Question 396 · LEK · Chronic kidney disease
Indicate phosphocalcium metabolism disorders in secondary hyperparathyroidism in the course of chronic kidney disease:
1) decreased alkaline phosphatase concentration;
2) hypocalcemia;
3) hyperphosphatemia;
4) increased parathormone (PTH) concentration;
5) decreased phosphatonin (FGF-23) concentration.
The correct answer is:
2) hypocalcemia;
3) hyperphosphatemia;
4) increased parathormone (PTH) concentration;
5) decreased phosphatonin (FGF-23) concentration.
The correct answer is:
- A. 2,3,4.
- B. 1,2,3,4.
- C. 1,3,5.
- D. 2,4,5.
- E. 2,3,4,5.
Hint
Follow the falling GFR: phosphate retention, low calcitriol, the PTH response and the behaviour of the bone-derived phosphaturic hormone.
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