On examination tapping of the angle of jaw produce facial spasms, what diagnosis?

A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.

On examination tapping of the angle of jaw produce facial spasms, what diagnosis?
A . Pseudohypoparathyroidism
B . DiGeorge syndrome
C . Chronic renal failure
D . Uncontrolled thyroid functions

Answer: C

Explanation:

Secondary hyperparathyroidism Hypocalcemia, hyperphosphatemia, inc creatinine.