can anyone explain this one Nbme 1,thanks - drgoljan

[ArchivalUser]

. A 25-year-old woman has had generalized bone pain for 9 years. She has frequent episodes of loose bulky stools. Examination shows muscle weakness and a distended abdomen. X-ray films show generalized demineralization of bones, absence of the lamina dura, and fracture-like lines in the bones of the feet. Which of the following sets of findings in serum is most likely in this patient?
Calcium Phosphorus Alkaline
phosphatase Parathyroid
hormone


A ) ↓ ↓ ↑ ↑


B ) ↓ ↑ ↑ ↓


C ) ↓ ↑ ↑ ↑


D ) ↑ ↓ ↓ ↓


E ) ↑ ↓ ↓ ↑

[ArchivalUser]

C ) ↓ ↑ ↑ ↑

[ArchivalUser]

aa

[ArchivalUser]

saonew i think its A coz she is having bulky stools means
VIT --D def-----low Ca, Po4, high ALP, n SECONDADRY HYPER PTH

TELL ME IF IAM WRONG

[ArchivalUser]

a

[ArchivalUser]

AMARAH I think ur from KMC WARANGAL

[ArchivalUser]

e looks like a case of hyper parathyroidism incr Ca decrease Po4 increase PTH not so sure

[ArchivalUser]

Low Ca and P (9 years)
high p alkalin usualy found in bone demineralisation
high PTH trying to rise calcium level
thus i choose A

[ArchivalUser]

yup i'm from kmc .i was guessing about u the same. how r u doingsirimalle?

[ArchivalUser]

I pick C to open discussion about primary versus secondary Hyperparathyroidism.

So in this case based on stool and xray, can we say primary?