A 67-year-old woman has calcium 2.92 mmol/L, phosphate 0.68 mmol/L and PTH 12.6 pmol/L. She has osteoporosis at the distal radius and two renal

Question

A 67-year-old woman has calcium 2.92 mmol/L, phosphate 0.68 mmol/L and PTH 12.6 pmol/L. She has osteoporosis at the distal radius and two renal stones in 5 years. eGFR is 61 ml/min/1.73 m². What is the most appropriate management?

Accepted Answer

Refer for parathyroidectomy assessment

Answer

Start long-term thiazide as definitive therapy

Answer

Reassure and repeat calcium in 5 years

Answer

Give high-dose calcium supplements

Answer

Start carbimazole

Primary hyperparathyroidism — SCE Endocrinology MCQ

A 67-year-old woman has calcium 2.92 mmol/L, phosphate 0.68 mmol/L and PTH 12.6 pmol/L. She has osteoporosis at the distal radius and two renal stones in 5 years. eGFR is 61 ml/min/1.73 m². What is the most appropriate management?