A 65-year-old man presents with a 3-month history of fatigue, bone pain (mainly back and ribs), and recurrent infections. Blood tests show: Hb 95 g/L ...

Question

A 65-year-old man presents with a 3-month history of fatigue, bone pain (mainly back and ribs), and recurrent infections. Blood tests show: Hb 95 g/L (normocytic), Calcium 2.95 mmol/L (Corrected), Creatinine 180 umol/L, Total Protein 95 g/L. What is the most likely underlying diagnosis?

Accepted Answer

Multiple myeloma

Answer

Metastatic prostate cancer

Answer

Primary hyperparathyroidism

Answer

Chronic lymphocytic leukaemia (CLL)

Answer

Renal failure due to hypertension

mrcp part 1 MCQ (SBA): Multiple Myeloma

A 65-year-old man presents with a 3-month history of fatigue, bone pain (mainly back and ribs), and recurrent infections. Blood tests show: Hb 95 g/L (normocytic), Calcium 2.95 mmol/L (Corrected), Creatinine 180 umol/L, Total Protein 95 g/L. What is the most likely underlying diagnosis?