<prompt> In multiple myeloma following are seen except:Anion gap raisedLytic bone lesionPolyaicular painM spike present with polyaiculopathy  <response>: Answer is A Anion Gap Raised Multiple Myeloma is associaitd with decreased Anion Gap. Hypoalbuminemia Multiple Myeloma and other paraproteinemic states like Waldenstorms macroglobulinemia Lithium intoxication Bromide intoxication Decreased Anion Gap is rare uncommon and occurs due to accumulation of positively charged unmeasured cations which lower the anion gap This is impoant as it may mask a significant anion gap acidosis. 