HY USMLE Q #1175 – Pulmonary

A 34-year-old African-American woman comes to the physician for a follow-up appointment. She has a 6-month history of intermittent dry cough. Her father died of alcoholic cirrhosis at the age of 67. She takes no medications. Vitals are normal. Serum ALP is 100 IU/L. Calcium is 9.7 mg/dL. A chest x-ray is shown. Which of the following is most likely to be seen in this patient?

  Decreased serum parathyroid hormone
  Increased bone turnover
  Increased hydroxylase activity
  Increased leukotriene activity
  Non-caseating histiocytic activity

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