This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
[{'content': 'All may be seen in hyperparathyroidism Except \nSelect and explain. \nA. Solitary adenoma, B. Its malignant, C. Thyroid malignancy, D. Osteomalacia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Osteomalacia is the softening of the bones caused by impaired bone metabolism primarily due to inadequate levels of available phosphate, calcium, and vitamin D, or because of resorption of calcium. The impairment of bone metabolism causes inadequate bone mineralization . Its causes Ref - Pubmed.com', 'role': 'assistant'}]