Close
17th May 2025
A 74-year-old woman was admitted into the accident and emergency department for a humerus fracture secondary to a fall down a flight of stairs at home.
A 74-year-old woman was admitted into the accident and emergency department for a humerus fracture secondary to a fall down a flight of stairs at home. She reported a preceding 3-month history of leg pain, muscle weakness, fatigue, and weight loss. She has type 2 diabetes mellitus and hypertension, diagnosed 12 years ago. Her medications are Gliclazide 160 mg twice daily, Candesartan 8 mg daily, Aspirin 75 mg daily and Atorvastatin 80 mg daily.
Investigations:
| Serum sodium | 139 mmol/L (137–144) |
| Serum potassium | 5.3 mmol/L (3.5–4.9) |
| Serum urea | 8.2 mmol/L (2.5–7.0) |
| Serum creatinine | 301 μmol/L (60–110) |
| eGFR (MDRD) | 35 mL/min/1.73 m2 (>60) |
| Serum corrected calcium | 2.10 mmol/L (2.20-2.60) |
| Serum phosphate | 1.54 mmol/L (0.80-1.45) |
| Plasma parathyroid hormone | 25.5 (0.9-5.4) |
| DEXA scan T-score | -3.4 |
What is the most suitable first-line therapy?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
