Creatine kinase (CK) level in serum is increased in which conditions? 

1 Answer

Answer :

Myocardial infarction, muscular dystrophies.

Related questions

Description : From the following myocardial infarction, the earliest serum enzyme to rise is (A) Creatine Kinase (B) GOT (C) GPT (D) LDH

Last Answer : Answer : A

Description : Which of the following serum enzyme rises in myocardial infarction: (A) Creatine kinase (B) GOT (C) LDH (D) All of these

Last Answer : Answer : D

Description : Creatine kinase is present in all of the following except (A) Liver (B) Myocardium (C) Muscles (D) Brain

Last Answer : Answer : A

Description : The first enzyme found to have isoenzymes was (A) Alkaline Phosphatase (B) Lactate dehydrogenase (C) Acid Phosphatase (D) Creatine kinase

Last Answer : Answer : B

Description : On the third day following onset of acute myocardial infarction, which enzyme estimation will have the best predictive value? (A) Serum AST (B) Serum CK (C) Serum ALT (D) Serum LDH

Last Answer : Answer : D

Description : On the third day of onset of acute myocardial infarction the enzyme elevated is (A) Serum AST (B) Serum CK (C) Serum LDH (D) Serum ALT

Last Answer : Answer : C

Description : An 11 year old girl presents with the following complaints (1) Difficulty in climbing upstairs and combing her hair (2) Maculopapular rash over MCP joints (3) Gower's sign Positive. The most appropriate ... advised is Options: 1) ESR 2) Creatine Kinase 3) RA Factor 4) ANA antibodies test

Last Answer : Correct Answer: 2) Creatine Kinase

Description : The isozyme CK-MB is specifically increased in the blood of patients who had (A) Skeletal muscle disease (B) Recent myocardial infarction (C) Infective hepatitis (D) Myxoedema

Last Answer : Answer : B

Description : Gout is characterized by increased plasma levels of (A) Urea (B) Uric acid (C) Creatine (D) Creatinine

Last Answer : Answer : B

Description : An important finding in Hyperammonemia type II is (A) Increased serum gluatmine level (B) Enlarged liver (C) Mental retardation (D) Increased carbamoyl phosphate synthetase level

Last Answer : Answer : C

Description : An important finding in glycinuria is (A) Excess excretion of oxalate in the urine (B) Deficiency of enzyme glycinase (C) Significantly increased serum glycine level (D) Defect in renal tubular reabsorption of glycine

Last Answer : Answer : D

Description : Serum acid phosphatase level is increased in which condition?

Last Answer : Prostate carcinoma.

Description : Alkaline phosphatase level in serum is elevated in which conditions?

Last Answer : Moderate increase is seen in hepatic diseases (infective hepatitis, alcoholic hepatitis). High levels may be noticed in obstructive jaundice or cholestasis. Very high levels are seen in bone diseases such as Pagetís disease, rickets, osteomalacia, osteoblastoma, metastatic carcinoma of bone.

Description : Which one of the following would be expected in pyruvate kinase deficiency? (A) Increased levels of lactate in the R.B.C (B) Hemolytic anemia (C) Decreased ratio of ADP to ATP in R.B.C (D) Increased phosphorylation of Glucose to Glucose-6-phosphate

Last Answer : B

Description : Polymyalgia rheumatica associated with 1) raised creatinine kinase 2) increased alkaline phosphotase 3) sudden loss of vision in one eye 4) shoulder and pelvic girdle pain in 40 year old man 5) erythema nodosum

Last Answer : Answers-2 Liver enzymes elevated in most patients. Visual disturbances suggestive of temporal arteritis, due to ischaemic changes in ciliary arteries (optic neuritis/infarction) and less commonly due to central artery occlusion. Raised CK in polymyositis. PMR is rare before the age of 50 years.

