Q1. Hungry Bone Syndrome is most commonly observed following surgery for:
A. Thyroid carcinoma
B. Hyperparathyroidism
C. Cushing’s syndrome
D. Paget’s disease
Q2. The primary pathophysiological mechanism in Hungry Bone Syndrome is:
A. Decreased bone resorption
B. Sudden rise in serum phosphate
C. Rapid re-mineralisation of bone
D. Excess secretion of calcitonin
Q3. Which of the following electrolytes is typically elevated in Hungry Bone Syndrome?
A. Calcium
B. Magnesium
C. Phosphate
D. Alkaline phosphatase
Q4. Which of the following patients is at greatest risk of developing HBS after parathyroidectomy?
A. A child with congenital hypothyroidism
B. A woman with Graves’ disease
C. A man with end-stage renal disease and secondary hyperparathyroidism
D. A patient with acute pancreatitis
Q5. Which of the following best explains the paradox of hypocalcaemia after parathyroid gland removal?
A. Excess PTH continues to be secreted from residual tissue
B. Calcium binds with elevated albumin post-surgery
C. Demineralised bone avidly uptakes calcium due to sudden absence of PTH
D. Parathyroid gland regenerates and suppresses vitamin D activation
Answers Quiz- 168 (July 24)
1. A
Explanation: The article mentions disruptions in river traffic, cattle descending in panic and emergency water tank deployment, but there is no mention of oil extraction being halted.
2. C
Explanation: The precautionary principle implies acting to prevent harm when there is scientific uncertainty. Preventing exposure to emissions from oil and gas wells exemplifies this principle in environmental health.
3. C
Explanation: ALL is described as a rapidly progressing cancer that originates in the bone marrow. Despite its rarity, it is one of the most common cancers in children, with high survival but long-term complications.
4. C
Explanation: Studies in Colorado and Pennsylvania indicate a link between chemical emissions from oil/gas wells and increased leukaemia risk, establishing a cause-effect based on environmental exposure.
5. B
Explanation: Muslim women’s representation, though limited, has been partially enabled through family networks acting as informal institutional mechanisms. Surat’s success is due to institutional efficiency and leadership in the SMC. Both showcase overcoming structural hurdles via institutional strategies.
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