zaki
Forum Guru
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Posts: 398
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During a routine annual physical examination, a 70-year-old man is found to have an elevation of serum alkaline phosphatase (480 U/L) that has been determined to be of bone origin. A bone scan reveals increased uptake involving the occipital region of the skull. Skull radiographs reveal mottled increase of bone density with a cotton-wool appearance in the occipital area. Audiometric testing is normal, and the patient is asymptomatic. All additional laboratory tests are normal except that there is borderline elevation of his urinary hydroxyproline level.
What is the most appropriate therapeutic agent for managing this patient?
(A) Calcitriol
(B) Bisphosphonates
(C) Calcitonin
(D) Mithramycin
(E) No therapy
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Maverick
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| Nili
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Biphosphonates
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| mahendra
Forum Guru
Topics: 173
Posts: 419
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yes i think its bisphosphonate.
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i think is E i.e no therapy needed , will u plz correct me if i am wrong
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| dpk
Forum Junior
Topics: 10
Posts: 66
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hi
wht do u all think abt the answer to this Q?
thanks
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| cache
Forum Guru
Topics: 130
Posts: 275
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first line should be analgesics, in paget's disease, followed by alendronate ( biphosphonate)
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| ICU-NUT
Forum Newbie
Topics: 0
Posts: 5
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hes asymptomatic
i think its E
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| dimps
Forum Guru
Topics: 63
Posts: 446
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ya i too agree for bisphosphonates ,zaki can u tell us the answer
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hi how r u
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| cerebral cortex
Forum Junior
Topics: 2
Posts: 60
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wild guess, I think bisphosph
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| lucky
Forum Guru
Topics: 23
Posts: 505
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i think no treatment
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