04-11-2007, 05:15 PM
56-year-old woman complains of a
1-year history of bone pains,
anorexia, weight loss, and
constipation. Serum calcium is
elevated and she is diagnosed with
primary hyperparathyroidism. She is
treated surgically, with removal of
her parathyroid adenoma. She then has
a long period of hypocalcemia and
requires continuous treatment with
vitamin D and calcium. Subsequently,
after 6 months she becomes
normocalcemic and does not need
therapy. Which of the following
conditions best explains these
events?
A.
Her remaining 3 parathyroid
glands were destroyed
B.
She has unrecognized
pseudohypoparathyroidism
C.
She had severe bone disease
D.
She has pancreatitis from
hyperparathyroidism
E.
The wrong parathyroid gland was
removed
1-year history of bone pains,
anorexia, weight loss, and
constipation. Serum calcium is
elevated and she is diagnosed with
primary hyperparathyroidism. She is
treated surgically, with removal of
her parathyroid adenoma. She then has
a long period of hypocalcemia and
requires continuous treatment with
vitamin D and calcium. Subsequently,
after 6 months she becomes
normocalcemic and does not need
therapy. Which of the following
conditions best explains these
events?
A.
Her remaining 3 parathyroid
glands were destroyed
B.
She has unrecognized
pseudohypoparathyroidism
C.
She had severe bone disease
D.
She has pancreatitis from
hyperparathyroidism
E.
The wrong parathyroid gland was
removed