Pathology EMQ template.

Name: Rajinder Singh Dhaliwal

Theme: Enzymology

 

OPTION LIST

 

A	NADPH Oxidase	I	Creatine Kinase-MB
B	Gamma-glutamyl transferase	J
C	Amylase	K
D	Alkaline Phosphatase	L
E	Catalase	M
F	Aspartate aminotransferase	N
G	Cardiac Troponin	O
H	Acid Phosphatase	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 56 year old woman presents with hearing loss and pelvic pain. Which enzyme would you expect to be raised under these conditions?  

 

 

2. Which enzyme would you expect to be elevated in a heavy drinker?  

 

 

3. A 65 year old man presents to A&E complaining of a sudden onset of upper abdominal pain. On examination, you notice a bluish discoloration around the umbilicus. What enzyme could be used to help establish a diagnosis?

 

 

4. An 78 year old man presents to his GP complaining of pain of urination and a recent onset of back pain. Which enzyme may be raised in this man? 

 

 

5. Which enzyme is typically raised hours after an MI?

 

 

 

ANSWERS

1. D

2. B

3. C

4. H

5. I