A 70-year-old man presents with progressive lower back pain, fatigue, and weight loss over 3 months. Blood tests show: Hb 90 g/L, Calcium 2.9 mmol/L (...

Question

A 70-year-old man presents with progressive lower back pain, fatigue, and weight loss over 3 months. Blood tests show: Hb 90 g/L, Calcium 2.9 mmol/L (2.2-2.6), Creatinine 150 µmol/L (60-110), ESR 90 mm/hr. What is the most likely underlying diagnosis?

Accepted Answer

Multiple Myeloma

Answer

Osteoarthritis

Answer

Metastatic prostate cancer

Answer

Hyperparathyroidism

Answer

Paget's disease of bone

mrcp part 1 MCQ (SBA): Multiple Myeloma

A 70-year-old man presents with progressive lower back pain, fatigue, and weight loss over 3 months. Blood tests show: Hb 90 g/L, Calcium 2.9 mmol/L (2.2-2.6), Creatinine 150 µmol/L (60-110), ESR 90 mm/hr. What is the most likely underlying diagnosis?