1 . All of the following are documented causes of hypercalcemia except? Perianal gland carcinoma Chronic granulomatosis disease Lymphosarcoma Hyperadrenocorticism Renal failure
2.Which of the following statements is NOT correct regarding the hypercalcemia of malignancy? most common cause is lymphosarcoma tumor produces PTHrp refractory to prednisone therapy PTH levels are decreased Maybe associated with increased serum globulins
3.Regarding the treatment of hypercalcemia, which statement is NOT correct? Saline diuresis competes with calcium tubular resorption Furosemide inhibits calcium resorption in Henle's loop Bicarbonate therapy shifts protein bound calcium to the ionized state. Calcitonin reduces osteoclast activity and is partially effective in some cases. Glucocorticoids reduce bone resorption, inhibit GI calcium absorption, and promote the renal excretion of calcium.
4.Hypercalcemia in chronic renal failure may be associated with all of the following except? decreased renal excretion of calcium increased concentrations of PTH incidence of 40-50% hyperphosphatemia calcium in the range of 11.0-12.5 mg/dl
5.In nutritional secondary hyperparathyroidism, all of the following are correct except? serum calcium levels are usually low normal PTH levels are increased Chief cell hyperplasia is present hyperphosphaturia is present serum phophate levels are increased
6.All of the following are associated with cholecalciferol rodenticide toxicosis except? hypercalcemia hyperphosphatemia hematemesis renal failure radiographically detectable demineralization of bone
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