Pathology EMQ template.

Name:

Candidate number:

Theme: Enzymology

 

OPTION LIST

 

A	Pyruvate kinase	I	Aspartate Amino-transferase
B	Creatine kinase	J	Glucose-6-phosphate dehydrogenase
C	Amylase	K
D	Alkaline Phosphatase	L
E	Alanine Amino-transferase	M
F	Lactate dehydrogenase	N
G	Acetylcholinesterase	O
H	Catalase	P

 

 

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 14 year old Iranian Boy presents with jaundice and anaemia. Blood films shows bite cells, blister cells and Heinz bodies. What enzyme is deficient?

 

 

2. A 60 year old inebriated man presents to A + E with severe epigastric pain radiating through to his back. What enzyme would you expect to be raised?

 

 

3. 70 year old women was found slumped on her floor by her neighbour. She was known to have been there for 2 days. What enzyme would you expect to be raised?

 

 

4. A one month old baby presents with jaundice and splenomegaly. What enzyme is most likely to be deficient?

 

 

5. A 25 year old man presents with a purple rash around the eyes and a raised red rash on his elbows and knees. What enzyme would you expect to be raised?

 

 

 

ANSWERS

1. J

2. C

3. B

4. A

5. B