1 MCQs in Medicine for NEET PG
A 70-year-old man with CKD Stage 5 (eGFR 8 mL/min/1.73m²) and a 3-year history of hemodialysis presents with progressive bone pain and muscle weakness. Serum alkaline phosphatase is 120 U/L (normal 30–120), PTH is 850 pg/mL, and bone biopsy shows low bone turnover with minimal osteoid. Which of the following best explains his bone disease and is the MOST appropriate management?
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