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NBME FORM 2 q 6 - ck4me - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: NBME FORM 2 q 6 - ck4me (/showthread.php?tid=309133) |
NBME FORM 2 q 6 - ck4me - ArchivalUser - 06-07-2008 17. A 67-year-old woman comes for a routine health maintenance examination. She drinks 1 ounce of alcohol daily. Her blood pressure is 138/62 mm Hg, pulse is 76/min and regular, and respirations are 14/min. The lungs are clear to auscultation. The remainder of the examination shows no abnormalities. Laboratory studies show: Hemoglobin 12.8 g/dL Serum Ca2+ 11.9 mg/dL Creatinine 0.8 mg/dL Phosphorus 2.8 mg/dL Total protein 6.5 g/dL Albumin 4.2 g/dL Ionized calcium 5.8 mg/dL (N=4.5“5.1) Which of the following is the most appropriate next step in management? A ) Measurement of serum alkaline phosphatase activity B ) Measurement of serum parathyroid hormone level C ) Measurement of serum vitamin D level D ) Serum and urine protein electrophoresis E ) X-ray film of the chest F ) Skeletal survey G ) Bone scan 0 - ArchivalUser - 06-07-2008 bb???? |