HY USMLE Q #863 – Musculoskeletal

A 54-year-old woman comes to the physician for a 1-month history of worsening pedal edema. She has a 6-month history of back pain. MCV is 108 fL. Serum calcium is 10.4 mEq/L.

Which of the following is the next best step in diagnosis?

  Blood smear
  Bone marrow biopsy
  Flow cytometry
  Serum protein electrophoresis
  Urinalysis