Hematology -Oncology Q14

A 67-year-old woman undergoes follow-up evaluation for an elevated globulin fraction of total serum protein level. She has no symptoms. Medical history is notable for hypertension treated with hydrochlorothiazide and atorvastatin. On physical examination, vital signs are normal. No lymphadenopathy or hepatosplenomegaly is noted. Serum protein electrophoresis and immunofixation show an IgG monoclonal spike of 0.7 g/dL. Serum free light chain assay and 24-hour urine protein electrophoresis are normal. Skeletal survey shows no lytic lesions.

Which of the following is the most appropriate management?

A Kidney biopsy

B MRI of the cervical, thoracic, and lumbar spine

C Repeat laboratory studies in 6 months

D Serum β2-microglobulin I measurement

Choose an Answer Above

Have your answer...click Next Page to see if you're right.

Powered ByCareerCast