If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 112

A 60 year old male presents with backache and discomfort in his pelvis. He is a widower and lives alone in a small flat.

Investigations are as follows:

Serum calcium 1.9 mmol/l

Serum phosphate 0.6 mmol/l

Alkaline phosphatase 140 U/l

Urea 5.5 mmol/l

Albumin 36 g/l

In this patient the following x-ray changes are likely:

a)      Calcification of the basal ganglia

b)      Pseudofractures of the pubic rami

c)      Osteoporosis circumscripta

d)      Rounded lytic lesions in the skull

e)    Nephrocalcinosis

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