American Board of Internal Medicine (ABIM) Certification Practice Exam

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the American Board of Internal Medicine Exam. Engage with multiple-choice questions, each offering insights and explanations. Elevate your readiness with comprehensive study tools!

Practice this question and more.

Which tests are essential to monitor after administering calcitriol to manage secondary hyperparathyroidism?

Blood glucose and hemoglobin
Serum electrolytes
Calcium and phosphorus
Renal function tests

The correct answer is: Calcium and phosphorus

Monitoring calcium and phosphorus levels is crucial after administering calcitriol, especially in the context of managing secondary hyperparathyroidism. Calcitriol, being the active form of vitamin D, increases intestinal absorption of calcium and phosphorus. Therefore, it is essential to measure these levels to avoid complications such as hypercalcemia or hyperphosphatemia. Excessive calcium levels can lead to various clinical issues, including cardiovascular problems, while high phosphorus levels can contribute to vascular calcification, particularly in patients with chronic kidney disease. Regularly checking these parameters allows for timely adjustments to therapy and helps in mitigating any potential adverse effects associated with changes in calcium and phosphorus levels induced by calcitriol.