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Question

Multiple myeloma can cause proximal tubular injury due to light chain deposition in the tubular epithelium causing acquired Fanconi Syndrome. Which of the following are characteristic findings in this condition?

1. Little/no proteinuria

2. Aminoaciduria

3. Phosphaturia

4. Glycosuria

Select the correct answer using the code given below:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

2, 3 and 4

Acquired Fanconi syndrome from light chain proximal tubulopathy impairs reabsorption of amino acids, phosphate and glucose, producing aminoaciduria, phosphaturia and glycosuria despite normal serum glucose (2, 3 and 4). Proteinuria is present (tubular, light-chain type) rather than absent, so statement 1 is incorrect.

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