A 72-year-old man with chronic back pain, renal impairment, and hypercalcaemia is found to have multiple 'punched-out' lytic lesions on skeletal surve...

Question

A 72-year-old man with chronic back pain, renal impairment, and hypercalcaemia is found to have multiple 'punched-out' lytic lesions on skeletal survey. Serum protein electrophoresis shows a monoclonal spike. Which condition is most likely?

Accepted Answer

Multiple myeloma

Answer

Metastatic prostate cancer

Answer

Osteosarcoma

Answer

Paget's disease of bone

Answer

Non-Hodgkin lymphoma

ukmla MCQ (SBA): Multiple Myeloma

A 72-year-old man with chronic back pain, renal impairment, and hypercalcaemia is found to have multiple 'punched-out' lytic lesions on skeletal survey. Serum protein electrophoresis shows a monoclonal spike. Which condition is most likely?