Name: Anjali Chandra

Theme: Calcium Handling

OPTION LIST

A	Hypercalcaemia	I	Secondary hyperparathyroidism
B	Hypocalcaemia	J	Tertiary hyperparathyroidism
C	Malignant hyperparathyroidism	K
D	Paget’s Disease of the bone	L
E	Primary Hyperparathyroidism	M
F	Primary hypoparathyroidism	N
G	Pseudohypoparathyroidism	O
H	Pseudopseudohypoparathyroidism	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 32 year old female complains for severe thirst. On further questioning she also suffers from mild depression, abdominal pains and has a history of broken bones. Her clalcium levels are raised.

2. A 45 year old smoker has recently been diagnosed with lung cancer. He has raised levels of calcium but low levels of PTH

3. A 37 year old man has a round face, short metacarpals and metatarsals. He complains of mild depression and has a carpopedal spasm. Plasma PTH is raised and alk phos is slightly raised too.

4. A 67 year old Caucasian woman complains of pain in her clavicle and recent loss of hearing. X-rays show localized enlargement of bone. Blood biochemistry revealed normal calcium and phosphate levels however her alk phos is very high.

5. A 52 year old man has recently had a kidney transplant. He now complains of stiff joints and abdominal pain. On investigation his blood pressure was raised and his calcium was raised.

ANSWERS

1. E

2. C

3. G

4. D

5. J