Question 133 · LEK · Glomerular diseases
A 72-year-old woman in the 4th stage of chronic kidney disease and with severe back pain was admitted to the department of nephrology with the suspicion of monoclonal immunoglobulin deposition disease in the course of multiple myeloma. Indicate the examinations that allow to confirm the diagnosis:
1) presence of plasmocytes in the bone marrow > 10%;
2) nephrotic proteinuria;
3) presence of monoclonal immunoglobulins in the serum and in the urine;
4) haematuria;
5) deposits of light or heavy immunoglobulin chains in the kidney glomeruli.
The correct answer is:
2) nephrotic proteinuria;
3) presence of monoclonal immunoglobulins in the serum and in the urine;
4) haematuria;
5) deposits of light or heavy immunoglobulin chains in the kidney glomeruli.
The correct answer is:
- A. 1,2,5.
- B. 1,2,4.
- C. 1,3,5.
- D. 1,3,4.
- E. 2,4,5.
Hint
Choose findings that prove a clonal plasma cell disorder and the monoclonal protein deposited in the kidney, not nonspecific urinary findings.
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