KROK 1 2019 – Question 171 · KROK (Medicine) · Pathophysiology
A 54-year-old woman has a total thyroidectomy for papillary thyroid carcinoma. 11 hours after operation she complains of tingling around her mouth. On physical examination, the Trousseau’s sign and Chvostek’s sign are present. Her condition rapidly deteriorates with laryngospasm and focal seizures. The surgeon suggests surgical destruction of parathyroid glands. Which of the following is the most likely cause of this patient’s neurologic abnormality?
- A. Hypophosphatemia
- B. Hyperkalemia
- C. Hyperchloremia
- D. Hypocalcemia
- E. Hyponatremia
Hint
Think about which serum ion falls when the glands that regulate it are removed or damaged, and how its level controls neuromuscular excitability.
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