypoparathyroidism brot on by this mutation...thr is nothing to reabsorb Ca from the urine(DT)...therefore higher urine levels...
is ths wht ws gvn?


  #3

u mean f, if urine ca is high, and serum ca low

  #4

wouldnt this be A

  #5

agree with drk







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