{"id":1002,"date":"2025-07-09T09:35:23","date_gmt":"2025-07-09T09:35:23","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/fr\/?p=1002"},"modified":"2025-07-24T09:52:25","modified_gmt":"2025-07-24T09:52:25","slug":"vous-suspectez-un-myelome-parmi-les-propositions-suivantes-se-rapportant-a-cette-situation-cochez-celle-qui-est-exacte","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/fr\/question-bank\/vous-suspectez-un-myelome-parmi-les-propositions-suivantes-se-rapportant-a-cette-situation-cochez-celle-qui-est-exacte\/","title":{"rendered":"Vous suspectez un my\u00e9lome. Parmi les propositions suivantes se rapportant \u00e0 cette situation, cochez celle qui est exacte."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Un homme de 75 ans consulte pour l&#8217;exploration d&#8217;une anomalie de l&#8217;\u00e9lectrophor\u00e8se des prot\u00e9ines d\u00e9couvertes \u00e0 l&#8217;occasion de l&#8217;exploration d&#8217;une \u00e9l\u00e9vation de la vitesse de s\u00e9dimentation, au cours d&#8217;une prise de sang de surveillance simple. Il existe sur le trac\u00e9 une immunoglobuline monoclonale \u00e0 30 g\/l, avec la pr\u00e9sence de prot\u00e9inurie de Bence Jones dans les urines. <\/p>\n\n\n\n        <div class=\"simple-quiz\" id=\"sqt_1_7309_container\">\n            \n            <div class=\"quiz-options\">\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_7309_option_1\" \n                               name=\"sqt_1_7309_options\" \n                               value=\"1\">\n                        <label for=\"sqt_1_7309_option_1\">\n                            A. Il est n\u00e9cessaire de r\u00e9aliser des clich\u00e9s osseux \u00e0 la recherche de lacunes finement cercl\u00e9es \u00e9vocatrices de l\u00e9sions sp\u00e9cifiques                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_7309_option_2\" \n                               name=\"sqt_1_7309_options\" \n                               value=\"2\">\n                        <label for=\"sqt_1_7309_option_2\">\n                            B. Les crit\u00e8res SLiM CRAB permettent de d\u00e9finir le caract\u00e8re symptomatique du my\u00e9lome s&#039;ils sont pr\u00e9sents                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_7309_option_3\" \n                               name=\"sqt_1_7309_options\" \n                               value=\"3\">\n                        <label for=\"sqt_1_7309_option_3\">\n                            C. La scintigraphie osseuse est un examen de r\u00e9alisation simple qui permet d&#039;\u00e9valuer sur un seul document l&#039;ensemble des l\u00e9sions osseuses                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_7309_option_4\" \n                               name=\"sqt_1_7309_options\" \n                               value=\"4\">\n                        <label for=\"sqt_1_7309_option_4\">\n                            D. La d\u00e9couverte d&#039;une MGUS (monoclonal gammopathy of undetermined signifiance) impose la mise en route d&#039;une surveillance r\u00e9guli\u00e8re en raison du risque d&#039;\u00e9volution vers le my\u00e9lome de 10 % par an                        <\/label>\n                    <\/div>\n                                    <div class=\"quiz-option\">\n                        <input type=\"radio\" \n                               id=\"sqt_1_7309_option_5\" \n                               name=\"sqt_1_7309_options\" \n                               value=\"5\">\n                        <label for=\"sqt_1_7309_option_5\">\n                            E. L&#039;atteinte r\u00e9nale du my\u00e9lome est fr\u00e9quente (50 % des patients), et li\u00e9e \u00e0 la toxicit\u00e9 des cha\u00eenes lourdes d&#039;Ig monoclonales                        <\/label>\n                    <\/div>\n                            <\/div>\n            \n            <div class=\"quiz-toggle\">\n                <span class=\"quiz-cta\" \n                      role=\"button\" \n                      tabindex=\"0\" \n                      onclick=\"simpleQuizToggleResults('sqt_1_7309')\"\n                      onkeydown=\"if(event.key === 'Enter' || event.key === ' ') { simpleQuizToggleResults('sqt_1_7309'); event.preventDefault(); }\">\n                    V\u00e9rifier la r\u00e9ponse                <\/span>\n                \n                <div id=\"sqt_1_7309_results\" class=\"quiz-results\" aria-live=\"polite\">\n                    B. Les crit\u00e8res SLiM CRAB permettent de d\u00e9finir le caract\u00e8re symptomatique du my\u00e9lome s&#039;ils sont pr\u00e9sents. Ils ont \u00e9t\u00e9 rajout\u00e9s aux crit\u00e8res CRAB (hypercalc\u00e9mie &gt; 2,75 mmol\/l, insuffisance r\u00e9nale attribu\u00e9e au my\u00e9lome avec clairance  177 micromol\/l, an\u00e9mie &lt; 10 g\/dl, atteinte osseuse lytique visible sur les radios, le scanner conventionnel ou low dose, le TEP scanner).                <\/div>\n            <\/div>\n            \n        <\/div>\n        \n","protected":false},"excerpt":{"rendered":"<p>Un homme de 75 ans consulte pour l&#8217;exploration d&#8217;une anomalie de l&#8217;\u00e9lectrophor\u00e8se des prot\u00e9ines d\u00e9couvertes \u00e0 l&#8217;occasion de l&#8217;exploration d&#8217;une \u00e9l\u00e9vation de la vitesse de s\u00e9dimentation, au cours d&#8217;une prise de sang de surveillance simple. Il existe sur le trac\u00e9 une immunoglobuline monoclonale \u00e0 30 g\/l, avec la pr\u00e9sence de prot\u00e9inurie de Bence Jones dans [&hellip;]<\/p>\n","protected":false},"author":168,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"wp-custom-template-question-bank-individual-entry","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[4,16],"tags":[],"class_list":["post-1002","post","type-post","status-publish","format-standard","hentry","category-question-bank","category-rhumatology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vous suspectez un my\u00e9lome. 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