This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Kidney, Subject name: Medicine
[{'content': 'Which of the following finding shall be seen in patient with hyper-parathyroidism? \nSelect and explain. \nA. Hypophosphatemia, B. Hyperphosphatemia, C. Hypermagnesemia, D. Hypo magnesemia', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. (a) Hypophosphatemia* Vitamin D deficiency will lead to Hypocalcemia. This will result in secondary increase in PTH.* This PTH will now act on proximal convoluted tubule to cause loss of phosphate. The increased bone turnover will cause increase in serum alkaline phosphate.* Important calcium/phosphate and SAP fluctuations which are asked ( especially those in bold)ConditionRicketsHyperparathyroidismOsteoporosisPaget diseaseChronic renal failureSerum calciumLessIncreasedNormalNormalLessSerum hosphateLessLessNormalNormalIncreasedSAPIncreasedIncreasedNormalDisproportionate IncreasedIncreasedPTHIncreasingIncreasednormalnormalIncreased', 'role': 'assistant'}]