ALP mcq step 1 bone lesion?

A 4-year-old girl is brought to a specialty clinic by her foster parents because of a limp in her right leg and a serum alkaline phosphatase (ALP) that is 10 times the developed upper limit of normal for the test. The child is withdrawn and clinging to her foster mother. Physical nouns is remarkable for a blue-green discoloration of the skin overlying a tender, 3-cm mass on the anterior portion of the right mid-thigh. An x-ray of the right thigh reveals a dense mass within the femur that extends into the surrounding tissue. Which of the following best describes the increased alkaline phosphatase and physical findings in this case?
ALP is abnormal for her age and the bone lesion represents repair of a femoral fracture
C. ALP is abnormal for her age and is unrelated to the bone lesion
D. ALP is commonplace for her age and the bone lesion is an osteogenic sarcoma* i think this is it
E. ALP is normal for her age and is unrelated to the bone lesion
ained by regard to comments made by DiseasesFAQ.comer troy, who thinks i am dumb, keep contained by mind that i am in my 1st semester of med school and i have not even so taken alot of the classes needed to answer the free weekly step 1 quiz i take. i am not dumb, troy-it's not homework. this is step 1 prep that i don't yet fully understand some of the qs. quieten down- no one wants a cranky doctor like you will become.
Answers:    Well man a cancer survivor and you being in med school...I can't answer your examine...but I would advise you to be the best doctor you can but more importantly have great bed side manners. Learn that skill early...

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