A 43-Year-Old Man Comes to the Emergency Department Due to Painful

A 43-year-old man comes to the emergency department due to painful muscle cramps.  He also has had a tingling sensation around his mouth since earlier in the day and an intermittent sensation of choking in the throat.  The patient reports a history of "high blood pressure and a thyroid disorder."  On physical examination, he appears comfortable but anxious.  Heart and lung sounds are normal.  Light tapping anterior to the ear elicits twitching of the perioral muscles.  Further discussion with this patient is most likely to reveal which of the following?

A) Excessive vitamin D intake
B) Frequent antacid use
C) New prescription for chlorthalidone
D) Nonadherence with levothyroxine
E) Recent thyroid surgery

Correct Answer:

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