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myocardial infraction
1. Board Review Question: The presence of increased
CK-MB activity on a CK electrophoresis pattern is most
likely found in a patient suffering from
severe head injury
myocardial infraction
acute muscular stress following strenuous exercise
malignant liver disease
A. Lactate dehydrogenase
2. Which of the following enzyme tests is most affected
by hemolysis?
A. Lactate dehydrogenase
B. Creatine kinase
C. Alkaline phosphatase
D. Gamma glutamyl transferase
D. Muscular dystrophy
3. An elevated creatine kinase and normal myoglobin is
indicative of which of the following conditions?
A. Rhabdomyolysis
B. Myocardial infarction
C. Cerebral vascular accident
D. Muscular dystrophy
C. ALP
4. Which of the following enzyme assays monitors a
change in absorbance at 405 nm?
A. ALT
B. AST
C. ALP
D. CK
C. PSA
5. Prostatic acid phosphatase measurement has been
replaced by the measurement of what tumor marker?
A. HCG
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B. AFP
C. PSA
D. CEA
6. When a myocardial infarction occurs, what is the first C. CK
enzyme to reach peak elevation?
A. AST
B. LD
C. CK
D. Troponin
7. What is the primary tissue source of creatine kinase in D. Skeletal muscle
normal, healthy individuals?
A. Liver
B. Heart muscle
C. Brain
D. Skeletal muscle
8. The following enzyme results correlate with which of belonging to
the following liver disorders? which
AST 1752 (5-35 U/L) enzyme
ALT 1659 (7-45 U/L) class?
ALK 450 (45-100 U/L)
GGT 225 (5-50 U/L)
A. Acute viral hepatitis
B. Alcoholic liver disease
C. Liver cirrhosis
D. Acute biliary obstruction
9. Enzymes that catalyze the transfer of groups other
than hydrogen between compounds are classified as
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A. Acute viral hepatitis
Transferases
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Hydrolases likely
Lyases explanation
Oxidoreductases for these
Transferases results?
10. Which of the following 2-hour post-prandial test re-
sults indicates impaired glucose tolerance?
A. 126 mg/dL
B. 140 mg/dL
C. 200 mg/dL
D. 220 mg/dL
11. A serum specimen for glucose measurement was de-
layed in transit for 3 hours to the laboratory by a home
health nurse. After centrifugation and analysis, the
glucose concentration was 100 mg/dL. What was the
approximate glucose value at the time of collection?
A. 135 mg/dL
B. 100 mg/dL
C. 110 mg/dL
D. 121 mg/dL
12. What enzyme catalyzes the following reaction?
β-glucose + O 2 ’gluconic acid + H 2O 2
A. Glucose oxidase
B. Glucose dehydrogenase
C. Hexokinase
D. Peroxidase
13. A female patient with abnormal glucose results was
referred to an endocrinologist, who ordered addition-
al laboratory tests as seen below. What is the most