Question

A 69-year-old man presents with bone pain, normocytic anaemia, elevated creatinine and hypercalcaemia. Serum protein electrophoresis shows a monoclonal spike and skeletal survey reveals lytic lesions. Which diagnosis best explains his findings?

Accepted Answer

Multiple myeloma

Answer

Iron deficiency anaemia

Answer

Osteoporosis

Answer

Chronic lymphocytic leukaemia

Answer

Paget disease of bone

Practice question

A 69-year-old man presents with bone pain, normocytic anaemia, elevated creatinine and hypercalcaemia. Serum protein electrophoresis shows a monoclonal spike and skeletal survey reveals lytic lesions. Which diagnosis best explains his findings?