UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0641

Question:
A 29-year-old man of Afro-Caribbean origin, presents with a non-productive cough mild aches in the ankles. The symptoms have been present for 2 months. His ESR is elevated. Calcium: 2.69 mmol/l; PO43-: 1.20 mmol/l; ALP: 80 iu/L. Serum 25(OH) D: 180 nmol/l. Normal values for Calcium: 2.12-2.65mmol/l; Phosphate: 0.8-1.45mmol/l; ALP [Alkaline phosphatase] 30-300iu/L; Serum 25(OH) D: 20-105nmol/l; Urea: 2.5-6.7mmol/l; Creatinine: 70-120µmol/l

a) Osteomalacia
b) Multiple myeloma
c) Paget's disease of bone
d) Sarcoidosis
e) Hyperthyroidism