Parathyroid Disorders and Calcium Balance · NCLEX Exam

A patient with hyperparathyroidism is found to have bone demineralization. Which bone density site is particularly vulnerable?

  1. The lumbar spine, which is mostly trabecular bone
  2. The distal forearm, a cortical bone site
  3. The skull, sparing other bony sites
  4. The metacarpals, sparing other bony sites
Show answer and explanation

Correct answer: The distal forearm, a cortical bone site

PTH excess preferentially affects cortical bone, such as the distal forearm, leading to greater bone loss in those sites in primary hyperparathyroidism.

Difficulty: Medium Question 18 of 19

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