Newly Diagnosed Burkitt Lymphoma in Medicine / Internal Medicine — 19yo Man | Oncology | SMLE Q#12418

SMLE Question #12418

Medicine / Internal Medicine Oncology

Objective: OBJ-191

Last updated: February 2026
A 19-year-old man with newly diagnosed Burkitt lymphoma starts combination chemotherapy as an inpatient. Twelve hours after the first cycle, he develops nausea, vomiting, lethargy, and muscle cramps. Urine output is adequate. Serum testing shows acute kidney injury with hyperuricemia, and the team suspects tumor lysis syndrome. Which pattern of serum electrolytes is most characteristic of tumor lysis syndrome?

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