Which of the following drugs should be included in the therapeutic management of this patient?

Correct Answer: C

Rationale: The correct answer is C: Pamidronate. This drug is used in the management of conditions like hypercalcemia, Paget's disease, and osteoporosis, which are commonly associated with cancer patients. It inhibits bone resorption and helps lower calcium levels. Sodium phosphate (A) is a laxative, not indicated for this patient. Hydrochlorothiazide (B) is a diuretic used for hypertension, not for managing the conditions mentioned. Mannitol (D) is an osmotic diuretic mainly used for reducing intracranial pressure, not indicated in this case. Pamidronate is the best choice due to its mechanism of action and relevance to the patient's condition.

Correct Answer: B

Rationale: HCG is produced by the placenta, not the pituitary, unlike the others which are pituitary tropic hormones.

Correct Answer: B

Rationale: Hypothyroidism causes decreased appetite, not increased, along with dry skin, lethargy, and bradycardia.

Correct Answer: C

Rationale: Tight control reduces microvascular complications (e.g., retinopathy), home monitoring is standard, and fibre-rich diets lower glucose peaks and insulin needs. Inhaled insulin is not first-line, and carb content varies individually.

Correct Answer: D

Rationale: Metformin is contraindicated in alcoholism due to increased lactic acidosis risk from impaired lactate clearance.