Pathology EMQ template.

Name: Sandeep Dubb

Theme: Elevated Enzymes

 

OPTION LIST

 

A	AFP	I	G6-DP
B	Albumin	J	MK-CB
C	ALP (Bone isoenzyme)	K	Myoglobin
D	ALP (Liver isoenzyme)	L	PSA
E	Amylase	M	Troponin T
F	AST	N
G	CK	O
H	GGT	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 20 year old woman has been involved in a car accident. Together the fire service and paramedics have been trying to release her for the past hour. She is beginning to feel nauseous and is retching. Which enzyme would you expect to be elevated?

 

 

2. A 50 year old gentleman has just undergone an ERCP for suspected gallstones. A few hours post intervention he is heard by nurses screaming with agony in the ward. Which enzyme would you expect to be elevated?

 

 

3. A 85 year old gentleman presents to his GP with back pain. He has also mentioned that recently he has had a poor stream when passing urine and terminal dribbling. Which enzyme would you expect to be elevated?

 

 

4. A 45 year old know diabetic gentleman is experiencing slight breathlessness and a feeling that something is not quite right. Although non-specific, which enzyme would you expect to be raised?

 

 

5. A 70 year old gentleman is admitting for a suspected fracture of his tibia. He has also been complaining of a deep boring pain within his bones for a long time. The X-ray reveal localised enlargement of the bone in various places. Which enzyme would you expect to be raised?

 

 

 

ANSWERS

1. G

2. E

3. L

4. K

5. C