This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Lymphoma and Plasma cell disorder, Subject name: Medicine
[{'content': 'Maximum ESR is seen in? \nSelect and explain. \nA. CHF, B. Polycythemia vera, C. Multiple myeloma, D. Sickle cell anemia', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Markedly elevated E.S.R (>100/hr) Moderate elevation of E.S.R Low ESR Monoclonal blood protein disorders such as multiple myeloma. Temporal aeritis Polymyalgia rheumatica SLE Active inflammatory disease- rheumatoid ahritis Chronic infections, collagen disease and neoplastic diseases. Neoplastic disease. Sickle cell anemia Polycythemia vera ESR =0 in Afibrinogenemia/ Agammaglobulinemia / Extreme Polycythaemia (Hct > 65%).', 'role': 'assistant'}]