Parathyroid Hormone Structure and Function
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Questions and Answers

Which time of day is plasma PTH levels the highest?

  • In the early hours of the morning (correct)
  • At noon
  • In the evening
  • In the afternoon

What is the net effect of the activation by intact PTH at the renal tubule?

  • Increases the reabsorption of phosphate and bicarbonate
  • Lowers plasma [Ca2+]
  • Increases GFR (correct)
  • Decreases the reabsorption of calcium and magnesium

Where are the high levels of the parathyroid hormone 1 receptor located?

  • Central nervous system
  • Liver
  • Bone (correct)
  • Pancreas

Which signaling pathway is activated upon binding of PTH to its receptor?

<p>Increased phospholipase C (D)</p> Signup and view all the answers

What action does PTH have on the distal tubule in the kidney?

<p>Activates specific receptors (D)</p> Signup and view all the answers

What is the rapid action associated with PTH in bone?

<p>Begins within minutes (B)</p> Signup and view all the answers

What inhibits the activity of 1α-hydroxylase?

<p>Hyperphosphatemia (D)</p> Signup and view all the answers

Which enzyme catalyzes the hydroxylation of 25-HCC to 24:25-DHCC?

<p>24-hydroxylase (B)</p> Signup and view all the answers

What promotes the intestinal reabsorption of calcium?

<p>Calbindin-D (B)</p> Signup and view all the answers

Which protein is released into the bloodstream during bone formation?

<p>Osteocalcin (C)</p> Signup and view all the answers

What can be used as a marker of bone formation and turnover?

<p>Serum alkaline phosphatase levels (B)</p> Signup and view all the answers

What stimulates the mature osteoclasts leading to bone resorption?

<p>Calcitriol (A)</p> Signup and view all the answers

What is the most common single presenting complaint in Primary Hyperparathyroidism?

<p>Renal stones (A)</p> Signup and view all the answers

What is the most serious complication of Primary Hyperparathyroidism?

<p>Deposition of calcium in kidney tubules resulting in impaired renal function (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic feature of Secondary Hyperparathyroidism?

<p>Hypercalcemia (A)</p> Signup and view all the answers

What causes hypercalcemia in Primary Hyperparathyroidism?

<p>Increased intestinal calcium absorption (D)</p> Signup and view all the answers

In Primary Hyperparathyroidism, what is responsible for the autonomous production of PTH?

<p>Parathyroid adenoma (B)</p> Signup and view all the answers

Which organ is most commonly affected in Primary Hyperparathyroidism?

<p>Kidney (A)</p> Signup and view all the answers

What is the primary target cell for calcitonin?

<p>Osteoclast (A)</p> Signup and view all the answers

What is the effect of calcitonin on osteoblastic activity?

<p>It increases osteoblastic activity (B)</p> Signup and view all the answers

During which periods is plasma [calcitonin] elevated?

<p>During pregnancy and lactation (A)</p> Signup and view all the answers

What is the mechanism by which calcitonin reduces plasma [Ca2+]?

<p>By decreasing renal reabsorption of calcium and phosphate (C)</p> Signup and view all the answers

What is the effect of calcitonin on PTH activity?

<p>It counteracts PTH activity (B)</p> Signup and view all the answers

How does calcitonin protect against calcium loss from the skeleton?

<p>By protecting against calcium loss during periods of calcium mobilization (D)</p> Signup and view all the answers

What is the effect of PTH on osteoclasts?

<p>It stimulates their formation and activity (C)</p> Signup and view all the answers

What is the role of 25-hydroxylase in vitamin D metabolism?

<p>It catalyzes the formation of 25-hydroxycholecalciferol (D)</p> Signup and view all the answers

What is the location of the 1α-hydroxylase enzyme?

<p>In the proximal convoluted tubules of the nephrons (A)</p> Signup and view all the answers

What is the result of PTH stimulating osteoblast activity?

<p>An increase in plasma calcium levels (A)</p> Signup and view all the answers

What is the role of vitamin D-binding protein?

<p>It transports cholecalciferol to the liver (A)</p> Signup and view all the answers

What is the effect of PTH on plasma Ca2+ and phosphate levels?

<p>It increases plasma Ca2+ and phosphate levels (A)</p> Signup and view all the answers

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