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Medicine General 4ac83f23

All seen in multiple myeloma, except :

A
Lytic bone lesion
B
Hypercalcemia
C
Plasmacytosis of bone marrow > 2%
D
Decreased serum alkaline phosphatase activity
High-Yield Explanation
Answer is C (Plasmocytosis > 2%): Diagnosis of Multiple Myeloma requires plasmacytosis of> 10%. The classic triad of myeloma is: a) Marrow plasmacytosis > 10% b) Lytic bone lesions c) Serum or urine 'M' component

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