Test Yourself on Medicine

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Question 1.

1 A 69-year-old Asian woman who moved to the UK from India 5 years ago is referred by her GP. She is normally fit and well, but has a 3 month history of increasing widespread bony aches and a worsening gait. You examine her and find a proximal myopathy. Which of the following statements is true?

A The most likely diagnosis is rickets.
B She should be started on a bisphosphonate.
C Her serum phosphate and alkaline phosphatase levels should be measured, along with serum 25-hydroxyvitamin D.
D Her whole skeleton should be X-rayed.
E She needs an urgent muscle biopsy.
 
Book Overview | Letter from the Editor | Content | Sample Material | FAQs | Order an Inspection Copy | Reviews of Previous Edition | Your Reviews | Where to Buy the Book | Competition