Question

A 65-year-old woman with known chronic kidney disease stage 4 presents with pruritus and bone pain. Laboratory tests show low calcium, high phosphate and elevated parathyroid hormone. What is the most likely diagnosis?

Accepted Answer

Secondary hyperparathyroidism due to CKD

Answer

Primary hyperparathyroidism

Answer

Tertiary hyperparathyroidism

Answer

Osteoporosis

Answer

Paget’s disease of bone

Practice question

A 65-year-old woman with known chronic kidney disease stage 4 presents with pruritus and bone pain. Laboratory tests show low calcium, high phosphate and elevated parathyroid hormone. What is the most likely diagnosis?