A 67-Year-Old Man with a Advanced Multiple Myeloma Is Brought

question 864

Multiple Choice

A 67-year-old man with a advanced multiple myeloma is brought to the office due to progressively increasing generalized weakness and altered mental status for 5 days.  He currently takes acetaminophen, naproxen, and a fentanyl patch for pain.  Temperature is 36.5 C (97.7 F) , blood pressure is 120/70 mm Hg, and pulse is 68/min.  Examination shows no focal findings.  Laboratory results are as follows: Which of the following is the most likely explanation for this patient's altered mental status?

• A)Accumulation of fentanyl
• B)Hypercalcemia
• C)Hyponatremia
• D)Metastatic brain lesions
• E)Uremia

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Definitions:

Behaves

To behave means to act or conduct oneself in a specific manner, often in response to one's environment or as dictated by societal norms and expectations.

Ambiguous Genitalia

A condition in which a newborn's external genitalia do not appear to be clearly male or female, making it difficult to assign the infant's sex at birth.

Male/Female

The two primary biological sexes in many species, including humans, characterized by reproductive roles and physiological differences.

Familial Environments

The social and physical surroundings within a family unit, including relationships, structures, and cultural norms that influence individual development.