If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF: 123

A 67-year-old female presents with anorexia, nausea vomiting and loss of weight. No other symptoms of note. On examination she was mildly dehydrated and looked unwell.

Investigations:

Hb 16.6 g/dl

WBC 4.7 x 10⁹/l

ESR 13mm in the 1^st hour

Sodium 136 mmol/l

Potassium 3.9 mmol/l

Chloride 111 mmol/l

Bicarbonate 27 mmol/l

Urea 10.2 mmol/l

Creatinine 126 micromoles/l

Albumin 44 g/l

Calcium 3.87mmol/l

Phosphate 0.62 mmol/l

Alkaline phosphatase 120 U/l

Which of the following is an unlikely cause for her hypercalcaemia

a)      Thyrotoxicosis

b)      Malignant disease

c)      Hyperparathyroidism

d)      Vitamin D therapy

e)      Renal failure

What is the best emergency treatment for this patient?

a)      Intravenous Bisphosphonates

b)      Steroids

c)      Calcitonin

d)      Intravenous phosphate

e)      Oral phosphates

Back
Up
Next

[ Up ] [ Answer ]