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: Surgery
All are seen in multiple myeloma EXCEPT: 
Select and explain. 
A. Visual disturbance, B. Bleeding tendency, C. Proteinuria, D. Dystrophic calcification
D: Dystrophic calcification
Answer: D: Dystrophic calcification 
Explanation: Dystrophic calcification REF: Harrison's 17th ed p. 702 CLINICAL FEATURES OF MULTIPLE MYELOMA: Increase in number of osteoclasts due to proliferation of plasma cells * * * * * Lytic lesions Bone pains Pathological fractures Cord compression Hypercalcemia leading to metastatic calcification and osteoporosis Suppression of hematopoietic cells * Normochromic normocytic anemia Increase abnormal immunoglobulin * Precipitation in kidney causing kidney damage, hence jones proteinuria, leading to renal failure. * Amyloidosis may occur Ineffective defense against infections * Recurrent infections Interference with clotting factors , amyloid damage of endothelium * Bleeding tendency Hyperviscosity * Neurological manifestations * Veigo , tinnitus * Headache * Visual disturbance