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Q799

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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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