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MMLU-Pro / 6045 / A 57-year-old man comes to the emergency department because of cramping in his…

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question

A 57-year-old man comes to the emergency department because of cramping in his hands and feet and numbness and tingling around his lips and in his fingers; these symptoms occurred intermittently for 6 months but have been progressively severe during the past 2 weeks. He also has had a 13-kg (30-lb) weight loss and bulky, foul-smelling stools that do not flush easily. He has a 10-year history of drinking 8 to 10 beers daily. He has been hospitalized twice for severe abdominal pain 4 and 6 years ago. His pulse is 80/min, and blood pressure is 105/65 mm Hg. He appears cachectic and chronically ill. The abdomen is nontender. Deep tendon reflexes are 4+ bilaterally. Chvostek and Trousseau signs are present. His serum calcium concentration is 6.5 mg/dL. Which of the following is the most likely diagnosis?

category

health

options

  1. Hypercalcemia
  2. Hypokalemia
  3. Osteomalacia
  4. Chronic Pancreatitis
  5. Vitamin D deficiency
  6. Hyperparathyroidism
  7. Alcohol Withdrawal Syndrome
  8. Pernicious Anemia

src

ori_mmlu-professional_medicine

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