Name: Teratai Edithy Pahamin

Theme:Enzymology

OPTION LIST

A	AFP	I	CK MM
B	AST	J	LDH
C	ALP	K	PSA
D	ALT	L	Troponin T
E	Bilirubin	M
F	CEA	N
G	CK BB	O
H	CK MB	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 years old man presents with a 2 hours history of dull pain radiating down his left arm. However, his ECG appears normal.

2. A 60 years old alcoholic man presented in A&E with worsening ascites, weight loss, fever and an ache in the right hypochondrium. He is also a known HBV carrier.

3. An 80 years old man presents with chest pain on the left side, worse on palpation. A bone scan reveals osteosclerotic lesions in the ribs.

4. A 28 years old woman with a past history of a hydatidiform mole complains of chest pain, SOB and weight loss.

5. A 45 years old housewife was woken up at four in the morning by severe pain in the right upper abdomen and below the right shoulder blade. Since then she has vomited twice and been feeling hot and sweaty. Lab results came back as high bilirubin alongside one other marker.

ANSWERS

1. L

2. A

3. K

4. F

5. C