Pathology EMQ template.
Name:
Candidate number:
Theme: Enzymology
OPTION LIST
|
A |
Gamma-glutamyl transferase |
I |
Porphobilinogen deaminase |
|
B |
Aspartate-amino transferase |
J |
|
|
C |
Alanine-amino transferase |
K |
Medium chain AcylCoA dehydrogenase |
|
D |
Alkaline phosphastase |
L |
Galactose-1-phoshate uridyl transferase |
|
E |
Lactate dehydrogenase |
M |
Phenylalanine hydroxylase |
|
F |
Creatinine kinase |
N |
Cholinesterase |
|
G |
Amylase |
O |
Cystathionine beta synthase deficiency |
|
H |
ALA dehydratase |
P |
Ornithine transcarbamylase deficiency |
For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.
1. A fit and well 25 year old woman who is in the third trimester of her first pregnancy has a routine ANC appointment. What enzyme would you expect to be raised?
2. Jack is aged 2 years and 2 months and is brought in for a health review. His mother has noticed sores on his lips and tongue and says sand like crystals are present when changing his nappy. He was only able to sit up at 12 months and cannot crawl or walk yet. Which enzyme is he deficient in?
3. A 45 year old banker has just had a cholecystectomy. You are the F1 who comes to see him post recovery. The anaesthetist explains that the patient required prolonged intubation and mentions the term ‘scoline apnoea’. Which enzyme is this patient deficient in?
4. An 18 year old girl is complaining of passing large amounts of urine 10 times a day. She feels tired, has noticed her jeans becoming loose and feels thirsty all the time. Which enzyme would you expect to be raised?
5. This enzyme is raised in patients taking phenytoin.
ANSWERS
|
1. D |
2. J |
3. N |
4. G |
5. A |