A	AFP	I	GGT
B	Glucose-6-phosphate dehydrogenase	J	Adenosine Deaminase
C	ALP	K	Myoglobin
E	Amylase	M	Troponin C
F	AST
G	CA-125
H	CA 19-9

 

 

1.      A 58 year old man comes into clinic saying that he has been losing weight. He has a 30 pack year history and is jaundiced. On examination the gallbladder is palpable and the abdomen is non-tender. Which tumour marker is likely to be raised based on your findings?

 

2.     A 2-month-old boy presents with his mother who complains that he always seems to be unwell. His height and weight were below the third centile. Subsequent immunological investigations are suggestive of severe combined immunodeficiency. This disorder is frequently caused by a deficiency in which enzyme?

 

3.     A 43 year old banker presents to A + E with severe epigastric pain radiating to his back and vomiting. His breath smells of alcohol (and vomit). What enzyme would you expect to be raised?

 

4.     A 28 year old woman in her third trimester of her first pregnancy has an antenatal clinic appointment. What enzyme would you expect to be raised?

 

5.     A patient has Heinz bodies on their blood film. What enzyme is likely to be deficient?

 

 

 

 

Answers

1.      A

2.      J

3.      E

4.      C

5.      B