Endocrinology MCQ 013

A 27-year-old white woman was admitted 2 days ago through the emergency room for seizures. She has a history of moderate alcohol use. Two weeks ago she received benzathine penicillin for secondary syphilis. She is complaining of muscle cramps, weakness, and headache. She received 1 g of phenytoin on the day of admission and is now taking 100 mg three times a day. She is also taking acetaminophen, multivitamins, and tapering doses of chlordiazepoxide. There is a history of seizures in her family. She is 5 feet tall and weighs 120 pounds. Her blood pressure is 130/80 mm Hg; pulse is 90 beats/minute. The rest of the physical exam is normal except for a round face, a short neck, short fourth and fifth metacarpals, and bilateral cataracts. Abnormal labs include a calcium of 1.5 mmol/L (normal range, 2.2-2.6 mmol/L), phosphorus of 1.7 mmol/L (normal range, 0.8-1.4 mmol/L), and an intact parathyroid hormone (PTH) of 200 pg/mL (normal range, 15-65). Which of the following is most likely?

A. Hypothyroidism
B. Hypogonadism
C. Basal ganglia calcification
D. Mental retardation
E. All of the above

Answer

Tags: MCQ, Endocrinology, Seizures

Category: Endocrinology MCQs