Which Monoclonal Gammopathy Occurs in the Sixth to Eighth Decade

question 27

Multiple Choice

Which monoclonal gammopathy occurs in the sixth to eighth decade of life and is characterized by the presence of an M-spike with IgG < 3.5 g/dL, IgA < 20 g/dL, urinary light chains < 1.0 g/24 hr, and < 10% plasma cells in the bone marrow?

• A) Multiple myeloma
• B) Waldenström's macroglobulinemia
• C) Solitary plasmacytoma
• D) Monoclonal gammopathy of undetermined significance
• E) None of the above

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Definitions:

Nonslaveowning Farmers

Agricultural workers or landowners who did not own slaves, common in 19th century America, particularly in the North and among smaller farms in the South.

Yeoman Farmer

An independent farmer who generally owned and worked a small plot of land, significant in American folklore as an embodiment of self-reliance and democratic ideals.

Cotton

A natural fiber obtained from the seeds of the cotton plant, widely used in textile manufacturing.

Cash Crop

A crop grown for the purpose of being sold on the market to generate profit rather than for the farmer's own use or consumption.