Perhaps
Forum Elite
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Posts: 162
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A 57yo female comes to the physician for a follow-up examination. She has a 5-year history of hypercalcemia, which was diagnosed with routine laboratory studies, and her serum calcium levels have ranged from 10.8 mg/dL to 11.5 mg/dL. She declined further evaluation in the past because she "felt well." She takes no medications. Her last menstrual period was 7 years ago. She maintains a weight of 67 kg (148 lb) and is 170 cm (67 in) tall; BMI is 23 kg/m2. Her blood pressure is 126/80 mm Hg, and pulse is 66/min. Examination shows no abnormalities. Which of the following is the most appropriate next step to assess her risk for fracture?
A) 24-Hour urine collection for measurement of collagen cross-links excretion
B) Bone densitometry
C) Bone-specific measurement of serum alkaline phosphatase activity
D) Posteroanterior and lateral x-ray films of the thoracic spine and hips
E) Biopsy of the iliac crest
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| shumaila
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c??????
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| frank100
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B
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| Perhaps
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picked b also
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| mazinger
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B
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original mazinger z
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