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Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

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A 69-year-old man comes to the office complaining of severe bone pain in the left leg. On assessment, a bowing deformity is noticed in the left leg, causing gait abnormalities. Tingling and weakness of the affected leg is also reported. Which of the following is the best initial test for suspected Paget’s disease?

Alkaline phosphatase
X-ray
Urinary hydroxyproline
Bone scan

Explanation

Answer - A - Alkaline phosphatase is the best initial test for a suspected Paget’s disease. The X-ray is the most accurate test. The other options are appropriately ordered, but they are not the initial test.

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