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InnovAiT 2008 1(6):461; doi:10.1093/innovait/inn101
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

AKT question relating to Back pain


   Theme—Back Pain
TOP
 Theme--Back Pain
 
A 62-year-old man Caucasian male presents with a history of back pain over his thoracic area for the last 2 weeks. It is particularly troublesome at night. He has no other symptoms except tiredness and no significant past medical history. A plain X-ray performed by a locum last week is normal apart from slight loss of bone density.

Which one of the following tests is most likely to yield a definitive diagnosis from primary care?

A. Bone chemistry (Ca++, PO4––, alkaline phosphatase)
B. FBC + ESR
C. Immunoglobulins and urine free light chains
D. Prostatic-specific antigen
E. Vitamin D


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This Article
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