Q:

A 80 year old man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG. What is the most appropriate investigation?

waelhammad
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2022-11-03
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A 80 year old man with prostatic cancer has confusion, thirst, abdominal pain and an abnormal ECG. What is the most appropriate investigation?

  1. MRI spine
  2. Radionuclide bone scan
  3. DEXA scan
  4. Serum ALP concentration
  5. Serum calcium concentration
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waelhammad
2022-11-03
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The key is E. Serum calcium concentration. [Confusion, thirst, abdominal pain and ECG changes (marked shortening of QT interval) are features of hypercalcemia. So E. Serum calcium concentration is the likely option].

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