Monoclonal Gammopathy of Renal Significance (MGRS) 1 / 3 Which of the following is the most appropriate next step? Start high-dose corticosteroids Perform kidney biopsy Begin plasmapheresis Increase ACE inhibitor dose 2 / 3 The kidney biopsy in this patient shows membranoproliferative glomerulonephritis with monoclonal IgM kappa deposits. What is the most appropriate treatment? High-dose corticosteroids alone Treatment of the underlying CLL Rituximab monotherapy Conservative management only 3 / 3 Which laboratory finding is most helpful in monitoring treatment response in MGRS? Serum creatinine Proteinuria Serum free light chain levels Complete Blood Count Your score isThe average score is 57% By Wordpress Quiz plugin