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A 69-Year-Old Man Comes to the Office Complaining of Severe

Question 32

Multiple Choice

A 69-year-old man comes to the office complaining of severe bone pain in the left leg. On assessment, a bowing deformity is noticed in the left leg, causing gait abnormalities. Tingling and weakness of the affected leg is also reported. Which of the following is the best initial test for suspected Paget's disease?


A) Alkaline phosphatase
B) X-ray
C) Urinary hydroxyproline
D) Bone scan

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