Nb Form 2..Incr PTH - usmle20 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: Nb Form 2..Incr PTH - usmle20 (/showthread.php?tid=128107) |
Nb Form 2..Incr PTH - usmle20 - ArchivalUser - 10-13-2006 A 10-year-old boy is brought to the physician because of weakness and decreased appetite for 3 months. He weighs 30 kg (66 lb) and is 142 cm (56 in) tall; he has had a 2.3-kg (5-lb) weight loss since his last examination 6 months ago. He appears thin. Deep tendon reflexes are brisk. Chvostek's sign is positive. His serum calcium level is 6.5 mg/dL, and serum intact parathyroid hormone level is 190 pg/mL (N=9“65). In addition to calcium supplementation, which of the following is the most appropriate next step in management? A ) Oral phosphate supplementation B ) Oral vitamin D supplementation C ) Intranasal calcitonin therapy D ) Parenteral bisphosphate therapy E ) Parenteral parathyroid hormone therapy 0 - ArchivalUser - 10-13-2006 D? 0 - ArchivalUser - 10-13-2006 vit D i mean 0 - ArchivalUser - 10-13-2006 def ans B = hypocalcemia even w/ incr PTH levels 0 - ArchivalUser - 10-13-2006 nila or anyone else is bishposphate used in primary hyperparatyroidsm to replace the low Phospahte levels?? 0 - ArchivalUser - 10-14-2006 dont you think A should be the answer? 0 - ArchivalUser - 10-14-2006 this is a case of secondary hyperparathyroidism,inresponse to low calcium because of calcium def.In primary ca is high,pos is low. i mean cal. was low bec of vit d def.so parathyroid got stimulated nila is correct |