HY USMLE Q #805 – Endocrine

A 69-year-old woman comes to  the physician for a follow-up appointment. Laboratory studies are performed. Serum parathyroid hormone (PTH) versus calcium are shown below. Which of the following is the most likely explanation for these findings?

  Hypoparathyroidism
  Multiple endocrine neoplasia type I (MEN 1)
  Osteoporosis
  Renal cell carcinoma
  Vitamin D receptor insensitivity