This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Parathyroid and adrenal glands, Subject name: Surgery
[{'content': 'Treatment of parathyroid hyperplasia is: \nSelect and explain. \nA. Phosphate binders, B. Calcitonin, C. Removal of 3 1/2 glands, D. Enlarged glands to be removed', 'role': 'user'}, {'content': 'Answer: C \nExplanation: TREATMENT OF PRIMARY HYPERPARATHYROIDISM Initial correction of hypercalcemia (Rapid IV normal saline followed by Forced diuresis with furosemide) Neck exploration is done and treatment is done accordingly A single parathyroid adenoma (85%) Resection Two adenomas (5%) Resection Hyperplasia of all four glands (10-15%) Resection of 3 1/2 glands or Resection of all four glands With Parathyroid auto transplantation - into Brachioradialis of non-dominant arm PARATHYROID AUTO TRANSPLANTATION Whenever multiple parathyroids are resected, it is preferable to cryopreserve tissue, so that it may be autotransplanted Approx. 12-14 pieces of 1 mm are transplanted into the nondominant forearm in belly of brachioradialis muscle', 'role': 'assistant'}]