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

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BOF: 20

A 64-year-old female on the oncology ward complains of perioral paraesthesiae.

She has received chemotherapy for carcinoma of the ovary.

On examination she is noted to have positive Chvostek’s signs and Trousseau’s sign

Investigations reveal

Urea 6 mmol/L

Creatinine 120 mmol/L

Sodium 138 mmol/L

Potassium 4.1 mmol/L

Albumin 38 g/L

Calcium 1.6 mmol/L

Phosphate 1.22 mmol/L

Alkaline phosphate 104 U/L

In this patient the underlying cause of the condition is:

a)      Magnesium deficiency

b)      Vitamin D deficiency

c)      Tumour lysis syndrome

d)      Dystrophic calcification in the ovarian tumour

e)      Steroid therapy

 

 

 

 

 

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