A 60 year old black male presents with bone pain, specifically in his back and his ribs


Question Number 0839
Question:
A 60 year old black male presents with bone pain, specifically in his back and his ribs.. On physical examination, he is found to be pale and have bone tenderness. Laboratory tests are done, including a CBC with differential His hematocrit is 30. Rouleaux is seen. He has an elevated sedimentation rate. Protein electrophoresis shows a monoclonal spike in the beta region. He has a white blood count of 10,000/ cu mm and no abnormalities are seen with white blood cells. On peripheral smear, no Auer rods are visualized. He is negative for Philadelphia chromosome. Which of the following is most likely?
a) multiple myeloma
b) acute myelogenous leukemia
c) chronic lymphoblastic leukemia
d) chronic myelogenous leukemia
e) hairy cell leukemia


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