2022 P1 Q80
Q1. Which of the following statements are correct about treatment with vitamin D supplement?
Serum calcium levels improve earlier than serum PTH levels.
Patients should be closely observed with serial vitamin D levels in blood as vitamin D toxicity occurs frequently
Vitamin D supplementation should always be in conjunction with calcium supplementation.
Nephrolithiasis is a known complication
Select the correct answer using the code below:
- 1, 2, and 3
- 1, 2, and 4
- 1, 3, and 4
- 2, 3, and 4
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 162
2022 P1 Q81
Q2. The first line investigation for diagnostic evaluation of patients with hypercalcemia is
- 24-hour urinary calcium excretion
- Serum phosphate levels
- Serum iPTH levels
- Serum vitamin D levels
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 162
2024 P1 Q50
Q3. A patient presents with history of 'bones, stones and abdominal groans' — due to generalized aches and pains and renal calculus colic. Which is the most discriminatory blood investigation?
- Parathyroid hormone assay
- Thyroid function tests (free T3, free T4, TSH)
- Cortisol levels
- Insulin and C-peptide levels
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 294
2024 P1 Q57
Q4. Which one of the following is the most appropriate initial treatment for management of severe hypercalcemia ?
- Intravenous infusion of pamidronate
- Oral phosphate supplementation
- Intravenous infusion of normal saline
- Hemodialysis
Answer & explanation — reveal it in the interactive practice above.
PYQ 2020–2025 — page 296
