Osteomalacia and rickets Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 57-year-old man comes to the emergency department seeking evaluation for bone pain. The symptoms began 4 months ago and have progressively worsened. The pain is most prominent at the thighs and is worse with weight bearing. Past medical history includes chronic kidney disease due to type 2 diabetes mellitus. The patient is currently taking metformin and receives dialysis three times per week. Temperature is 37.5°C (99.5°F), blood pressure 143/89, and pulse is 77/min. There is tenderness to palpation over the anterior thighs. Laboratory testing reveals the following findings:  

Which of the following additional symptoms will most likely also be present in this patient?  

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