A 40 year old woman with generalised fatigue decides to have a general check up at her general physician and is found to have hyperlipidemia

Question Number 0632

Question:
A 40 year old woman with generalised fatigue decides to have a general check up at her general physician and is found to have hyperlipidemia. he decides to perform further investigations and discovers a markedly elevated alkaline phosphatase level. Transaminase levels are normal. A most appropriate next investigation would be

a) anti-mitochondrial antibodies
b) urinary magnesium levels
c) salicylate levels
d) paracetomol levels
e) look for lytic lesions on plain radiographs


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