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Exam questionKROK 2Medicine ยท 2025

A 50-year-old patient complains of pain in the bones and ribs. Complete blood count: erythrocytes - 3.31012/L, hemoglobin - 100 g/L, leukocytes - 6.5109/L, segmented neutrophils - 50%, lymphocytes - 32%, monocytes - 18%, ESR - 62 mm/hour. Skull X-ray shows multiple small regular-shaped defects. Sternal punctate contains 30% of plasma cells. What is the most likely diagnosis in this case?

Answer options

  1. Multiple myeloma
  2. Von Willebrand disease
  3. Systemic lupus erythematosus
  4. Reactive polyclonal plasmacytosis
  5. Monoclonal gammopathy
Correct answer

Multiple myeloma

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