PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is a symptom of hypercalcemia?

  1. Lethargy

  2. Excessive urination

  3. Thirst

  4. All of the above

The correct answer is: All of the above

Hypercalcemia, which is an elevated level of calcium in the blood, can lead to a variety of symptoms due to its effects on multiple body systems. Lethargy often occurs because high calcium levels can depress the central nervous system, leading to a state of decreased alertness and energy. Excessive urination, known as polyuria, can result from the kidneys' decreased ability to concentrate urine due to the effect of high calcium levels on kidney function. Increased thirst, or polydipsia, is a compensatory response to the urinary losses, as the body tries to maintain fluid balance in the face of excessive urination. Each of these symptoms is interconnected in the context of hypercalcemia and reflects the physiological changes that occur when calcium levels are out of their normal range. Therefore, the option indicating 'all of the above' accurately encompasses the range of symptoms associated with hypercalcemia.