HY USMLE Q #991 – Pathology

A 59-year-old man comes to the physician for a 1-month history of darkening of his urine and worsening fatigue. He has smoked 1 pack of cigarettes daily for 40 years. Which of the following is most likely to be seen in this patient?

  Decreased serum parathyroid hormone
  Decreased serum potassium
  Increased serum anti-diuretic hormone
  Post-synaptic nicotinic acetylcholine receptor antibodies
  Pre-synaptic voltage-gated calcium channel antibodies