HY USMLE Q #1360 – Pathology

A 66 year-old man comes to the physician for a follow-up appointment. He recently finished a 2nd course of chemotherapy for metastatic malignancy. Serum calcium is 10.8 mg/dL. Hemoglobin is 18 g/dL. A biopsy is performed and shows large, clear cells. Which of the following is most likely to be part of this patient’s presentation?

  Decreased erythropoietin
  Elevated parathyroid hormone
  Hematuria
  Hemoptysis
  Seizure activity