Pathology EMQ template.

Name: Carolina Fernandez

Candidate number:

Theme: Enzymology

 

OPTION LIST

 

A

GGT

I

Insulin

B

Calcium

J

CKMB

C

TSH

K

AST

D

LDH

L

Amylase

E

Alk phos

M

 

F

Troponin

N

 

G

Glucagon

O

 

H

PSA

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. 71 year old man has a 3 month history of severe back pain. On further questioning he has also experienced urinary frequency, dysuria, nocturia and has lost 6kg in the past 7 months. What enzyme would you expect to find elevated in this patient?

 

2. Which enzyme rapidly rises post myocardial infarction but then rapidly declines and is a useful marker of reinfarction?

 

3. A 61 year old male with deep bone pain presents to his GP. His wife mentions that he is getting progressively deaf and his favourite hat is too small. What would you expect to find elevated?

 

4. Which enzyme would you expect to see decline late in chronic pancreatitis?

 

5. A 19 year old African boy presented with cervical lymph nodes, 3 month history of night sweats and a 3kg weight loss. Lymph node biopsy showed the presence of Reed-Sternberg cells loss. Following chemotherapy which enzyme would you expect to be elevated?

 

 

 

 

 

ANSWERS

1. E

2. J

3. E

4. L

5. D