Cardiac markers

Answer 1

Troponin can remain elevated for a long time following infarction

Question 2

Troponin, CK-MB and myoglobin

Question 3

What causes tea-staining urine?

Answer 3

Myoglobulin break down

Question 4

Would you find blood in rhabdomylosis?

Answer 4

No, but it can be mildly raised

Question 5

What enzyme is raised in rhabdomyolosis?

Answer 5

CK-MM

Question 6

What enzyme is suggestive of obstructive jaundice?

Answer 6

ALP

Question 7

Air conduction louder than bone conduction with raised ALP

Answer 7

Sensorineural ???

Question 8

Abdo pain - ALP, AST, ALT, GGT raised - cause?

Answer 8

Alcoholic hepatitis

Question 9

What does GGT suggest?

Answer 9

GGT - indicator of recent alcohol intake

Question 10

How can you distinguish between viral vs alcoholic hepatitis?

Answer 10

If AST is higher than ALT, this suggests ALCOHOLIC hepatitis (S for smirnoff/Stella)

If ALT is higher than AST, it suggests viraL hepatitis

Answer 11

CA 12 5 -ovarian
CA 19-9 - pancreatitic or cholangiocarcinoma
PSA - prostate
CEA
AFP - liver

Question 12

What is the other differential for gout?

Answer 12

Pseudo-gout

Question 13

Gout vs pseudogout - crystals

Answer 13

Monosodium urate crystals - GOUT
Calcium pyrophosphate dihydrate crystals - pseudogout

Question 14

What are the crystal refringence for gout vs pseudogout?

Answer 14

Gout - negative birefringence, needle shaped
Pseudogout - rhomboid shaped - positive shaped