KROK 1 2012 – Question 143 · KROK (Medicine) · Pathophysiology
A 5-month-old boy was hospitalized for tonic convulsions. He has a lifetime history of this disease. Examination revealed coarse hair, thinned and fragile nails, pale and dry skin. In blood: calcium - 1,5 millimole/l, phosphor - 1,9 millimole/l. These changes are associated with:
- A. Hypoparathyroidism
- B. Hyperaldosteronism
- C. Hyperparathyroidism
- D. Hypothyroidism
- E. Hypoaldosteronism
Hint
Low calcium with raised phosphate and tetany suggests a defect in the hormonal regulation of calcium and phosphate; ask whether the regulating hormone is lacking or in excess.
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