This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'True about Multiple myeloma are all Except: \nSelect and explain. \nA. Bence Jones protein in urine, B. Hypogammaglobulinemia, C. Amyloidosis, D. Plasmacytosis < 10%', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answer is D (Plasmacytosis < 10%) Multiple myeloma is characteristically associated with Plasmacytosis >10%. Multiple myeloma may be associated with both Hypogammaglobulinemia and Hypergammaglobulinemia. Electrophoresis Pattern in Multiple Myeloma Monoclonal Hypergammaglobulinemia (M spike) This is the characteristic electrophoresis pattern in Myeloma Hypogammaglobulinemia About 10-20% of multiple myeloma patients present with Hypogammaglobulinemia on electrophoresis. This configuration is suggestive of light chain variant of multiple myeloma in which Bence Jones proteins are excreted into urine without a serum myeloma protein being evident with routine electrophoresis techniques. `Multiple Myeloma results in hypergammaglobulinemia of a specific class of immunoglobulins. Hypogammaglobulinemia also justifies a search for myeloma especially for the possibility of light chain disease. ' Multiple Myeloma may be with Bence Jones Proteins, Amyloidosis & Renal failure", 'role': 'assistant'}]