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USMLE · Question #420

A 75-year-old man presents to his physician with complaints of nocturia, urinary urgency, and a feeling that he could not completely empty his bladder. A digital rectal exam reveals a firm, enlarged p

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Question

A 75-year-old man presents to his physician with complaints of nocturia, urinary urgency, and a feeling that he could not completely empty his bladder. A digital rectal exam reveals a firm, enlarged prostate. A bone scan is ordered and shows positivity in multiple vertebral bodies. Elevation of which of the following substances would be most strongly associated with the development of bone lesions?

Options

  • AProstatic acid phosphatase
  • BProstate-specific antigen
  • CSerum alkaline phosphatase
  • DTartrate-resistant acid phosphatase
  • EUrinary hydroxyproline

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Topics

#prostate cancer#bone metastases#alkaline phosphatase#osteoblastic lesions
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