Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 33 Topic 4 Discussion

Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 33 Topic 4 Discussion

MCCQE Exam Topic 4 Question 33 Discussion:
Question #: 33
Topic #: 4

A 62-year-old woman is referred to your clinic for evaluation of hypercalcemia. She has a history of hypertension and vitamin D deficiency. Her medications include hydrochlorothiazide and vitamin D supplements. Laboratory investigations are as follows:

    Calcium: 2.72 mmol/L (↑)

    Phosphate: 0.9 mmol/L (↓)

    Parathyroid hormone (PTH): 0.9 pmol/L (↓)

    25-hydroxy vitamin D: 80 nmol/L (normal)

Which one of the following is the best next step?


A.

Order 24-hour urine calcium


B.

Start calcitriol


C.

Refer for consideration of parathyroidectomy


D.

Switch to a different antihypertensive medication


E.

Order serum protein electrophoresis and urine for light chains


Get Premium MCCQE Questions

Contribute your Thoughts:


Chosen Answer:
This is a voting comment (?). It is better to Upvote an existing comment if you don't have anything to add.