QuestionSBA
QuestionChoice
This set of bloods might be seen in the early stages of Paget’s disease, but since this patient has hearing loss, he likely has advanced disease. Hence, we would expect his ALP to be raised.
10001320
e
Normal ALP, normal calcium, normal phosphate
QuestionChoice
This is the typical blood test result in a patient with osteomalacia.
10001318
c
Raised ALP, low calcium, low phosphate
QuestionChoice
This is the typical blood test result in a patient with multiple myeloma.
10001317
b
Normal ALP, raised calcium, normal phosphate
QuestionChoice
These bloods are indicative of primary hyperparathyroidism.
10001319
d
Normal ALP, raised calcium, low phosphate
QuestionChoice
This is a typical presentation of Paget’s disease of the bone. The elevated ALP is caused by increased levels of osteoblast activity due to the accelerated rate of bone remodelling and formation of new bone.
10001316
a
Raised ALP, normal calcium and normal phosphate levels
Concept
Chapter
2693
3908
paget's disease of the bone
Topic
170
Clinical Chemistry
12810
A 70-year-old male with no past medical history presents to his GP with a slowly worsening dull aching pain in his hips. During the consultation, it is noted that the patient struggles to hear, and on observation of his gait, it is clear that he has a varus leg deformity.

He is referred to secondary care where bloodwork is done.

Based on the most likely diagnosis, which of the following results are you most likely to find on his blood tests?
a