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A 67-year-old man with stage 4 chronic kidney disease, hypertension, type 2 diabetes mellitus, and anemia of chronic kidney disease comes to the office for routine follow-up. Laboratory findings include the following: Sample Nephrology Questions & Critiques ©NCCPA. 2011-2015. All rights reserved Serum Calcium 9.4 mg/dL Creatinine 3.24 mg/dL Potassium 3.8 mEq/L Bicarbonate 19 mEq/L Fasting glucose 63 mg/dL Phosphate 4.2 mg/dL Albumin 4.0 g/dL Blood urea nitrogen 36 mg/dL Hematocrit 33.1% Hemoglobin 11.1 g/dL Mean corpuscular volume 94 ?m3 Estimation of glomerular filtration rate, calculated using the Modification of Diet in Renal Disease (MDRD) Study equation, is 19 mL/min/1.73 m2 . Measurement of which of the following additional laboratory values is most appropriate to screen for renal osteodystrophy in this patient? (A) Erythrocyte sedimentation rate (B) Serum C-reactive protein level (C) Serum intact parathyroid hormone level (D) Serum thyroid-stimulating hormone level (E) Serum vitamin B12 level
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