EMQ: enzymes, chemistry Flashcards
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is increased in a patient with Paget’s disease of the bone?
ALP
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is increased in a patient with osteomalacia?
ALP
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is increased in a patient following an acute myocardial infarction?
AST
Increased osteoblast activity
Increased osteoclast activity
The former will increase osteocalcin production. As well as….
ALP
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is raised in Addison’s disease?
Potassium
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one of the above is most increased in a patient with jaundice caused by a gallstone?
ALP
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is most increased in a patient with jaundice caused by viral hepatitis?
ALT
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is most increased in a patient with jaundice caused by chronic alcoholic cirrhosis?
AST
Acid phosphatase
Alanine aminotransferase (ALT)
alkaline phosphatase
Aspartate amino transferase (AST)
Calcium
Cholesterol
Creatinine
Fructosamine
Glucose
HBA1c
potassium
sodium
Triglyceride
urea
vitamin D
Which one is most increased in a patient with prostatic carcinoma?
Acid phosphatase (PSA)
What investigations are useful to make the diagnosis in Pagets disease?
Bloods
X ray
What does this show?
Disorgansied bone remodelling (femur)
Looser’s zones
-> PAGET’S DISEASE
What is this?
T-99 bisphosphonate scan showing increased uptake in the humerus
What are T-99 scans used for normally?
Normally used to see bone turnover in cancer patients to look for bony metastases
What can T-99 scans be used for in endocrinology?
Thyroid scan (T-99 is a label)
What condition is this?
Grave’s Disease