KROK 1 2018 – Question 39 · KROK (Medicine) · Pathophysiology

During removal of the hyperplastic thyroid gland of a 47-year-old woman, the parathyroid gland was damaged. One month after the surgery the patient developed signs of hypoparathyroidism: frequent convulsions, hyperreflexia, laryngospasm. What is the most likely cause of the patient’s condition?

  1. A. Hypophosphatemia
  2. B. Hyponatremia
  3. C. Hyperchlorhydria
  4. D. Hyperkalemia
  5. E. Hypocalcemia
Hint

Think about which blood electrolyte depends on parathyroid hormone and how a fall in it changes neuromuscular excitability.

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