Parathyroid Disorders

Question 1

Primary hyperparathyroidism.
Disease of ? cause.
o 80% due to ? parathyroid ?.
o 20% due to ? ? of all the glands.
--• Hyperplasia of all glands may be part of ? 1 / 2a.
PTH levels ?, calcium levels ?.

Answer 1

unknown
single
adenoma
diffuse hyperplasia
MEN
raised
raised

Question 2

1 HyperPTH
Treatment is ?.
o Indicated even in many ? cases, due to potential ? term adverse events.
o Serum calcium should be normal within ? hours post-?.
o There may be ? hypocalcaemia.
• ? is usually given for ? days post-?.

Answer 2

parathyroidectomy
aSx
long
24
op
post-op
AdCal
14
op

Question 3

Secondary hyperparathyroidism.
Physiological ? of all parathyroid glands in response to ?.
Seen in ? disease or ? ? deficiency.
—-o PTH levels ?, calcium levels are ?/ ?.
PTH will return to normal if the cause of ? can be corrected

Answer 3

hypertrophy
hypocalcaemia
renal
Vit D
raised
low/normal
hypocalcaemia

Question 4

Tertiary hyperparathyroidism.
Occurs after ?-standing ? hyperparathyroidism.
Most commonly occurs in ? ?.
o Plasma calcium is ?, PTH levels ?.
o ? often grossly raised.
? is usually necessary.

Answer 4

long
secondary
renal failure
raised
raised
phosphate
parathyroidectomy