Which of the following lab results may be associated with metastatic bone disease? Select all that apply
A) Elevated alkaline phosphatase
B) Decreased creatinine levels
C) High serum calcium levels
D) Lower serum phosphate levels
Ans: A, C
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Although any cancer can ultimately involve the skeleton, tumors that frequently spread to the skeletal system are those of the breast, lung, prostate, kidney, and thyroid. Serum levels of alkaline phosphatase and calcium often are elevated in persons with metastatic bone disease. Creatinine levels are not affected by this diagnosis.
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