Investigations Flashcards

1
Q

Antibodies associated with autoimmune hepatitis

A

IgG

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2
Q

Antibodies associated with primary billiary cirrhosis/cholangitis

A

IgM

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3
Q

Antibodies associated with coeliac disease

A

Anti-tissue transglutaminase antibodies (IgA), IgA anti-endomysial antibody (IgA), anti-deamidated gliadin peptides (IgG)

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4
Q

Antibodies associated with Goodpasture’s syndrome

A

Anti-glomerular basement membrane antibodies against type 4 collagen found within glomerular and alveolar basement membranes

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5
Q

Antibodies associated with Granulomatosis with polyangiitis (Wegener’s)

A

cANCA (Cytoplasmic anti-neutrophil cytoplasmic antibodies)

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6
Q

Antibodies associated with eosinophilia granulomatosis with polyangitis (Churg-Strauss )

A

pANCA +ve and have raised IgE levels
Peri-nuclear anti-neutrophil cytoplasmic antibodies

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7
Q

Antibodies associated with SLE

A

Anti-dsDNA, Anti-sm, ANA
(Antinuclear antibody, double-stranded DNA and anti-smith antibody are more specific)
For drug induced SLE: Anti histone

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8
Q

Antibodies associated with RA

A

Rheumatoid factor, anti Anti-Cyclic Citrullinated Peptide (anti-CCP) is more specific

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9
Q

Antibodies associated with Sjogren’s Syndrome

A

Anti-Ro, Anti-La
RF,ANA

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10
Q

haemophilia A

A

APTT is elevated with a normal INR, normal FBC, bleeding time and platelet count

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11
Q

Viral hepatitis

A

elevated INR
. Viral hepatitis may result in liver impairment. Liver impairment leads to reduced production of vitamin K, essential for the synthesis of some clotting factors (factors II, VII, IX and X). INR is prolonged when there is a deficiency of one or more of these clotting factors.

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12
Q

Key abnormal blood test in pagets disease

A

raised ALP

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13
Q

Antibodies associated with autoimmune hepatitis

A

anti smooth muscle antibodies IgG

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14
Q

Antibodies associated with primary biliary cirrhosis

A

Antimitochondrial IgM

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15
Q

ANA

A

SLE
Sjogren’s syndrome
diffuse cutaneous systemic sclerosis
limited cutaneous systemic sclerosis

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16
Q

Causes of raised alkaline phosphatase (ALP)

A

liver: cholestasis, hepatitis, fatty liver, neoplasia
Paget’s
osteomalacia
bone metastases
hyperparathyroidism
renal failure
physiological: pregnancy, growing children, healing fractures

17
Q

Raised ALP and raised calcium

A

Bone metastases
Hyperparathyroidism

18
Q

Raised ALP and low calcium

A

Osteomalacia
Renal failure

19
Q

Causes of raised AFP

A

Hepatocellular carcinoma
Liver metastasis
Neural tube defects
Germ cell tumours