Final answer:
A 53-year-old patient experiencing symptoms of hypoparathyroidism after a thyroidectomy should be managed with calcium supplementation to correct hypocalcemia and alleviate symptoms.
Step-by-step explanation:
The 53-year-old male patient who underwent total thyroidectomy and is now presenting with symptoms such as facial numbness/tingling, muscle pain, hoarseness, laryngeal stridor, and a positive Chvostek sign, is likely experiencing hypoparathyroidism, a condition that can occur after thyroid surgery due to accidental removal or damage to the parathyroid glands.
This leads to decreased levels of calcium in the blood, a condition known as hypocalcemia, which can cause neuromuscular irritability and the symptoms described.
The best management for this condition would be A) Calcium supplementation. This treatment aims to correct the hypocalcemia, alleviating the patient's symptoms. Thyroid hormone replacement, radioactive iodine therapy, and corticosteroid therapy are not indicated for the management of post-surgical hypoparathyroidism and the resulting hypocalcemia.