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9128 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:

ASerum alkaline phosphatase
BSerum alpha fetoprotein
CSerum prostatic specific antigen (PSA)
DSerum calcium
Medicine
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9129 Medicine

A 40-year old male complains of a vague dragging sensation in his abdomen for the last 6 months. There was no history of fever, renal colic or dysuria. Physical examination reveals a blood pressure at 150/96 mm Hg. Renal ultraound : Bilaterally enlarged kidneys with multiple cysts. Urinary analysis: Mild Proteinuria WBCs 4/HPF (Normal: < 5/HPF) RBCs 10/HPF (Normal :< 5/HPF) The renal pathology was a result of –

ANephrolithiasis
BEnlarged prosate
CPolycystic kidney disease
DDeposition of immune complexes in the glomeruli
Medicine
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