Name: Stacey Calvert

Theme: Calcium Handling

 

OPTION LIST

 

A	Hyperparathyroidism associated with malignancy	I	Ricketts
B	Hypoparathyroidism	J	Secondary Hyperparathyroidism
C	Osteomalacia	K	Tertiary Hyperparathyroidism
D	Osteoporosis	L	Vitamin D toxicosis
E	Paget’s disease of the bone	M
F	Primary Hyperparathyroidism	N
G	Pseudohyperparathyroidism	O
H	Renal Osteodystrophy	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 50 year old lifelong smoker was admitted with a productive cough, shortness of breath, weight loss and anorexia. Investigations reveal he has high calcium levels but low PTH.

 

2. A 40 year old man presents with a round face, short metacarpals and short metatarsals. Investigations reveal an elevated PTH and a slightly raised alkaline phosphate.

 

3. A 45 year old man complains of bone pain in his thigh. Investigations reveal normal calcium and phosphate and a very raised alkaline phosphate.

 

4. A 28 year old lady presents with severe thirst and nocturia. On further questioning, she reveals she has a history of abdominal pain and multiple fractures. Investigations reveal increased calcium and PTH and decreased phosphate.

 

5. An elderly lady presents with fractured neck of femur. She also complains of bone pain. Investigations reveal a normal calcium, decreased phosphate and increased PTH and alkaline phosphate.

 

 

 

ANSWERS

1. A

2. G

3. D

4. F

5. B