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Discussion Starter · #1 ·
A 47 year old woman presents to her physician complaining of pain in her left leg that worsens on standing and walking. She had undergone menopause at the age of 46 with no hormonal therapy. She also complains of long standing diarrhea. An x-ray shows demineralization and EDTA shows reduction in bone quantity. Her laboratory tests show low calcium and phosphorus levels and high alkaline phosphatase level. They also show decreased level of 25-hydroxyvitamin D. Bone biopsy shows uncalcified osteoid on all bone surfaces.
According to all these data, what is the most likely diagnosis of this patient's condition?
A- Paget's disease of bone
B- Osteoporosis
C- Osteomalacia
D- Hypoparathyroidism
Answer: http://medical-usmle.com/?p=1267
 

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Hi Sohag,

I've been following this blog & really appreciate the Q's.
However I can't help but wonder if these are really Q's which were recalled by people who tool the exam ( or similar to the ones but with different wording) or just Q's the blog admins made themselves?
 

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Hi Movegirl 2011

I don't have a certain answer for this question but I am sure that these questions address very important concepts that has been tested on all steps of USMLE.
 
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