KROK 1 2009 – Question 38 · KROK (Medicine) · Biological Chemistry
A patient complains about dyspnea provoked by the physical activity. Clinical examination revealed anaemia and presence of the paraprotein in the zone of gamma-globulins. To confirm the myeloma diagnosis it is necessary to determine the following index in the patient’s urine:
- A. Antitrypsin
- B. Bilirubin
- C. Ceruloplasmin
- D. Haemoglobin
- E. Bence Jones protein
Hint
Consider which urinary finding links the monoclonal gammopathy seen in the blood with the kidney's handling of its product.
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