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172694 Pathology

A 48-year-old man presents with recurrent headaches and ahritic pain in his knees of 9 months in duration. He notes that his head size has recently increased. Physical examination reveals a blood pressure of 170/100 mm Hg. The patient is observed to have coarse facial features and a goiter. Urinalysis reveals glucosuria and hypercalciuria. Which of the following is the most likely explanation for this patient’s clinical presentation?

AExcess growth hormone secretion
BExcess parathyroid hormone secretion
CExcess prolactin secretion
DHypersecretion of bone morphogenetic protein
Pathology
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