What condition is characterized by a patient having hyperresponsive deep tendon reflexes alongside low calcium levels?

Prepare for the Rosh Internal Medicine Boost End of Rotation (EOR) Exam with flashcards and multiple-choice questions. Each question offers hints and explanations to help you excel. Get exam-ready now!

The condition characterized by hyperresponsive deep tendon reflexes in the context of low calcium levels is hypoparathyroidism. In this condition, the parathyroid glands produce insufficient amounts of parathyroid hormone (PTH), which is crucial for maintaining calcium homeostasis in the body. Inadequate PTH levels lead to decreased serum calcium levels, known as hypocalcemia.

When calcium levels in the blood are low, it results in increased neuromuscular excitability, which is reflected in the clinical finding of hyperreflexia or hyperresponsive deep tendon reflexes. This is due to the fact that calcium plays a key role in stabilizing neural membranes; low levels cause increased neuronal excitability.

In contrast, other conditions such as hypothyroidism and hyperparathyroidism do not directly lead to the combination of hyperresponsive reflexes and low calcium in the same manner. Hypocalcemia, while it describes low calcium levels, does not specifically highlight the underlying cause or the mechanistic link to deep tendon reflexes as hypoparathyroidism does.

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