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1. |
Ramesh 60 years,presents with generalized bone pain.On examination there is elevated ESR of 100 mm,serum globulin 7,lytic lesions in the skull,serum creatinine of 3.5mg/dL and serum calcium of 11mg/dL.What is the most likely diagnosis: |
A. | Waldenstrom's macroglobulinemia |
B. | Multiple myeloma |
C. | Hyperparathyroidism |
D. | Osteomalacia |
Answer» C. Hyperparathyroidism | |