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Medicine
A 68 year old male presented to the local general practitioner with complaints of low back ache which is more in the night. The pain was so severe that it interferes his sleep. During evaluation there was a bone lesion in the lumbar spine and biopsy from it is suggestive of blastic skeletal metastasis from an unknown primary. The next best blood test in this patient would be:
Serum alkaline phosphatase
Serum alpha fetoprotein
Serum prostatic specific antigen (PSA)
Serum calcium
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