Best of Five 3.29

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BOF: 3.29

You are called to see a patient who has been admitted to your ward earlier in the day. She is known to have breast cancer with bone metastases. She has been complaining of thirst, polyuria and constipation. She is irritable and in pain. Her serum calcium is now available and is 3.9 mmol/l.

Your first line of action in this patient would be:

a)      NSAIDs for treatment of her pain

b)      Treatment with intravenous bisphosphonates

c)      Treatment with calcitonin

d)      Rapid infusion of saline

e)      Treatment with high dose steroids

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