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Retired NBME 15 Answers

nbme15/Block 1/Question#25 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Multiple myeloma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: heme Heme

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submitted by โˆ—cassdawg(1781)
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Multiple Myeloma CRAB: (FA2020 p431)

  • hyperCalcemia
  • Renal involement
  • Anemia
  • Bone lytic lesions and Back pain

Multiple myeloma is also associated with rouleaux formation because of increased serum protein (in this case globulin chains from secreting plasma cells). Rouleaux formation increases sedimentation rate.

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