Answer BOF 1

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BOF:1

A 38 year old female presents with a history of feeling weak , pain in her muscles and bones .No significant past medical history . she is a vegetarian . she is married and has 4 children . on examination you note that she has a waddling gait and she finds it difficult to get up from the seated position . You ask her to squat and rise up and she finds this difficult without using her arms for support .

Investigations

Corrected calcium 1.8 mmol/L

Phosphate 0.6 mmol/L

Alkaline phosphatase 330 U/L

In this patient which one of the following would you prescribe ?

a)      Magnesium glycerophosphate

b)      NSAIDs

c)      Calcium and vitamin D

d)     Bisphophonate

e)      Multiviamins

Answer :c)

The patient has osteomalacia and treatment would be with calcium and vitamin D supplementation

Revision Tip

Revise osteomalacia and rickets KEYS to SUCCESS in Medicine page 491-492

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