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

question 671

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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: 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/m<sup>2</sup>.  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 Which of the following is most likely responsible for these findings?


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Capital Structure

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