need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 17 Answers

nbme17/Block 1/Question#23 (reveal difficulty score)
A 60-year-old man comes to the physician for ...
Surface kappa:surface lambda ratio ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pathoma repeat

 Login (or register) to see more


 +13  upvote downvote
submitted by โˆ—bingcentipede(356)
get full access to all contentpick a username

Not in First Aid, but Drs. Sattar and Goljaan emphasize this point

In B-cell neoplasms (lymphoma, MM), the ratio of immunoglobulins is thrown off. Kappa and lambda refer to the Ig light chain genotypes, and is normally 2-3:1 for kappa to lambda. Here, it's almost 16:1, and this is a huge sign that there is a monoclonal proliferation of one cell type.

The other answer choices could refer to polyclonal proliferations, but a (mono)clonal neoplasm would be reflected in the surface k:l ratio as well as the G6PD isoforms for androgen receptors.

get full access to all contentpick a username
dermgirl  Pathoma 2019- page.23 +2



Must-See Comments from nbme17

cassdawg on Membrane lipid peroxidation
cassdawg on Haemophilus influenzae type b
cassdawg on Pelvic Splanchnic
cassdawg on Actinic keratosis
cassdawg on Early septic shock
cassdawg on Epinephrine
flapjacks on Placebo effect
cassdawg on 0.9% Saline
waitingonprometric on Tubular adenoma
bingcentipede on Surface kappa:surface lambda ratio
cassdawg on Free T4
tinyhorse on 25%
cassdawg on Absence of functional LDL receptors in ...
bingcentipede on Residual volume: โ†‘; Arterial PO2: โ†“; ...

search for anything NEW!