Endocrinology MCQ 120

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While awaiting surgery on a HMO waiting list, a 50-year-old female with primary hyperparathyroidism is admitted to the hospital with oliguria, confusion, nausea and vomiting, muscle weakness and a serum calcium of 13.5 mg/dL. Of the treatment options below, which one is the most appropriate?

    21st Century Complete Medical Guide to Parathyroid Disorders, Hyperparathyroidism, Hypoparathyroidism, Authoritative Government Documents, Clinical References, ... for Patients and Physicians (CD-ROM)
  1. Administer 1 gm of hydrocortisone STAT
  2. Begin an IV EDTA (chelating agent) infusion STAT
  3. Administer IV Mithramycin and calcitonin concurrently and proceed to ICU for cardiac monitoring
  4. Begin a normal saline infusion at 2X maintenance volume followed by 1mg/kg furosemide IV
  5. None of the above
Answer

Category: Endocrinology MCQs

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