Question

A 55-year-old man presents with new-onset back pain, anaemia and elevated creatinine. Serum protein electrophoresis shows a monoclonal spike and bone marrow biopsy reveals increased plasma cells. Which is the most likely diagnosis?

Accepted Answer

Multiple myeloma

Answer

Chronic lymphocytic leukaemia

Answer

Non-Hodgkin lymphoma

Answer

Acute leukaemia

Answer

Waldenström macroglobulinaemia

Practice question

A 55-year-old man presents with new-onset back pain, anaemia and elevated creatinine. Serum protein electrophoresis shows a monoclonal spike and bone marrow biopsy reveals increased plasma cells. Which is the most likely diagnosis?