HY USMLE Q #1412 – Pathology

A 56-year-old woman comes to the physician for a follow-up appointment. She has no past medical history except for mild dyslipidemia for which she takes a low-dose statin. A routine blood analysis 6 months ago showed an elevated MCV. Urinalysis showed microscopic proteinuria. A serum study of from the patient today is shown.

Which of the following is most likely to be seen in this patient?

A) Apple green birefringence with Congo red stain on renal biopsy
B) Circular aggregates of hyaline
C) Hypocalcemia
D) Increased hemoglobin A2
E) Psammoma bodies