UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0643

Question:
A 56yr old woman complains of increased tiredness over the past few months. She also complains of mild nausea and constipation and notices that she has been more thirsty. She has had 2 episodes of renal colic in the past three years. Calcium: 3.25 mmol/l; PO43-: 0.65 mmol/l; ALP: 323 iu/L. Serum 25(OH) D: 116 nmol/l. Normal values for Calcium: 2.12-2.65mmol/l; Phosphate: 0.8-1.45mmol/l; ALP [Alkaline phosphatase] 30-300iu/L; Serum 25(OH) D: 20-105nmol/l; Urea: 2.5-6.7mmol/l; Creatinine: 70-120µmol/l

a) Osteoporosis
b) Thiazide diuretics
c) Skeletal metastases
d) Primary hyperparathyroidism
e) Hypoparathyroidism