PAEA Surgery End Of Rotation (EOR) Practice Exam

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Which classic symptom set is associated with hyperparathyroidism?

  1. Chest pain, palpitations, fatigue

  2. Stones, bones, groans, and psychic overtones

  3. Fever, chills, sweating

  4. Joint pain, redness, heat

The correct answer is: Stones, bones, groans, and psychic overtones

The classic symptom set associated with hyperparathyroidism is commonly referenced as "stones, bones, groans, and psychic overtones." This phrase encapsulates the key manifestations of the condition due to elevated levels of parathyroid hormone leading to increased serum calcium. - "Stones" refers to nephrolithiasis or kidney stones, which result from increased calcium excretion in the urine. - "Bones" highlights the effect of hyperparathyroidism on the skeletal system, causing bone pain and an increased risk of fractures due to osteitis fibrosa cystica, where bones become weak and fibrous due to calcium resorption. - "Groans" signifies the gastrointestinal symptoms often experienced, such as abdominal pain and constipation, attributed to hypercalcemia. - "Psychic overtones" alludes to neuropsychiatric effects that can arise, including depression, fatigue, and cognitive disturbances, thereby reflecting the impact on mood and mental state. This ensemble of symptoms effectively summarizes the systemic involvement of hyperparathyroidism, making it a memorable and illustrative way to understand the clinical presentation. The other options relate to various other medical conditions and do not encompass the hallmark signs indicative of hyperparathyroidism.