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 Best of Five 107

 

   

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BOF: 107

A 45-year-old female presents with backache. She has had a thyroidectomy for thyrotoxicosis 18 months previously. She is a vegan.

Her blood results are as follows:

Hb 10.0 g/dL

Ca 1.8 mmol/L

PO4 0.72 mmol/L

Alkaline phosphatase 200 U/L

Albumin 36 g/L

Urea 6.5 mmol/L

Sodium 140 mmol/L

Potassium 3.8 mmol/L

The test that will define this patientís condition is:

a)      PTH level

b)      Serum 25-hydroxy vitamin D3 level

c)      Urinary calcium excretion

d)      Urinary phosphate excretion

e)      Iliac crest biopsy

 

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