Newly Diagnosed Bulky Hodgkin in Medicine / Internal Medicine — 23yo Man | Hematology | SMLE Q#11362

SMLE Question #11362

Medicine / Internal Medicine Hematology

Objective: OBJ-101

Last updated: February 2026
A 23-year-old man with newly diagnosed bulky Hodgkin lymphoma is admitted for his first cycle of combination chemotherapy. Twelve hours after treatment, he develops nausea, flank discomfort, and decreased urine output. Tests show acute kidney injury with markedly elevated serum urate and phosphate. Which combination of serum potassium and calcium abnormalities is most likely to be present?

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