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Review Question - QID 211057

Hypothyroidism vs. Hyperthyroidism Presentation QID: 211057 (M2.OMB.18.4870)
In scope icon M 6 B
QID 211057 (Type "211057" in App Search)
A 33-year-old African American woman presents to her primary care physician for a wellness checkup. She has lost 20 pounds over the past 2 months yet has experienced an increased appetite during this period. She endorses hyperhidrosis and increased urinary volume and frequency. Her temperature is 98.7°F (37°C), blood pressure is 107/68 mmHg, pulse is 109/min, respirations are 12/min, and oxygen saturation is 98% on room air. A physical exam is notable for an anxious woman and a regular pulse. Laboratory values are ordered as seen below.

Serum:
Na+: 139 mEq/L
Cl-: 100 mEq/L
K+: 4.3 mEq/L
HCO3-: 25 mEq/L
Ca2+: 11.7 mg/dL

The patient's urine calcium level is elevated. Which of the following is the most likely diagnosis?
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