56-year-old Woman in Surgery — 56yo Woman | General Surgery | SMLE Q#18835

SMLE Question #18835

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: March 2026
A 56-year-old woman has 3 months of progressive fatigue, diffuse bone pain, and constipation. She reports recurrent renal stones. Examination is unremarkable. Laboratory evaluation is shown. Which of the following is the most appropriate definitive management?

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