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Play with cardiac markers

Quiz by Nada Sedky

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10 questions
Show answers
  • Q1
    1. The determination of serum ____________ CANNOT be useful for late diagnosis of Myocardial Infarction.
    Myoglobin
    Lactate dehydrogenase (LDH)
    Aspartate aminotransferase (AST)
    Troponin
    30s
  • Q2
    2. Which of the following enzymes serves as the best indicator of acute myocardial infarction?
    CK-MB isoenzyme
    CK-BB isoenzyme
    ALT
    AST
    30s
  • Q3
    3. An inverted Lactate dehydrogenase isoenzymes ratio where LD1:LD2 > 1 is very common of ______________.
    Liver disease
    Kidney disease
    Myocardial Infarction
    None of the above
    30s
  • Q4
    4. The elevation of High sensitivity C-reactive protein (hsCRP) _____________.
    has no association with the cardiovascular events
    None of the above
    puts the patient at high cardiovascular risk
    is protective to the heart
    30s
  • Q5
    5. A 56 year old female with a history of hypertension presents to the national heart institute complaining of chest pain that persisted for long time on the day before her admission. She describes her chest pain as very harsh and radiating to the left arm, with shortness of breath and diaphoresis (sweating). Her ECG and laboratory diagnosis pointed to myocardial infarction. Which of the following laboratory results is expected on her admission?
    Normal myoglobin, normal troponin I, and elevated CK-MB
    Elevated myoglobin, elevated troponin I, and elevated CK-MB
    Normal myoglobin, elevated troponin I, and elevated CK-MB
    Elevated myoglobin, normal troponin I, and normal CK-MB
    30s
  • Q6
    6. A 48 year old male with a history of hypertension and high cholesterol presents to the emergency department with chest pains for 60 minutes. He describes a substernal chest pressure “like an elephant on my chest” associated with shortness of breath and diaphoresis (sweating). His ECG shows ST elevations consistent with myocardial infarction. Which of the following laboratory results would be expected?
    Elevated myoglobin, normal troponin I, and normal CK-MB
    Elevated myoglobin, elevated troponin I, and elevated CK-MB
    Normal myoglobin, normal troponin I, and elevated CK-MB
    Normal myoglobin, elevated troponin I, and normal CK-MB
    30s
  • Q7
    7. CK-MB2/CK-MB1 ratio is normally__________.
    higher than 1
    less than 1
    between 1 and 2
    higher than 2
    30s
  • Q8
    8. ________ is detectable in serum five days after onset of chest pain in myocardial infarction patient.
    Cardiac troponin
    Total Creatine Kinase (CK)
    Myoglobin
    Creatine Kinase (CK-MB) isoenzyme
    30s
  • Q9
    9. Serum Aspartate Transaminase (AST) is increased markedly in__________.
    Circulatory failure with “shock” & “hypoxia”
    Renal infarction
    Malignancy of any tissue
    Skeletal muscle disease
    30s
  • Q10
    10. Which cardiac marker is elevated first?
    AST
    LDH
    CK-MB
    Troponin I
    30s

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