The best test for acute pancreatitis in the presence of mumps is (A) A serological test for mumps (B) Serum amylase (C) Urinary amylase (D) Serum lipase

The best test for acute pancreatitis in the presence of mumps is (A) A serological test for mumps (B) Serum amylase (C) Urinary amylase (D) Serum lipase
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The most useful test for the diagnosis of acute hemorrhagic pancreatitis during the first few days is (A) Urinary lipase test (B) Serum calcium (C) Urinary amylase (D) Serum amylase

Description : The most useful test for the diagnosis of acute hemorrhagic pancreatitis during the first few days is (A) Urinary lipase test (B) Serum calcium (C) Urinary amylase (D) Serum amylase

Last Answer : Answer : D

In acute pancreatitis, the enzyme raised in first five days is (A) Serum amylase (B) Serum lactic dehydrogenase (C) Urinary lipase (D) Urinary amylase

Description : In acute pancreatitis, the enzyme raised in first five days is (A) Serum amylase (B) Serum lactic dehydrogenase (C) Urinary lipase (D) Urinary amylase

Last Answer : Answer : A

Maximum rise in serum amylase occurs in (A) Acute parotitis (B) Acute pancreatitis (C) Chronic pancreatitis (D) Pancreatic cancer

Description : Maximum rise in serum amylase occurs in (A) Acute parotitis (B) Acute pancreatitis (C) Chronic pancreatitis (D) Pancreatic cancer

Last Answer : Answer : B

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

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

Last Answer : Answer : B

Serum lipase level increases in (A) Paget’s disease (B) Gaucher’s disease (C) Acute pancreatitis (D) Diabetes mellitus

Description : Serum lipase level increases in (A) Paget’s disease (B) Gaucher’s disease (C) Acute pancreatitis (D) Diabetes mellitus

Last Answer : Answer : C

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

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

Last Answer : Answer : A

Serum ferroxidase level decreases in (A) Gaucher’s disease (B) Cirrhosis of liver (C) Acute pancreatitis (D) Wilson’s disease ENZYMES 143

Description : Serum ferroxidase level decreases in (A) Gaucher’s disease (B) Cirrhosis of liver (C) Acute pancreatitis (D) Wilson’s disease ENZYMES 143

Last Answer : Answer : D

A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? 1) Colonoscopy 2) Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Description : A 35 year old male presents with weakness and tiredness. He is noted to be hyertensive. Electrolytes show a hypokalaemia and a hypomagnesaemia. What investigation would you select for this patient? ... Plasma renin toaldosterone ratio 3) Serum amylase 4) Serum calcium 5) Oral glucose tolerance test

Last Answer : Answers-2 The hypokalaemic hypertension with hypomagnesaemia suggests primary hyperaldosteronism. The most reliable assessment for this would be renin to aldosterone ratio.

True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. The presence of hyperglycemia and hypotension may suggest the diagnosis of shock due to adrenocortical insufficiency. C. Hydrocortisone does not interfere with the serum cortisol assay and should be given to hemodynamically unstable patients suspected of having hypoadrenal shock. D. The rapid adrenocorticotropic hormone (ACTH) stimulation test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

Description : True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. ... test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

Last Answer : Answer: AD DISCUSSION: Shock due to acute adrenocortical insufficiency is relatively uncommon but must be considered when shock refractory to volume replacement and pressor therapy is present. ... and it is the corticosteroid of choice while the ACTH stimulation test is being performed

Zinc is a cofactor for (A) Acid phosphatase (B) Alkaline phosphatase (C) Amylase (D) Lipase

Description : Zinc is a cofactor for (A) Acid phosphatase (B) Alkaline phosphatase (C) Amylase (D) Lipase

Last Answer : Answer : B

Genetic engineering requires enzyme: (A) DNA ase (B) Amylase (C) Lipase (D) Restriction endonuclease

Description : Genetic engineering requires enzyme: (A) DNA ase (B) Amylase (C) Lipase (D) Restriction endonuclease

