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6615 Surgery

A 75-year-old man has complained of lower back pain for years. As pa of a investigation for a persistently elevated lymphocytosis, he had a right posterior iliac crest biopsy performed. Hematopoiesis is normal, but the bone spicules are thickened with irregular cement lines forming a mosaic appearance with both increased osteoblastic and osteoclastic activity. Which of the following conditions is most likely to occur in conjunction with this disease process?

ADementia
BMyelofibrosis
CHepatic cirrhosis
DCongestive Cardiac Failure
Surgery
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