A 55-year-old man with CKD Stage 4 (eGFR 22 mL/min/1.73m²) due to IgA nephropathy is referred for pre-emptive kidney transplant evaluation. His serum calcium is 8.2 mg/dL, phosphate 5.8 mg/dL, and parathyroid hormone (PTH) is 380 pg/mL. Which of the following best describes the pathophysiology of secondary hyperparathyroidism in this patient?
Prefer reading?
Deepen your Medicine knowledge with free guides, high-yield topics, and preparation strategies.
Sign up free and practice all 1 Hyperparathyroidism MCQs with AI-powered explanations tailored to your performance.
Create Free Account