Last Answer : Answer : D

An enzyme which brings about lysis of bacterial cell wall is (A) Amylase (B) Lysozyme (C) Trypsin (D) Lipase

Description : An enzyme which brings about lysis of bacterial cell wall is (A) Amylase (B) Lysozyme (C) Trypsin (D) Lipase

Last Answer : Answer : B

An example of functional plasma enzyme is (A) Lipoprotein lipase (B) Amylase (C) Aminotransferase (D) Lactate dehydrogenase

Description : An example of functional plasma enzyme is (A) Lipoprotein lipase (B) Amylase (C) Aminotransferase (D) Lactate dehydrogenase

Last Answer : Answer : A

Sweat chlorides are increased in (A) Cystic fibrosis (B) Pancreatic cancer (C) Acute pancreatitis (D) None of these

Description : Sweat chlorides are increased in (A) Cystic fibrosis (B) Pancreatic cancer (C) Acute pancreatitis (D) None of these

Last Answer : Answer : A

The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits

Description : The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits

Last Answer : Answer : D

Acute pancreatitis is characterised by (A) Lack of synthesis of zymogen enzymes (B) Continuous release of zymogen enzymes into the gut (C) Premature activation of zymogen enzymes (D) Inactivation of zymogen enzymes

Description : Acute pancreatitis is characterised by (A) Lack of synthesis of zymogen enzymes (B) Continuous release of zymogen enzymes into the gut (C) Premature activation of zymogen enzymes (D) Inactivation of zymogen enzymes

Last Answer : Answer : C

Acute pancreatitis can be diagnosed by estimating which enzymes?

Description : Acute pancreatitis can be diagnosed by estimating which enzymes?

Last Answer : Amylase and lipase.

A 55-year-old renal transplant patient has been hospitalized in a Surgical Intensive Care Unit, receiving a prolonged course of antibiotics following an attack of acute cholecystitis. The following statement(s) is/are true concerning his management. a. Due to the potential risk of Candida infection, prophylaxis with oral nystatin should be instituted early in the patient’s course b. A Candida urinary tract infection should be treated with systemic amphotericin B c. Changes of Candida retinitis are of little significance d. The presence of a virulent Candida bacteremia should suggest a dosage reduction in immunosuppressive agents until the infection can be adequately controlled

Description : A 55-year-old renal transplant patient has been hospitalized in a Surgical Intensive Care Unit, receiving a prolonged course of antibiotics following an attack of acute cholecystitis. The ... suggest a dosage reduction in immunosuppressive agents until the infection can be adequately controlled

Last Answer : Answer: a, d Infections due to fungal pathogens have become increasingly common during the past decade, frequently occurring in patients undergoing prolonged hospitalization in the Surgical ... agents should be discontinued until evidence of infection is absolutely controlled or is eradicated

Which one of the following pairs is wrongly matched? (a) Alcohol - Nitrogenase (b) Fruit juice - Pectinase (c) Textile - Amylase (d) Detergents - Lipase

Description : Which one of the following pairs is wrongly matched? (a) Alcohol - Nitrogenase (b) Fruit juice - Pectinase (c) Textile - Amylase (d) Detergents - Lipase

Last Answer : (a) Alcohol - Nitrogenase

Choose the correct enzyme - substrate pair. (a) Carbohydrate - Lipase (b) Maltase - Lactose (c) Rennin - Casein (d) Protein - Amylase

Description : Choose the correct enzyme - substrate pair. (a) Carbohydrate - Lipase (b) Maltase - Lactose (c) Rennin - Casein (d) Protein - Amylase

Last Answer : (c) Rennin - Casein

Which one of the following is the correct matching of the site of action on the given substrate, the enzyme acting upon it and the end product? (a) Small intestine : Proteins Pepsin  →  Amino acids (b) Stomach : Fats Lipase  →  Micelles (c) Duodenum : Triglycerides Trypsin  →  Monoglycerides (d) Small intestine : Starch α-Amylase  →  Disaccharide (maltose)

