Question

A 70-year-old woman presents with a 3-month history of fatigue and bone pain. Her serum calcium is 2.8 mmol/L, and paraprotein is detected on electrophoresis. What is the most appropriate next step?

Accepted Answer

Refer for urgent haematology review

Answer

Start bisphosphonates

Answer

Perform bone marrow biopsy

Answer

Start chemotherapy

Answer

Monitor with repeat bloods in 3 months

Practice question

A 70-year-old woman presents with a 3-month history of fatigue and bone pain. Her serum calcium is 2.8 mmol/L, and paraprotein is detected on electrophoresis. What is the most appropriate next step?