KROK 1 2020 – Question 22 · KROK (Medicine) · Pathophysiology

A patient was diagnosed with a parathyroid tumor. He has generalized fibrous osteodystrophy and periodic attacks of renal colic. Ultrasound detected small stones in the kidneys. What is the most likely cause of kidney stone formation?

  1. A. Hyperuricemia
  2. B. Hypercholesterolemia
  3. C. Hypercalcemia
  4. D. Hyperphosphatemia
  5. E. Hypocalcemia
Hint

Follow the effect of parathyroid hormone excess on bone, gut and kidney, and ask which blood-level change raises the urinary concentration of stone-forming ions.

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