Description : The highest energy level is present amongst the following in (A) 1, 3-Biphosphoglycerate (B) Creatine phosphate (C) Carbamoyl phosphate (D) Phosphoenol pyruvate

Last Answer : Answer : D

Description : Cardiac muscle contains which of the following CK osoenzyme? (A) BB only (B) MM and BB only (C) MM, BB and MB (D) MM and MB only ENZYMES 169

Last Answer : Answer : D

Description : The CK isoenzymes present in cardiac muscle is (A) BB and MB (B) MM and MB (C) BB only (D) MB only

Last Answer : Answer : B

Description : When do you estimate total CK and the iso-enzyme?

Last Answer : Estimation of total CK is employed in muscular dystrophies and CK-MB iso-enzyme is estimated to identify myocardial infarction.

Description : What are the origins of the CK iso-enzymes?

Last Answer : Eighty percent of molecules in circulation are MM (CK3) variety of skeletal origin, five percent in circulation are MB (CK2) from heart, one percent from brain (BB or CK1) and fifteen percent CKmt from mitochondria.

Description : What are the iso-enzymes of CK?

Last Answer : CK is a dimer, the subunits are called B for brain and M for muscle. Therefore, three iso-enzymes are possible.

Description : What is the advantage of CK estimation over LDH estimation to identify myocardial infarction?

Last Answer : The CK level starts to rise within three hours of infarction. Therefore, CK estimation is very useful to detect early cases, where ECG changes may be ambiguous. The CK level is not increased in hemolysis or in congestive cardiac failure; and therefore CK has an advantage over LDH.

Description : An enzyme of pyrimidine nucleotides biosynthesis regulated at the genetic level by apparently coordinate repression and derepression is (A) Carbamoyl phosphate synthetase (B) Dihydroorotate dehydrogenase (C) Thymidine kinase (D) Deoxycytidine kinase

Last Answer : Answer : A

Description : Which one of the following statements concerning glucose metabolism is correct? (A) The conversion of Glucose to lactate occurs only in the R.B.C (B) Glucose enters most cells by a mechanism in ... ) An elevated level of insulin leads to a decreased level of fructose 2, 6-bisphosphate in hepatocyte

Last Answer : C

Description : Bleeding complications are frequently associated with fibrinolytic therapy. Which of the following statement(s) concerning complications of fibrinolytic therapy is/are true? a. Careful monitoring of prothrombin time ... months ago can be treated with fibrinolytic therapy if head CT scan is normal

Last Answer : Answer: b Fibrinolytic therapy induces a hemostatic defect through a combination of factors. Hypofibrinogenemia and fibrin degradation products inhibit fibrin polymerization and, in combination ... is considered a major relative contraindication to either regional or systemic thrombolytic therapy

Description : The age related physiological change in geriatric patient which may affect drug distribution is a) Increased body mass. b) Increased total body water. c) Increased total body fat. d) Increased serum albumin level.

Last Answer : b) Increased total body water. 

Description : An increased serum ‘Iron’ and decreased ‘Fe’ binding capacity are found in (A) Fe-deficiency anaemia (B) Sideroblastic anaemia (C) Thalassaemia (D) Anaemia of chromic disorders

Last Answer : Answer : B

Description : In Vitamin D poisoning (hyper-vitaminosis) (A) Both serum and urinary “Ca” (B) The serum Ca is low and urinary calcium high (C) The serum “Ca” is increased and urinary “Ca” is normal (D) Both serum and urinary “Ca” are low

Last Answer : Answer : A

Description : Serum alkaline phosphatase is greatly increased in (A) Haemolytic jaundice (B) Hepatic jaundice (C) Obstructive jaundice (D) None of these

Last Answer : Answer : C

Description : An increased serum iron and decreased iron binding capacity is found in (A) Fe deficiency anemia (B) Sideroblastic anemia (C) Folate deficiency anemia (D) Sickle cell anemia

Last Answer : Answer : B

Description : Levels of serum calcium and inorganic phosphorus are increased in (A) Hypervitaminosis D (B) Hypoparathyroidism (C) Hypovitaminosis D (D) None of these

