Full 2L QBank
Medicine General 85935573

A 75 year old lady with fracture neck of femur presents with two days history of altered sensorium and decreased urinary output. Serum calcium is 15.5 mg dl, Urea is 140 mg/dl, Creatinine is 2 mg/d1. All of the following are useful for immediate management of Hypercalcemia, Except:

A
Normal saline
B
Furosemide
C
Dialysis
D
Bisphosphonates
High-Yield Explanation
Answer is D (Bisphosphonates): Bisphosphonates have a delayed onset of action beginning after days and are not recommended in patients with renal failure. Bisphosphonates is the single best answer by exclusion.

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