QBANK A 58-year-old woman is found on a routine medical checkup to have a serum calcium level of 11.8 mg/dL where the upper limit of normal is 9.5. Repeated

DianaZ

Member
Moderator
Aug 24, 2020
376
24
18
Little Red Dot
Country flag
A 58-year-old woman is found on a routine medical checkup to have a serum calcium level of 11.8 mg/dL where the upper limit of normal is 9.5. Repeated determinations confirm values between 10.9 and 12.2 mg/dL, and she is found to have elevated concentrations of parathyroid hormone. She is a symptomatic, has no pertinent family history, and has no evidence of renal stones or bone disease. She is offered the option of elective parathyroidectomy, but she declines and elects to have close medical follow up. While doing so, it would advisable for her to be placed on which of the following therapies?

A. Estrogen replacement
B. Long-term calcitonin
C. Low calcium intake
D. Low-dose thiazides
E. Vitamin D analogues