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General Medicine General 8eb82e71

60 yrs old male with bony abnormality at upper tibia associated with sensorineural hearing loss. On laboratory examination serum alkaline phosphatase levels are (440 mU/1) elevated and serum Ca2+ and P042- are normal. Skeletal survey shows ivory veebrae and cotton wool spots in x-ray skull. Diagnosis is:

A
Fibrous dysplasia
B
Paget disease
C
Osteosclerotic metastasis
D
Osteoporosis

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