Question

a patient presents with low hgb, a monoclonal spike on their serum protein electrophoresis, bence jones proteins, and an inverted a/g ratio. what type of anemia would this be considered? a) factor deficiency b) depletion c) production - defect d) destruction

Explanation:

Multiple myeloma, which is a production - defect anemia, is characterized by low hemoglobin (Hgb), monoclonal spike on serum protein electrophoresis, Bence Jones proteins, and an inverted albumin/globulin (A/G) ratio. Factor deficiency anemia is related to lack of clotting factors. Depletion anemia is due to loss of blood components. Destruction anemia is due to increased red blood cell breakdown.

Answer:

c) Production - defect