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MLT Clinical Chem - Cardiac

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Question
Answer
A substrate used in lipase reactions is   olive oil emulsion  
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With what disorder is an increase in LD-5 and LD-4 associated?   Acute hepatic disease  
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Aspartate aminotransferase is elevated in diseases involving the   heart muscle  
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Atherosclerosis is defined or described as   Hardening of the arteries that occurs over a period of many years due in part to the abnormal accumulation of lipids  
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Characteristics of the ideal cardiac marker include all of the following   Marker is specific for cardiac tissue versus skeletal muscle. Marker rises soon after symptoms of cardiac ischemia occur. Marker is easy, rapid, and inexpensive to measure  
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Enzymes that catalyze the transfer of groups other than hydrogen between compounds are classified as belonging to which enzyme class   Transferases  
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In which liver disease is the DeRitis ratio (AST: ALT) usually less than or equal to 1   acute viral hepatits  
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In which of the following diseases is measurement of brain type natriuretic peptide (BNP) most useful   congestive heart failure  
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Levels of this enzyme are useful in the diagnosis of a genetic defect, which leads to increased apnea (difficulty breathing) after surgery using succinyl choline   cholinesterase  
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Myoglobin is a good cardiac marker because it   Diffuses into the blood more quickly than CK-MB  
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Risk factors for the development of coronary heart disease include which of the following   Hypertension, abdominal obesity, low HDL-C, high serum levels of CRP, and elevated levels of homocysteine  
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Serial sampling for cardiac biomarkers is defined as   Drawing blood samples periodically, usually at prescribed time intervals over the course of the patient's stay  
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Serum lipase catalyzes   Hydrolysis of triglyceride to fatty acids and glycerol  
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The best test for pancreatitis in the presence of mumps is   A serum lipase test  
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The highest levels of alkaline phosphatase (ALP) are seen in   Obstructive liver disease  
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The most sensitive indicator of alcoholic liver disease is   GGT  
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The significance of CRP in the arterial wall is described as which of the following   It predicts the severity of atherosclerosis and is able to bind to damaged membranes and lipids  
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Which of the following are the most common cause(s) of acute pancreatitis   both Gallstones or obstructing tumor and Acute alcohol ingestion or drug use  
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Which of the following is a cause of hyperhomocysteinemia   Deficiency of one of the B complex vitamins  
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What represents the correct sequence for the rise and fall of myoglobin, CK-MB, and cTnI after an AMI   Myoglobin, CK-MB, cTnI  
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Zero order kinetics results   When all of the available sites on the enzyme are saturated with substrate  
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These items would show an increase in alkaline phosphatase (ALP)   Obstructive liver disease Rickets hemolytic anemia  
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