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Question

Deficiency of which of the following mineral(s) can lead to hypocalcemia by impairing the ability of the parathyroid gland to secrete parathyroid hormone?

1. Phosphate

2. Magnesium

3. Sodium

4. Potassium

Select the correct answer using the code given below:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

2 only

Severe hypomagnesemia impairs PTH secretion from the parathyroid gland (and causes end-organ PTH resistance), leading to functional hypoparathyroidism and hypocalcemia. Phosphate, sodium, and potassium deficiencies do not act through this PTH-secretion mechanism.

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Important Questions from Electrolyte Imbalance

  1. A patient presents with history of 'bones, stones and abdominal groans' – due to generalised aches and pains and renal calculus colic. Which is the most discriminatory blood investigation?
  2. Which one of the following is the most appropriate initial treatment for management of severe hypercalcemia ?
  3. Which of the following are used in calculating the serum osmolality? 

    1. Serum sodium 

    2. Glucose 

    3. Calcium 

    4. Blood urea nitrogen 

    Select the correct answer using the code given below:

  4. Which of the following are used in the management of hyperkalemia? 

    1. 10% calcium gluconate intravenously 

    2. Regular insulin and intravenous glucose 

    3. Nebulized ipratropium bromide 

    4. Intravenous sodium bicarbonate 

    Select the correct answer using the code given below:

  5. Nebulized salbutamol is used in the management of which of the following electrolyte abnormality?
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