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Kaplan Qbank USMLE



Author6 Posts
  #1

b2 microglobulin

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  #2

multiple myeloma -- AL light chains

chronic inf -- amyloid associated protei

alzeimers - Abeta from Amyoid precursor proten


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If you think you can You can! If you think you cant you are right again!!

  #3

also, Familial amyloidosis and senile cardiac amyloidosis- transthyretin/ prealbumin

  #4

yes b2 microglobulin

u guys re right


  #5

dialysis for a long period - amyloid is B2 microglobulin

  #6

here for review

The correct answer is C. Amyloid deposits appear similar by light and electron microscopy, but actually represent a heterogeneous population of proteins that have a common tertiary structure forming a beta-pleated sheet. Questions about the type of amyloid seen in different disease states (even though the type is usually not determined clinically) are favorites on examinations. Here are two tables to help you out:


Systemic amyloidosis: Chronic active disease AA amyloid from serum amyloid- associated (SAA) protein from liver (choice A)

Myelomas and related diseases AL amyloid from immunoglobulin light chain (choice B)

Chronic hemodialysis Beta2 microglobulin (related to high plasma levels) (choice C)

Nephropathic hereditary forms (familial Mediterranean fever): AA amyloid from SAA (choice A)

Cardiomyopathic hereditary forms (senile systemic amyloidosis) :Prealbumin/transthyretin (choice E)

Neuropathic hereditary syndromes :Prealbumin/transthyretin (choice E)



Localized amyloidosis:

Senile cardiac amyloidosis: Atrial natriuretic peptide-related fibrils

Cerebral amyloid in Alzheimer disease, Down syndrome: Cerebral amyloid in Alzheimer disease, Down syndrome

Medullary carcinoma of thyroid: Calcitonin precursors (choice D)

Isolated, massive, nodular deposits (skin, lung, urogenital tract): AL from light chains (choice B)


Edited by robin082006 on 01/14/06 - 08:46 AM

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