Question

A 70-year-old presents with severe hypercalcemia (3.2 mmol/L) and high PTH. According to NICE, what is the first step in acute management of primary hyperparathyroidism with severe hypercalcemia?

Accepted Answer

IV normal saline rehydration plus IV bisphosphonates

Answer

IV furosemide

Answer

Oral steroids

Answer

Immediate parathyroidectomy

Answer

Oral phosphate

Practice question

A 70-year-old presents with severe hypercalcemia (3.2 mmol/L) and high PTH. According to NICE, what is the first step in acute management of primary hyperparathyroidism with severe hypercalcemia?