Name: Sung-Hee Kim

Candidate number: 549653

Theme: Hypercalcaemia

OPTION LIST

A	Myeloma	I	Lymphoma
B	‘Milk-alkali’ syndrome	J	Paget’s Disease
C	Thiazide diuretics	K	Familial hypocalciuric hypercalcaemia
D	Primary hyperparathyroidism	L	Sarcoidosis
E	Iatrogenic	M	Tertiary hyperparathyroidism
F	Addison’s disease	N	Bisphosphonates toxicity
G	Thyrotoxicosis	O	Chronic kidney disease
H	Lithium toxicity	P	Acute pancreatitis

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 67 year old gentleman presents in clinic with fever, night sweats and weight loss. On further examination, he was found to have generalised lymphadenopathy.

2. A 23 year old female presents with anxiety, nausea, light-headedness when standing upright. Further examination reveals low blood pressure when standing and hyperpigmentation of the skin. Her blood test shows hypercalcaemia, hyponatraemia, hyperkalaemia and hypoglycaemia.

3. Ms. Greene, 35yrs of age, currently on treatment for bipolar disorder presented in clinic complaining of weight gain, nausea and headache. On examination, a fine tremor was noted.

4. Mr. Smith with previous history of dyspepsia presented with abdominal pain, fatigue and altered mental status. Routine blood test reveal hypercalcaemia.

5. A 59 year old woman complaining of muscle cramps, irritability and restlessness. She is currently on medication for hypertension and routine blood tests reveal glucose levels of 10mmol/L, raised cholesterol, Na⁺125mmol/L, K⁺ 2.9mmol/L and Ca²⁺ 3.0mmol/L

ANSWERS

1. I

2. F

3. H

4. B

5. C