AssessmentsPaget disease of bone
Paget disease of bone
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
An 80-year-old man presents to your primary care office to discuss some bone pain he has been having lately. He describes mild pain in his lower back that does not change with physical activity. He has never broken a bone before, and is not taking any medications beyond a multivitamin. His blood shows normal calcium and phosphate levels, but elevated serum alkaline phosphatase. Which of the following exam results is most consistent with these results?