All are true for multiple myeloma except -: (A) Hypercalcemia, (B) Hyperuricemia, (C) Serum alkaline phosphatase, (D) Monoclonal M band
Answer is C. In multiple myeloma ,hypercalcaemia is due to destruction of bones; hyperuricaemia from necrosis of tumour mass & from uraemia related to renal failure . On serum electrophoresis ,the paraprotein usually appears as a single narrow homogeneous M-band component .Reference :Harsh mohan Textbook of pathology sixth edition pg no 383.