A 68-year-old Caucasian woman arrives at the emergency department after experiencing severe upper back pain for several hours. The patient developed the pain after being jolted while driving over a pothole. She has no history of back pain or major trauma, and she hasn't seen a doctor in many years. The patient is retired and leads a sedentary existence. She enjoys a glass of wine every day and follows a healthy, balanced diet. 18.4 kg/m² is the BMI. There is point tenderness over the T10 vertebra on examination. The neurologic exam is unremarkable. A T10 compression fracture is revealed by a spine X-ray. Area C on the graph represents the normal serum calcium and parathyroid hormone concentrations. Which of the following areas most likely corresponds to this patient's current metabolic state?

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Quizplus · Accepted Answer

Eductional Objective: Patients with osteoporosis have low bone mass, making them more vulnerable to fragility fractures (ie, those occurring with minimal or no trauma). Serum calcium, phosphorus, and parathyroid hormone levels are typically normal in primary osteoporosis (not caused by a medical disorder).

A 68-Year-Old Caucasian Woman Arrives at the Emergency Department After