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Kaplan Qbank USMLE



Author5 Posts
  #1

1) A physician noticed that a patients hand went into spasm while he was checking his blood pressure. On further investigation Serum Ca levels were found to be low, phosphate levels were found to be lower than normal as well. Which of following may be a correct statement for patient's condition

a) suffering from primary hyperparathyroidism
b) suffering from Vit. D deficiency
c) history of chronic renal failure
d) prim. hypoparathyroidism
e) suffering from increased levels of Vit D

  #2

it is vitamin D deficiency because both Ca and Po4 levels are low. In hypoparathyroidism, Ca would be low while Po4 would be high (as in absence of PTH, PO4 would be more easily reabsorbed from PCT). In CRF, Ca will be low while PO4 will be high(due to the renal failure).

  #3

right

  #4

HI, LET ME GIVE A GOOD SUMMARY IN THIS AREA.

1) PRIMARY HYPERPARATHYROIDISM:-
DUE TO HYPERSECRETION OF PTH, USUALLY FROM TUMOR OF PARATHYROID GLAND OR ECTOPIC SECRETION. INCREASED PTH,INCREASEDCA,DECREASED P04,(PTH=PHOSPHATE TRASHING HORMONE)

2) SECONDARY HYPERPARATHYROIDISM:-
DUE TO DECREASED PLASMA CALCIUM FROM DEFECIENCY OF VIT D, KIDNEY DISEASE( INABILITY TO SYN. 1,25 DHCC), INCREASE DEMAND LEAD TO INCRESE PTH, DECREASE CALCIUM AND DECRESE PO4.( INCREASE PTH LEAD TO LEAKAGE OF PO4 FROM RENAL TUBULE)

3) PRIMARY HYPOPARATHYROIDISM:-
DUE TO INADEQUT SECRETION OF PTH, USUALLY DUE TO INADVERT REMOVAL OF PARATHYROID DURING THYROID GLAND SURGERY
THIS WILL LEAD TO DECREASE PTH,DECREASE CALCIUM., AND INCREASE PO4.

4) SECONDARY HYPOPARATHYROIDISM:-
DUE TO EXCESSIVE INTAKE OF VITAMINE D, DECREASE PTH, INCREASE CALCIUM, AND INCREASE PO4.


pS. I LEARNED THIS FROM OTHER WEB SITE, I DOUBLED CHECK IN MEDICINE BOOK, AND I AM PASSING IT TO EVERY BODY.

  #5

good job,thank you so much

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