Approach to hypercalcemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 55-year-old woman comes to the clinic with a 1-week history of nausea, vomiting, and constipation. She reports associated muscle weakness and fatigue. She has not had fevers, chills, or abdominal pain. Past medical history is significant for hypertension that is well-controlled with ramipril, as well as gastroesophageal reflux disease that she has been managing by taking over-the-counter antacids multiple times a day. Temperature is 36.9°C (98.4°F), blood pressure is 126/79 mmHg, pulse is 86/min, respiratory rate is 18/ min, and oxygen saturation is 96% on room air. On physical examination, she appears tired with dry mucous membranes. She has mild bilateral proximal muscle weakness and normal reflexes. Which of the following electrolyte disturbances is most likely responsible for this patient's symptoms?  

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