A 57-year-old m an com plained to his physician of occasional bone pain, w hich was accentuated at night, and decreasing auditory acuit y. The patient had a long history of gastroesophageal re ux disease currently treated w ith om eprazole. Physical exam ination revealed skull enlargem ent, a hobbling gait, and anterolateral bow ing of the legs w ith warm th and periosteal tenderness. Plain x-rays showed increased bone density, cortical thickening, and bony enlargem ent. Laboratory results showed alkaline phosphatase of 230 IU/L (norm al 20-90 IU/L). Which of the follow ing drugs would be appropriate for this patient? A. Parenteral calcitonin B. Oral alendronate C. Parenteral teriparatide D. Oral cinacalcet E. Oral raloxifene F. Parenteral calcitriol
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A 57-year-old m an com plained to his physician of occasional bone pain, w hich was accentuated at..