Plasma cell disorders Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 61 year-old man presents to his outpatient provider’s office for a health maintenance visit. Apart from mild lower back and right knee pain that worsens with movement and improves with ibuprofen, the patient reports feeling well. Past medical history is notable for hypertension. His body-mass index (BMI) is 31 kg/m2. Physical exam reveals limited range of motion and crepitus in the right knee. There is no tenderness to palpation along the patient’s spine. Laboratory testing results are as follows:  

 Laboratory value  Result  Reference Range 
 Hemoglobin  15.1 g/dL  13.5-17.5 g/dL 
 Leukocyte count  4800/mm3  4,500-11,000/mm3 
 Creatinine  0.9 mg/dL  0.6-1.2 mg/dL 
 Calcium  9.1 mg/dL  8.4-10.2 mg/dL 
 Aspartate aminotransferase (AST)  17 U/L  8-40 U/L 
 Alanine aminotransferase (ALT)  12 U/L  8-40 U/L 
   
Plasma protein electrophoresis reveals an elevated monoclonal immunoglobulin count. In addition to informing the patient of these findings, which of the following is the patient at risk of developing? 

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