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Primary hyperparathyroidism — RACP Written MCQ

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HardEndocrinologyPrimary hyperparathyroidismRACP Written

A 56-year-old woman has recurrent renal stones and constipation. Calcium is 2.92 mmol/L, phosphate is low and parathyroid hormone is elevated. DEXA shows osteoporosis. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Parathyroidectomy assessment

Symptomatic primary hyperparathyroidism with renal stones and osteoporosis warrants referral for parathyroidectomy assessment.

Reference: Therapeutic Guidelines: Endocrinology; AMH