Calcium Metabolism: Froggy Jumps

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Quiz on calcium homeostasis in clinical vignettes.

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Brandon

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Calcium Metabolism: Froggy Jumps


Froggy Jumps Calcium Metabolism: Froggy JumpsVersión en línea Quiz on calcium homeostasis in clinical vignettes. por Brandon 1 Which hormone most directly raises serum calcium in the short term? a Calcitonin b PTH c Insulin 2 PTH increases renal calcium reabsorption mainly in the: a Collecting duct b Distal convoluted tubule c Proximal tubule 3 PTH decreases phosphate reabsorption primarily in the: a Distal tubule b Proximal tubule c Loop of Henle 4 Vitamin D becomes active mainly in the: a Kidney b Liver c Skin 5 Calcitriol's main gut effect is to: a Increase calcium and phosphate absorption b Decrease calcium absorption c Increase bicarbonate secretion 6 Low total calcium with normal ionised calcium is most likely due to: a Hyperparathyroidism b Vitamin D toxicity c Hypoalbuminaemia 7 Acute respiratory alkalosis tends to cause: a Increased ionised calcium b Decreased ionised calcium c No change 8 Primary hyperparathyroidism pattern: a Low Ca, high phosphate, low PTH b High Ca, high phosphate, low PTH c High Ca, low phosphate, high PTH 9 Hypoparathyroidism after thyroid surgery commonly causes: a Hyperphosphatemia only b Hypercalcaemia c Hypocalcaemia 10 "Hungry bone syndrome" is most associated with: a Starting thiazide b After parathyroidectomy c Acute pancreatitis 11 Which hormone acutely raises serum calcium by acting on bone and kidney? a Vitamin D b Calcitonin c Parathyroid hormone (PTH) 12 PTH mainly increases renal calcium reabsorption in which nephron segment? a Loop of Henle b Distal convoluted tubule c Proximal tubule 13 PTH decreases phosphate reabsorption primarily in the: a Proximal tubule b Loop of Henle c Distal tubule 14 Calcitriol is produced by the kidney after activation of: a 2β-hydroxylase b Vitamin K enzyme c 1α-hydroxylase 15 Calcitriol mainly increases absorption of which minerals in the gut? a Sodium and potassium b Calcium and phosphate c Magnesium only 16 Low total calcium with normal ionised calcium is often due to: a Hyperparathyroidism b Vitamin D toxicity c Hypoalbuminaemia 17 Acute respiratory alkalosis tends to cause: a Higher ionised calcium b Lower ionised calcium c No change in calcium 18 Primary hyperparathyroidism typically shows: a Low calcium, high PTH b High calcium, low PTH c High calcium, high PTH 19 Hypoparathyroidism classically presents with: a High calcium, high phosphate b Low calcium, low phosphate c Low calcium, high phosphate 20 In CKD, a hallmark is: a High calcitriol with low phosphate b Normal phosphate c Low calcitriol with high phosphate 21 Calcitonin’s main net effect is to: a Inhibit osteoclast activity b Stimulate osteoblasts c Increase intestinal calcium absorption 22 PTH effect on bone is best described as: a No effect on bone b Always increases bone formation c Promotes bone resorption when elevated chronically 23 Most filtered calcium is reabsorbed where? a Proximal tubule b Loop of Henle c Distal tubule 24 Thiazide diuretics tend to: a No effect on calcium b Decrease urinary calcium excretion c Increase urinary calcium excretion 25 Loop diuretics tend to: a Decrease phosphate excretion b Increase urinary calcium excretion c Decrease urinary calcium excretion 26 Humoral hypercalcemia of malignancy is characterized by: a High calcium with suppressed PTH b Low calcium with high PTH c High calcium with high PTH 27 Hungry bone syndrome occurs after: a Thiazide initiation b Vitamin D supplementation c Parathyroidectomy for hyperparathyroidism 28 Chronic excess PTH causes... a Increased bone density b Bone resorption and reduced bone density c Only cartilage changes 29 The active form of vitamin D is: a Vitamin D2 b 25-OH vitamin D c 1,25-(OH)2 vitamin D 30 Ionised calcium is the: a Physiologically active fraction b Inert and nonfunctional c Only bound to albumin 31 In secondary hyperparathyroidism due to vitamin D deficiency, PTH is: a Decreased b Normal c Elevated 32 PTH action in the kidney includes: a Inhibiting calcitonin b Blocking phosphate transport c Stimulating 1α-hydroxylase 33 High phosphate tends to: a Raise free calcium b No effect on calcium c Lower free calcium 34 Primary vs secondary hyperparathyroidism: the key difference is: a PTH levels and Ca status b Kidney function only c Vitamin A levels 35 A patient with low calcium, high phosphate, and high PTH likely has: a Hypoparathyroidism b Secondary hyperparathyroidism c Primary hyperparathyroidism

Calcium Metabolism: Froggy Jumps

Froggy Jumps

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Calcium Metabolism: Froggy JumpsVersión en línea

por Brandon

Which hormone most directly raises serum calcium in the short term?

PTH increases renal calcium reabsorption mainly in the:

PTH decreases phosphate reabsorption primarily in the:

Vitamin D becomes active mainly in the:

Calcitriol's main gut effect is to:

Low total calcium with normal ionised calcium is most likely due to:

Acute respiratory alkalosis tends to cause:

Primary hyperparathyroidism pattern:

Hypoparathyroidism after thyroid surgery commonly causes:

"Hungry bone syndrome" is most associated with:

Which hormone acutely raises serum calcium by acting on bone and kidney?

PTH mainly increases renal calcium reabsorption in which nephron segment?

PTH decreases phosphate reabsorption primarily in the:

Calcitriol is produced by the kidney after activation of:

Calcitriol mainly increases absorption of which minerals in the gut?

Low total calcium with normal ionised calcium is often due to:

Acute respiratory alkalosis tends to cause:

Primary hyperparathyroidism typically shows:

Hypoparathyroidism classically presents with:

In CKD, a hallmark is:

Calcitonin’s main net effect is to:

PTH effect on bone is best described as:

Most filtered calcium is reabsorbed where?

Thiazide diuretics tend to:

Loop diuretics tend to:

Humoral hypercalcemia of malignancy is characterized by:

Hungry bone syndrome occurs after:

Chronic excess PTH causes...

The active form of vitamin D is:

Ionised calcium is the:

In secondary hyperparathyroidism due to vitamin D deficiency, PTH is:

PTH action in the kidney includes:

High phosphate tends to:

Primary vs secondary hyperparathyroidism: the key difference is:

A patient with low calcium, high phosphate, and high PTH likely has: