07-16-2008, 06:39 PM
A 25-year-old woman has had generalized bone pain for 9 years She has frequent episodes of loose bulky stools. Examination shows muscle weakness and a distended abdomen. X-ray films show generalized demineralization of bones, absence of the lamina dura, and fracture-like lines in the bones of the feet. Which of the following sets offindings in serum is most likely in this patient?
Ca PO4 Alk P PTH
A ↓ ↓ ↑ ↑
B ↓ ↑ ↑ ↓
C ↓ ↑ ↑ ↑
D ↑ ↓ ↓ ↓
E ↑ ↓ ↓ ↑
Ca PO4 Alk P PTH
A ↓ ↓ ↑ ↑
B ↓ ↑ ↑ ↓
C ↓ ↑ ↑ ↑
D ↑ ↓ ↓ ↓
E ↑ ↓ ↓ ↑