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Q443

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1. A 45-year-old male presents to the physician with muscle cramps, perioral numbness, and irritability over the past 3 to 4 months. Lab results reveal hypocalcemia, normal albumin level, and hyperphosphatemia. Parathyroid hormone level is decreased. Alkaline phosphatase level is normal. Which of the following is most likely causing this clinical scenario?
A.
B.
C.
D.
E.


 

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