- The answer is hyperparathyroidism follow this link to review the explanation
- See A
- See A
- See A
2. The answer is B
- See B
- Chvostek’s sign is a sign of tetany associated with hypocalcemia often seen in hypopartathyroidism
- See B
- See B
3. The answer is C
- Riedel’s thyroiditis may cause hypoparathyroidism, but it is extremely rare
- Typically a parathyroidectomy involves only one of the four parathyroid glands. It is possible that is may cause hypoparathyroidism, but it is unlikly
- Thyroidectomy is the number one risk factor for hypoparathyroidism
- Infection is a possible cause, but clearly not the most common
4. The answer is A
- The first line treatment is IV Fluid for a patient in crisis secondary to elevated Calcium
- Bisphosphonates will help to bring down the serum calcium however fluid is the most important first step
- Parathyroidectomy will likely be the definitive treatment, but it is not the first step.
- Cinacalcet will mimic calcium and at the parathryoid and begin to decrease the PTH in the blood stream, but this too is not going to be the first line for an emergent patient.
5. PTH increases serum calcium
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