basics
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
why was LDH isoenzyme 1 used? | it was around at day 7 unlike CK and could be measured
🗑
|
||||
how long do troponin I and T stick around | they stay around for just as long if not longer than LDH
🗑
|
||||
creatine kinase is composed of? | M and B subunits
🗑
|
||||
what CK is in the brain | CK-BB
🗑
|
||||
CK in the Heart | CK-MB and CK-MM
🗑
|
||||
CK in the skeletal muscle | CK-MM
🗑
|
||||
CK in tumors | CK-BB
🗑
|
||||
CK in smooth muscle | CK-BB
🗑
|
||||
how can you tell if there is muscular dystrophy | CK-MB and MM elevated
🗑
|
||||
Trauma would affect CK ? | MB (less than 1-2% total) and MM elevated
🗑
|
||||
what effect on CK would hypothyroid have | increased MM
🗑
|
||||
what affect on CK would stroke have | increased MM
🗑
|
||||
What effect on CK would psychosis have | increased MM
🗑
|
||||
how is cardiac muscle distributed with regards to CK | 80% MB 20% MM
🗑
|
||||
when you have an MI what percent of total CK is CKMB | more than 3%
🗑
|
||||
Labor in the uterus would produce what effect on CK | elevated BB
🗑
|
||||
intestinal trauma would produce what CK | elevated BB
🗑
|
||||
Shock would increase CK ? | elevated BB and MB
🗑
|
||||
when would CK MB not be elevated | most cardiac conditions, pulmonary emboli, intramuscular injection
🗑
|
||||
how long after an MI is CK-MB elevated | 2-8 hours after MI Peaks at 36 hours and is normal 2-3 days after that
🗑
|
||||
what are troponins | 3 regulatory proteins bound to contractile apparatuses of striated muscle
🗑
|
||||
what troponins are cardiac markers | TnI and TnT
🗑
|
||||
what troponin is also made in the heart but is not specific | TnC
🗑
|
||||
where else is TnC found | in skeletal muscle (slow twitch)
🗑
|
||||
what other conditions could make CK-MB less specific | renal failure, skeletal trauma or disease
🗑
|
||||
how does the timing of troponins compare with CK and LDH | same speed as CK and same durations as LDH-1
🗑
|
||||
how does troponin last so long | continuous release not delayed clearance
🗑
|
||||
how high in magnitude does Troponin elevate compared to CK | same magnitude but much greater fold increase as troponin unlike CK does not have other factors elevating its baseline
🗑
|
||||
how likely is somone with incresaed troponin but no increase in EKG or CKMB to have an immenint event | high liklihood
🗑
|
||||
how specific are TnI and TnT for MI | not at all only specific for myocardial damage you need a history
🗑
|
||||
what are the three kinds of natriuretic peptide | A, B, C
🗑
|
||||
how do natriuretic peptides change with chronic heart failure | increase
🗑
|
||||
where are natriuretic peptides synthesized | in the atria and ventricles
🗑
|
||||
ANP is released from the ? | atria when there is distension
🗑
|
||||
BNP is relesed from the? | brain and ventricles when there is ventricular overload
🗑
|
||||
CNP is released from? | brain and CNS when there is endothelial stress
🗑
|
||||
Which natriuretic peptide corresponds with other tests diagnosing the severity of a heart conditino | BNP
🗑
|
||||
what is BNP used for | to monitor CHF therapy, diagnose heart failure, and determine prognosis with acute coronary symptoms
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jmuame03
Popular Medical sets