Questions

1-When serum calcium (Ca++) is high

A-activity of renal 1 alpha hydroxyls is inhibited
B-expression of intestinal receptors that bind to vit D is increased
C-PTH secretion is increased
D-24, 25-dihydroxycholecalciferol production decreases

2-The plasma contributes to less than 0.5% of the total calcium in the body.
Which of the following statement is not true regarding plasma calcium?
A-Approximately 50% of the plasma calcium is present in the ionized form
B-Approximately 40% of the plasma calcium is present in proteins
C-Approximately 10% of the plasma calcium is complexed with anions
D-None of the above

3-Primary hyperparathyroidism is a disorder caused by the parathyroid adenoma. The following

biochemical results are the characteristic feature of hyperparathyroidism, EXCEPT
A- Increased PTH hormone
B- Increased Vitamin D3
C- Increased urinary cAMP & calcium excretion
D- Decreased serum calcium and phosphate

4-Tetany features all of the following except:

A-neuromuscular hyperexcitability
B-carpopedal spasm
C-Trossaeu’s sign
D-Increased Clotting

5-Which of the following regarding Ca balance is true?

A-PTD acts on the intestine directly to absorb Ca
B-Vitamin D causes the osteoclasts to function
C-Increase reabsorption in kidney as a result of PTH action
D-Final hydroxylation of Vit D occurs in liver

6-When PTH helps in increasing Ca levels by decreasing kidney excretion is an example of:
A-Calcium homeostasis
B-Calcium balance
C-Both
D-Reducing calcium

7-Ca mobilizes from the ___________ by the ATPase that are located in ___________ from bone
caniculi:
A-mineralized bone-osteoblastic- oeteoclastic membrane
B- mineralized bone-osteocytic- oeteoblastic membrane
C- bone uid- osteocytic- oeteoblastic membrane
D- bone uid- osteoblastic- oeteoclastic membrane

8-You saw a patient that su ered from fracture in his right arm as a result of simple fall, when taking
proper history, he pointed out that he is visiting the toilet frequently, in addition to some GI symptoms
like nausea and vomiting. Before riding lab work, you suspect that the patient has:
A-Hyperparathyroidism
B-Hypoparathyroidism
C-Vit D de ciency
D-None

1 2 3 4 5 6 7 8

A D D D C B C A
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