HYPOPARATHYROIDISM

Question 1

Hypoparathyroidism is caused by

Answer 1

*abnormal parathyroid development
*destruction of the parathyroid glands
*vitamin D deficiency

Question 2

The most common cause of parathyroidism is

Answer 2

near-total removal of the Thyroid Gland

Question 3

Chief symptom of hypoparathyroidism

Answer 3

Tetany

Question 4

Flexion of the elbows and wrists and extension of the carpophalangeal joints and dorsiflexion of the feet

Answer 4

Carpopedal Spasm

Question 5

A positive Chvostek sign or a positive Trousseau signs suggests

Answer 5

latent latency

Question 6

is positive when a sharp tapping over the facial nerve just in front of the parotid gland and anterior to the ear causes spams or twitching of the mouth, nose, and eye.

Answer 6

Chvostek Sign

Question 7

is positive when carpopedal spasm is induced by occluding the bloodflow to the arm for 3 minutes with a blood pressure cuff

Answer 7

Trousseau Sign

Question 8

The goal of therapy for hypoparathyroidism is the increase the serum calcium level to

Answer 8

9 to 10 mg/dl (2.2 to 2.5 mmol/l)

Question 9

may be given to decrease urinary calcium excretion.

Answer 9

Thiazide Diuretic

Question 10

has been approved for the treatment of osteoporosis but not for hypoparathyroidism at this time.

Answer 10

Recombinant Parathyroid Hormone

Question 11

When hypocalcemia and tetany occur after a thyroidectomy, the immediate treatment is

Answer 11

administration of IV Calcium Gluconate

Question 12

These foods are restricted despite containing high levels of calcium because they also contain high levels of phosphorus.

Answer 12

Milk, milk products, and egg yolk

Question 13

also is given after meals to bind phosphate and promote its excretion through the GI tract.

Answer 13

Aluminum Hydroxide Gel or Aluminum Carbonate