skip to main content

Hypomagnesaemia-induced hypocalcaemia — SCE Endocrinology MCQ

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

HardCalcium/BoneHypomagnesaemia-induced hypocalcaemiaSCE Endocrinology

A 35-year-old woman has calcium 1.78 mmol/L, magnesium 0.32 mmol/L and PTH is inappropriately low. She has chronic diarrhoea and alcohol excess. What is the most appropriate management focus?

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

Reveal the answer and explanation

Correct answer: ACorrect severe hypomagnesaemia to restore PTH secretion and action

Severe hypomagnesaemia can impair PTH secretion and action, causing refractory hypocalcaemia. Calcium replacement alone may fail until magnesium is corrected. Cinacalcet would lower calcium further.

Reference: Society for Endocrinology Hypocalcaemia Guidance; BNF