A 70-year-old with known metastatic breast cancer to the bone presents with hypercalcaemia (adjusted calcium of 3.2 mmol/L) and confusion. According t...

Question

A 70-year-old with known metastatic breast cancer to the bone presents with hypercalcaemia (adjusted calcium of 3.2 mmol/L) and confusion. According to NICE, what is the recommended initial management?

Accepted Answer

IV bisphosphonates (e.g., IV zoledronic acid)

Answer

Oral bisphosphonates

Answer

Increase oral fluids only

Answer

Calcitonin injection

Answer

No intervention unless calcium >4 mmol/L

ukmla MCQ (SBA): Hypercalcaemia of Malignancy

A 70-year-old with known metastatic breast cancer to the bone presents with hypercalcaemia (adjusted calcium of 3.2 mmol/L) and confusion. According to NICE, what is the recommended initial management?