Pathology EMQ template.

Name: Payal Dube

Theme: Enzymology

 

OPTION LIST

 

A	21-hydroxylase	I	Lactate dehydrogenase
B	Alanine aminotransferase	J	Lipase
C	Alkaline phosphatase	K	Troponin
D	Amylase	L
E	Aspartate transaminase	M
F	CK-BB	N
G	CK-MB	O
H	CK-MM	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. Elevated levels of this enzyme are seen in thrombotic thrombocytopenic purpura.

 

 

2. A 45-year-old man has been suffering from vomiting and severe upper abdominal and back pain for the past 24 hours. Which enzyme is most likely to be tested for to confirm the diagnosis at this stage?

 

 

3. A 40-year-old lady presents with pruritus and is positive for antimitochondrial antibodies. Which enzyme is most likely to be elevated?

 

 

4. A marker of cardiac myocyte death that has little prognostic value.

 

 

5. A genetically female child is born with ambiguous genitalia due to prenatal virilisation. Which enzyme is likely to be deficient?

 

 

 

ANSWERS

1. I

2. D

3. C

4. G

5. A