This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Surgery
[{'content': 'A patient undergoes thyroid surgery, following which he develops perioral tingling. Blood calcium is 8.9 meq/L. Next step is: \nSelect and explain. \nA. Vitamin D orally, B. Oral calcium and Vitamin D, C. Intravenous calcium gluconate and serial monitoring, D. Wait for calcium to decrease to <7.0 before taking fuher action', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Management of Post-Operative Hypocalcemia: Transient Hypocalcemia Prolonged or permanent Hypocalcemia Asymptomatic with calcium level >8 mg/dl: No Treatment Mild Symptoms or calcium level <8 mg/dl: Oral calcium Severe symptoms: IV Calcium Oral calcium with Vitamin-D If hypocalcemia is expected to be prolonged or permenant (as following a 3 and 1/2 gland parathyroid resection or following total parathyroidectomy with autograft) then oral calcium should be staed as soon as possible with Vitamin-D. Ref: Sabiston 20th edition Pgno: 919', 'role': 'assistant'}]