Paraproteinemia
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Question 1 of 8
1. Question
A 62-year-old male presented with persistent back pain that does not respond to typical treatments. An MRI of the spine has ruled out radiculopathy, but it reveals T2-enhanced lesions within the vertebrae. A bone scan has yielded negative results. Which of the following tests should be considered next?
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Question 2 of 8
2. Question
The patient is diagnosed with multiple myeloma, and staging is to be done. Which of the following is not used in the staging?
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Question 3 of 8
3. Question
An elderly man has come in with persistent bone pain that isn’t alleviated by typical treatments, raising suspicion of multiple myeloma. Which of the following features would be inconsistent with a multiple myeloma diagnosis?
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Question 4 of 8
4. Question
A patient visiting for a routine medical assessment incidentally displays a total protein level of 9% but is otherwise in good health with normal hemoglobin and calcium levels. The skeletal survey and 24-hour urine analysis are normal, and bone marrow biopsy revealed 8% plasma cells. What is the diagnosis in this case?
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Question 5 of 8
5. Question
A patient previously diagnosed with multiple myeloma has arrived at the emergency department with a sudden onset of lower limb weakness, urinary incontinence, and severe back pain. An MRI of the spine has revealed a mass lesion in the lower lumbar vertebra. What is the most appropriate course of treatment?
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Question 6 of 8
6. Question
A patient previously diagnosed with multiple myeloma wants to know about the prognosis. Which of the following tests will you prescribe?
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Question 7 of 8
7. Question
A patient was diagnosed with multiple myeloma. Which of the following is most commonly present in such patients?
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Question 8 of 8
8. Question
A 60-year-old male presented with shortness of breath on exertion and blurring of vision. Upon examination, he is pale, along with cervical and axillary lymphadenopathy, as well as hepatosplenomegaly. Fundoscopy showed dilated and tortuous veins. His hemoglobin is 7 g/L, with high LDH levels. A bone marrow biopsy has indicated the presence of 15% lymphoplasmacytic cells. What is the diagnosis for this patient’s condition?
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