Last Answer : Answer : A

Description : All the following statements about obstructive jaundice are true except (A) Prothrombin time may be prolonged due to impaired absorption of vitamin K (B) Serum alkaline phosphatase may be raised ... systemic circulation due to biliary obstruction (D) There is no defect in conjugation of bilirubin

Last Answer : Answer : B

Description : Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis

Last Answer : Answer : D

Description : Hepatocellular jaundice as compared to pure obstructive type of jaundice is characterized by (A) Increased serum alkaline phosphate, LDH and ALT (B) Decreased serum alkaline phosphatase, LDH and ALT (C ... levels of LDH and ALT (D) Decreased serum alkaline phosphatase and increased serum LDH and ALT

Last Answer : Answer : D

Description : Increased serum alanine during fasting is due to (A) Breakdown of muscle proteins (B) Decreased utilization of non essential amino acids (C) Leakage of aminoacids to plasma (D) Impaired renal function

Last Answer : Answer : A

Description : Serum lipase is increased in (A) Acute parotitis (B) Acute pancreatitis (C) Infective hepatitis (D) Biliary obstruction

Last Answer : Answer : A

Description : Serum amylase is increased in (A) Acute parotitis (B) Acute pancreatitis (C) Pancreatic cancer (D) All of these

Last Answer : Answer : B

Description : Serum LDL has been found to be increased in (A) Obstructive jaundice (B) Hepatic jaundice (C) Hemolytic jaundice (D) Malabsorption syndrome

Last Answer : Answer : A

Description : Which one of the following is true of IgE? 1) Is present in plasma in the same concentration as IgG 2) Is increased acutely in an asthmatic attack 3) Crosses the normal placenta 4) Is increased in the serum of atopic individuals 5) Is involved in type 2 hypersensitivity

Last Answer : Answers-4 IgG is the predominant form of immunoglobulin in plasma at a concentration around 10,000 times that of IgE. IgG crosses the placenta to confer immunity to the fetus but IgE does ... frequently increased in those with atopy but serum IgE does not rise acutely during an asthmatic attack.

Description : Serum inorganic phosphorous decreases in all the following conditions except (A) Hyperparathyroidism (B) Intestinal malabsorption (C) Osteomalacia (D) Chronic renal failure

Last Answer : Answer : D

Description : Serum inorganic phosphorous rises in all the following conditions except (A) Hypoparathyroidism (B) Hypervitaminosis D (C) Chronic renal failure (D) After a carbohydrate-rich meal MINERAL METABOLISM 197

Last Answer : Answer : D

Description : LDH level in blood is increased in which conditions?

Last Answer : Myocardial infarction, hemolytic anemias, muscular dystrophy, carcinomas, leukemias, and any condition which causes necrosis of body cells.

Description : Total synthesis of creatine can be done by (A) Liver (B) Kidneys (C) Pancreas (D) Heart

Last Answer : Answer : C

Description : Standard free energy (∆G°) of hydrolysis of creatine phosphate is (A) -–51.4 KJ/mol (B) –43.1 KJ/mol (C) –30.5 KJ/mol (D) –15.9 KJ/mol

Last Answer : Answer : B

Description : Creatine phosphokinase isoenzyme is a marker for (A) Kidney disease (B) Liver disease (C) Myocardial infarction (D) None of these

Last Answer : Answer : C

Description : What is the major form of caloric storage in human body? (A) ATP (B) Glycogen (C) Creatine phosphate (D) triacylglycerol

Last Answer : Answer : C

Description : Ammonia is excreted as ammonium salts during metabolic acidosis but the majority is excreted as (A) Phosphates (B) Creatine (C) Uric acid (D) Urea

Last Answer : Answer : D

Description : From dietary protein as well as from the urea present in fluids secreted into the gastrointestinal tract intestinal bacteria produce (A) Carbondioxide (B) Ammonia (C) Ammonium sulphate (D) Creatine

Last Answer : Answer : B

Description : The amino acids required for creatine formation: (A) Glycine (B) Arginine (C) Methionine (D) All of these

Last Answer : Answer : D