57 year old woman had a left modified radical mastectomy for intraductal carcinoma 2 year previously. She presents with lethergy, confusion and thigh pain.X rays reveal a lytic lesion in the shaft of the femur.
Which of the following blood abnormalities is most likely?
a) High magnesium.
b) Low calcium.
c) High glucose.
d) High calcium.
e) High potassium.
Which of the following is the most appropriate initial therapy?
a) Tamoxifen.
b) Vigorous saline infusion.
c) Radiotherapy to the femur.
d) Chemotherapy.
e) Glucocorticoids.
