ANATOMY
MUSCULOSKELETAL AND SOFT TISSUE
Question
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Secondary nutritional hyperparathyroidism​ is caused by:
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A diet deficient in calcium or in excess of phosphorous
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A diet deficient in phosphorus or in excess of calcium
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A diet too low in vitamin D
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A diet too high in vitamin D
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Explanation:
Detailed explanation-1: -Serum phosphate levels are high in primary and secondary hyperparathyroidism and low in primary hyperparathyroidism due to increased renal phosphate excretion.
Detailed explanation-2: -Because factors that cause parathyroid hyperplasia, such as lower calcium intake, increase the probability that a parathyroid cell will undergo a somatic mutation and subsequent clonal proliferation, such factors could increase the risk for developing primary hyperparathyroidism.
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