A 66-year-old black man comes in complaining of back pain. Diagnostic tests are done and include an X-ray, a complete blood count with differential, and a comprehensive metabolic panel (e.g., glucose, potassium, calcium, albumin). Which findings are consistent with multiple myeloma?
A) Hypocalcemia
B) High platelet level
C) High neutrophil count
D) Diffuse well-defined "punched out" lytic lesions

Question

Quizplus · Accepted Answer

Multiple myeloma is characterized by the presence of "punched out" lytic bone lesions on X-ray due to increased osteoclast activity.

A 66-Year-Old Black Man Comes in Complaining of Back Pain