A patient has anaemia, renal impairment, hypercalcaemia and a newly detected IgG paraprotein. A plasma cell disorder suspected to be myeloma is under ...

Question

A patient has anaemia, renal impairment, hypercalcaemia and a newly detected IgG paraprotein. A plasma cell disorder suspected to be myeloma is under specialist assessment, and MRI is feasible. Which skeletal imaging strategy should be used first?

Accepted Answer

Use whole-body MRI for current skeletal assessment

Answer

Use a technetium isotope bone scan as the most sensitive first test

Answer

Use a plain skeletal survey before any cross-sectional imaging

Answer

Use local MRI targeted to currently painful skeletal sites

Answer

Use DXA to identify myeloma-related lytic disease

Polycythemia Vera — MRCP Part 1 MCQ

A patient has anaemia, renal impairment, hypercalcaemia and a newly detected IgG paraprotein. A plasma cell disorder suspected to be myeloma is under specialist assessment, and MRI is feasible. Which skeletal imaging strategy should be used first?