A 72-year-old woman is diagnosed with multiple myeloma. Her initial blood tests show: Hb 98 g/L, corrected calcium 3.1 mmol/L (normal 2.2-2.6), creati...

Question

A 72-year-old woman is diagnosed with multiple myeloma. Her initial blood tests show: Hb 98 g/L, corrected calcium 3.1 mmol/L (normal 2.2-2.6), creatinine 180 µmol/L (eGFR 28 mL/min/1.73m²). What is the most important initial step in managing her hypercalcaemia, alongside addressing the underlying myeloma?

Accepted Answer

Intravenous fluid rehydration

Answer

Oral bisphosphonates

Answer

Intravenous bisphosphonates (e.g., zoledronic acid)

Answer

Calcitonin

Answer

Urgent haemodialysis

mrcp part 1 MCQ (SBA): Hypercalcaemia of Malignancy