QBank
A 68-year-old woman comes to the office due to 3 months of fatigue and back pain. She has no other medical conditions and takes no medications. The patient does not use tobacco, alcohol, or illicit drugs. She is afebrile, blood pressure is 140/90 mm Hg, and pulse is 80/min. Physical examination shows no lymphadenopathy or hepatosplenomegaly. There is tenderness over the lower thoracic spine. Laboratory studies demonstrate anemia, hypercalcemia, elevated serum creatinine, and elevated total protein.
Which of the following is the most likely diagnosis?
Which of the following is the most likely diagnosis?
A. Acute lymphoblastic leukemia
B. Acute myeloid leukemia
C. Chronic lymphocytic leukemia
D. Chronic myeloid leukemia
E. Hairy cell leukemia
F. Multiple myeloma