Q:

Sudden complete loss of parathyroid function

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Sudden complete loss of parathyroid function.


  1. Leads to skeletal muscle spasms.
  2. May be fatal if treatment is not given to raise the blood level of ionized calcium.
  3. Causes haemorrhagic disease due to lack of calcium for haemostasis.
  4. May be treated in the short-term by slow intravenous injection of calcium ions.
  5. May be treated in the long-term by regular doses of vitamin D.

All Answers

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A. True This is a central feature of tetany.

B. True Due to severe convulsions.

C. False Calcium levels do not fall below the levels needed for haemostasis.

D. True This is the acute treatment of choice, e.g. calcium gluconate.

E. True This acts by increasing intestinal calcium absorption.

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