Question

A 70-year-old man with ESRD on haemodialysis is found to have severe secondary hyperparathyroidism. Which treatment is recommended if medical therapy with phosphate binders and vitamin D analogues fails?

Accepted Answer

Total parathyroidectomy

Answer

Increase frequency of haemodialysis

Answer

Add loop diuretics

Answer

High-dose bisphosphonates

Answer

Magnesium supplementation

Practice question

A 70-year-old man with ESRD on haemodialysis is found to have severe secondary hyperparathyroidism. Which treatment is recommended if medical therapy with phosphate binders and vitamin D analogues fails?