skip to main content

Primary hyperparathyroidism — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAmbulatory Medicine / Primary CarePrimary hyperparathyroidismUSMLE Step 3

A 61-year-old woman has repeated calcium levels of 11.4 mg/dL found during routine testing. PTH is elevated, creatinine is normal, and 25-hydroxyvitamin D is sufficient. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BPrimary hyperparathyroidism

Hypercalcemia with an inappropriately elevated PTH level indicates primary hyperparathyroidism.

Reference: Endocrine Society hypercalcemia guidance