Breast & Endocrine Surgery · NEET PG Preparation Surgery
A 52-year-old female undergoes a right hemithyroidectomy for a follicular thyroid neoplasm. Postoperatively, she complains of circumoral numbness, ti…
Practice question from Breast & Endocrine Surgery (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
easy · MCQ · Q-57AFA8
A 52-year-old female undergoes a right hemithyroidectomy for a follicular thyroid neoplasm. Postoperatively, she complains of circumoral numbness, tingling in her fingers, and a positive Chvostek sign on day one. What is the most likely diagnosis?
- A.Hypercalcemia due to vitamin D toxicity
- B.Transient hypoparathyroidismCorrect answer
- C.Recurrent laryngeal nerve neuropraxia
- D.Thyroid storm
Solution
Circumoral numbness, paresthesias, and a positive Chvostek or Trousseau sign are classic manifestations of hypocalcemia resulting from transient or permanent hypoparathyroidism, a known complication following thyroid surgery due to inadvertent removal, bruising, or devascularization of the parathyroid glands.
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