A 55-Year-Old Man Comes to the Office for Follow-Up of Abnormal

question 671

Multiple Choice

A 55-year-old man comes to the office for follow-up of abnormal serum chemistries found on routine laboratory testing.  He has a history of hypertension, for which he is being treated with pharmacologic therapy, weight loss, and dietary salt restriction.  Blood pressure is 130/80 mm Hg and pulse is 80/min.  BMI is 27 kg/m².  Physical examination reveals no abnormalities.  Laboratory studies are as follows: Which of the following is most likely responsible for these findings?

• A)Familial hypocalciuric hypercalcemia
• B)Hypothyroidism
• C)Medication effect
• D)Primary hyperparathyroidism
• E)Secondary hyperparathyroidism

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