<prompt> Not a feature of multiple myelomaHypercalcemiaAnemiaHyperviscosityElevated alkaline phosphatase  <response>: Answwe is option 4, elevated alkaline phosphatase. Alkaline phosphatase only increase if there is a bone fracture along with multiple myeloma Bone-specific ALP may increase in Pagets disease, osteosarcoma, bone metastases of prostatic cancer highvery high ALP values, other bone metastases, fractured bones, multiple myeloma only when associated with fractures, osteomalacia, rickets, vitamin D deficiency moderate rise, malignant tumors ALP originating from tumors, renal disease secondary hyperparathyroidism, and primary hypothyroidism 