Question 40

40.   Your patient is a 56 year old that presents with low back pain, a calcium of elevated at 13, weight loss, a high creatinine, protein in the urine, and multiple unexplained back fractures.  Which of the following is the most likely diagnosis?

A.  Osteoporosis
B.  Osteopenia
C.  Hyperparathyroidism
D.  Multiple myeloma