A 35-year-old woman has hypercalcaemia, raised PTH and a history of kidney stones. What is the most likely cause?
Answer and explanation
Correct answer: B. Primary hyperparathyroidism
- Step 1: High calcium with high PTH indicates primary hyperparathyroidism. Answer: Primary hyperparathyroidism. Why not the others: Vitamin D intoxication, Malignancy and Sarcoidosis don't fit.
Practise more More internal medicine.
Free questions with an explanation for every one, and full timed ENAM Practice (Peru National Medical Examination) mock tests.
More More internal medicine questions
- A 55-year-old man has crushing chest pain and the ECG shows ST depression with elevated troponin. What is the diagnosis?
- A 45-year-old woman has palpitations, an ECG with a regular narrow complex tachycardia at 180 per minute and a stable blood pressure. What i…
- A 60-year-old man is breathless and has a raised JVP, basal crackles and an S3. What is the first-line drug for rapid symptom relief?
- A 25-year-old woman has dyspnoea, pleuritic pain and a unilateral swollen calf after a long flight. Which finding on arterial blood gas is t…
- A 70-year-old man has long-standing cough, sputum and an FEV1 of 40% predicted. Which intervention reduces mortality in COPD with respirator…
- A 35-year-old woman has fatigue and weight loss, with night sweats and mediastinal lymphadenopathy. Biopsy shows Reed-Sternberg cells. What…