Pathology In metastatic calcification: A Calcium metabolism and serum calcium level are normal. B Calcium metabolism is deranged and the serum calcium level is increased. C Calcium metabolism is deranged and the serum calcium is normal. D Calcium metabolism is normal and the serum calcium is increased. 💡 Explanation In metastatic calcification: ✓ Correct Answer: B. Calcium metabolism is deranged and the serum calcium level is increased.