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A 67-Year-Old Man Comes to the Office Due to Slowly

Question 795

Multiple Choice

A 67-year-old man comes to the office due to slowly worsening pain in both legs.  He has had no trauma, fever, or chills.  The pain is deep and aching, is present throughout the day, and increases with weight bearing.  Vital signs are normal.  Examination shows bilateral bowing of the legs with palpable warmth over the anterior shins but no redness.  The remainder of the examination shows no abnormalities.  Imaging studies reveal bone expansion, with cortical and trabecular thickening affecting both the tibia and fibula.  Which of the following patterns of serum laboratory values is most likely in this patient?
A 67-year-old man comes to the office due to slowly worsening pain in both legs.  He has had no trauma, fever, or chills.  The pain is deep and aching, is present throughout the day, and increases with weight bearing.  Vital signs are normal.  Examination shows bilateral bowing of the legs with palpable warmth over the anterior shins but no redness.  The remainder of the examination shows no abnormalities.  Imaging studies reveal bone expansion, with cortical and trabecular thickening affecting both the tibia and fibula.  Which of the following patterns of serum laboratory values is most likely in this patient?   A) A B) B C) C D) D E) E F) F G) G


A) A
B) B
C) C
D) D
E) E
F) F
G) G

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