A Patient Comes into the Orthopedic Clinic Complaining of Severe

Multiple Choice

A patient comes into the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection, the femur and tibia are bowed. There is also a reduced angle of the femoral neck, which gives the patient a "waddling gait" appearance. The doctor suspects Paget disease. The patient asks how he got that. The nurse will respond,

A) "It's because you don't eat enough calcium-rich foods in your diet."
B) "When you were a child you probably broke you hip, and since it wasn't displaced, you continued to walk on it."
C) "It might be related to a thyroid condition. We will need to run some more blood work."
D) "It's most likely a genetic predisposition. Do you know if anyone else in your family has this problem?"