Hypoparathyroidism Quiz: Ace Your Exams

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A 5-year-old boy is brought to the pediatrician because of worsening muscle cramps for the past few weeks. The patient was adopted, and his family history is unknown. He failed to meet multiple cognitive and developmental milestones. Past medical history is unremarkable, and the patient does not have any history of infections. Temperature is 37.1°C (98.8°F), pulse is 93/min, respirations are 29/min and blood pressure is 103/72 mmHg. On the physical exam, the patient’s height is below the 5th percentile and weight exceeds the 90th percentile. Cardiopulmonary examination is unremarkable. Examination of the bilateral hands reveals hypoplastic 4th and 5th digits. Gentle tapping anterior to the ear causes twitching of the lower facial muscles. Which of the following findings would most likely be observed on laboratory testing? 

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