kiranmayi
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A 78-year-old, frail-appearing, white female presents to the clinic for a physical examination. She has no complaints or concerns. Her past medical history is significant for hypertension as well as a fractured left hip three years ago after a fall. The patient takes atenolol and a multivitamin. She smokes one pack of cigarettes per day, but denies alcohol and drug use. The physical exam reveals no gross abnormalities. A bone scan is ordered and shows that her bone density is 2.5 standard deviations below the mean for her age. Which of the following lab abnormalities might you expect in this patient?
A. Decreased calcium, increased phosphate, normal alkaline phosphatase
B. Normal calcium, normal phosphate, increased alkaline phosphatase
C. Increased calcium, decreased phosphate, increased alkaline phosphatase
D. Increased calcium, increased phosphate, normal alkaline phosphatase
E. Normal calcium, normal phosphate, normal alkaline phosphatase
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| krsma
Forum Elite
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E . Osteoporosis is just normal bone, just not enough of it.
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| kiranmayi
Forum Guru
Topics: 237
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True
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| asmi
Forum Hero
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How do you differentiate osteoporosis and osteomalacia ?
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| krsma
Forum Elite
Topics: 40
Posts: 227
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Osteomalacia:
decreased serum Ca++ and phosphorus
Increased alkaline phosphatase
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