<prompt> Which of the following finding shall be seen in patient with hyper-parathyroidism?HypophosphatemiaHyperphosphatemiaHypermagnesemiaHypo magnesemia  <response>: 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 calciumphosphate and SAP fluctuations which are asked especially those in boldConditionRicketsHyperparathyroidismOsteoporosisPaget diseaseChronic renal failureSerum calciumLessIncreasedNormalNormalLessSerum hosphateLessLessNormalNormalIncreasedSAPIncreasedIncreasedNormalDisproportionate IncreasedIncreasedPTHIncreasingIncreasednormalnormalIncreased 