KROK 1 2016 – Question 27 · KROK (Medicine) · Biological Chemistry

A patient consulted a doctor with complaints of dyspnea occurring after physical exertion. Physical examination revealed anemia, paraprotein was detected among gamma globulins. What value should be determined in the patient’s urine to confirm the diagnosis of myeloma?

  1. A. Antitrypsin
  2. B. Hemoglobin
  3. C. Bence Jones protein
  4. D. Ceruloplasmin
  5. E. Bilirubin
Hint

Think about what a monoclonal plasma-cell clone overproduces that is small enough to pass through the glomerular filter into the urine.

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