A 65-year-old man with long-standing smoking history presents with back pain, anaemia and recurrent infections. Blood tests show normocytic anaemia, r...

Question

A 65-year-old man with long-standing smoking history presents with back pain, anaemia and recurrent infections. Blood tests show normocytic anaemia, raised ESR and hypercalcaemia. Serum protein electrophoresis reveals a monoclonal spike. What is the most likely diagnosis?

Accepted Answer

Multiple myeloma

Answer

Chronic lymphocytic leukaemia

Answer

Iron deficiency anaemia

Answer

Metastatic prostate cancer

Answer

Polycythaemia vera

uk-plab-1 MCQ (SBA): Multiple myeloma

A 65-year-old man with long-standing smoking history presents with back pain, anaemia and recurrent infections. Blood tests show normocytic anaemia, raised ESR and hypercalcaemia. Serum protein electrophoresis reveals a monoclonal spike. What is the most likely diagnosis?