This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Haematology, Subject name: Pathology
[{'content': 'Not a feature of multiple myeloma \nSelect and explain. \nA. Hypercalcemia, B. Anemia, C. Hyperviscosity, D. Elevated alkaline phosphatase', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answwe is option 4, elevated alkaline phosphatase. Alkaline phosphatase only increase if there is a bone fracture along with multiple myeloma Bone-specific ALP may increase in Paget's disease, osteosarcoma, bone metastases of prostatic cancer (high/very high ALP values), other bone metastases, fractured bones, multiple myeloma (only when associated with fractures), osteomalacia, rickets, vitamin D deficiency (moderate rise), malignant tumors (ALP originating from tumors), renal disease (secondary hyperparathyroidism), and primary hypothyroidism", 'role': 'assistant'}]