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Review Question - QID 108390

Parathyroid Adenoma Introduction Associated with MEN I (parathyroid, pancreatic tumor, pituitary adenoma) and IIa (medullary carcinoma of the thyroid, pheochromocytoma, hyperplasia of the parathyroid) QID: 108390 (M1.ON.16.4699)
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QID 108390 (Type "108390" in App Search)
A 34-year-old female presents to her primary care physician with four weeks of general malaise, abdominal pain, thigh pain, and anxiety. The patient also states that she has been waking up multiple times at night to urinate. On physical exam, vital signs are within normal limits. Routine lab work is notable for elevated calcium, and a serum PTH of 89 ng/L (Ref: 10-65 ng/L). Sestamibi-single photon emission computed tomography (SPECT) of the neck is shown in Figure A. Which of the following additional findings is least likely to be present in this patient?
  • A
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  • A