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Endo 3. Very EASY but you will SEE this Q in TEST. - triplehelix
#1
50.
A 44-year-old woman is evaluated for fatigue, polyuria, and constipation of 2 years' duration. She has not seen a physician in years because of lack of medical insurance. Laboratory evaluation reveals hypercalcemia, hypophosphatemia, elevated parathyroid hormone level, and increased markers of bone turnover. Subperiosteal bone resorption of the distal phalanges, femoral and spine osteopenia, and osteoporosis in the radius are found. A parathyroid sestamibi scan localizes parathyroid adenoma to the right upper neck; the adenoma is removed by minimally invasive parathyroidectomy. Postoperatively, profound hypocalcemia and hypophosphatemia with tetany develop. The simultaneous parathyroid hormone level is
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#2
less than 5 pg/mL (5 ng/L). The hypocalcemia requires therapy with large doses of intravenous and later orally administered calcium and vitamin D to relieve her symptoms and normalize the serum calcium and phosphate concentrations.

Which of the following is the most likely diagnosis?

A Permanent surgical hypoparathyroidism
B Temporary hypoparathyroidism due to vascular insufficiency
C Hungry bone syndrome
D Vitamin D deficiency
E Osteomalacia
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#3
C
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#4
b.
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#5
C.
I AM HUNGRY TOO
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#6
CC orDD??
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#7
C.
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#8
C Hungry bone syndrome
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#9
c---------
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#10
yes it is hungry bone syndrome dude
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