Description : Which one of the following is the correct matching of the site of action on the given substrate, the enzyme acting upon it and the end product? (a) Small intestine : Proteins Pepsin  →  ... Trypsin  →  Monoglycerides (d) Small intestine : Starch α-Amylase  →  Disaccharide (maltose)

Last Answer : (d) Small intestine : Starch α-Amylase  →  Disaccharide

Gastric juice of infants contains (a) pepsinogen, lipase, rennin (b) amylase, rennin, pepsinogen (c) maltase, pepsinogen, rennin (d) nuclease, pepsinogen, lipase

Description : Gastric juice of infants contains (a) pepsinogen, lipase, rennin (b) amylase, rennin, pepsinogen (c) maltase, pepsinogen, rennin (d) nuclease, pepsinogen, lipase

Last Answer : (a) pepsinogen, lipase, rennin

Which of the following options best represents the enzyme composition of pancreatic juice? (a) Amylase, Pepsin, Trypsinogen, Maltase (b) Peptidase, Amylase, Pepsin, Rennin (c) Lipase, Amylase, Trypsinogen, Procarbo- xypeptidase (d) Amylase, Peptidase, Trypsinogen, Rennin

Description : Which of the following options best represents the enzyme composition of pancreatic juice? (a) Amylase, Pepsin, Trypsinogen, Maltase (b) Peptidase, Amylase, Pepsin, Rennin (c) Lipase, Amylase, Trypsinogen, Procarbo- xypeptidase (d) Amylase, Peptidase, Trypsinogen, Rennin

Last Answer : (c) Lipase, Amylase, Trypsinogen, Procarbo- xypeptidase

An enzyme that can stimulate germination of barley seeds is (a) invertase (b) α-amylase (c) lipase (d) protease.

Description : An enzyme that can stimulate germination of barley seeds is (a) invertase (b) α-amylase (c) lipase (d) protease.

Last Answer : (b) α-amylase

Pancreatic juice contains more than one enzyme. Which among the following combination is correct ? (1) Pepsin and Lipase (2) Amylase and Pepsin (3) Pepsin and Trypsin (4) Trypsin and Lipase

Description : Pancreatic juice contains more than one enzyme. Which among the following combination is correct ? (1) Pepsin and Lipase (2) Amylase and Pepsin (3) Pepsin and Trypsin (4) Trypsin and Lipase

Last Answer : 4) Trypsin and Lipase

Which of the following options best represents the enzyme composition of pancreatic juice ? (1) amylase, pepsin, trypsinogen, maltase (2) peptidase, amylase, pepsin, rennin (3) lipase, amylase, trypsinogen, procarboxypeptidase (4) amylase, peptidase, trypsinogen, rennin

Description : Which of the following options best represents the enzyme composition of pancreatic juice ? (1) amylase, pepsin, trypsinogen, maltase (2) peptidase, amylase, pepsin, rennin (3) lipase, amylase, trypsinogen, procarboxypeptidase (4) amylase, peptidase, trypsinogen, rennin

Last Answer : (3) lipase, amylase, trypsinogen, procarboxypeptidase

The enzyme which is used for the digestion of fat is (a) Water (b) Bile (c) Amylase (d) Lipase

Description : The enzyme which is used for the digestion of fat is (a) Water (b) Bile (c) Amylase (d) Lipase

Last Answer : (d) Lipase

Some proteolytic enzymes are (C.P.M.T. 77) (a) Trypsin, peptidase, pepsin (b) Amylopsin, steapsin, ptyalin (c) Amylase, lipase, zymase (d) Urease, zymase, dehydrogenase

Description : Some proteolytic enzymes are (C.P.M.T. 77) (a) Trypsin, peptidase, pepsin (b) Amylopsin, steapsin, ptyalin (c) Amylase, lipase, zymase (d) Urease, zymase, dehydrogenase

Last Answer : (a) Trypsin, peptidase, pepsin

Which of the following converts peptones, proteoses and polypeptides into amino acids : (a) Amylase (b) Trypsin (c) Lipase (d) Rennin

Description : Which of the following converts peptones, proteoses and polypeptides into amino acids : (a) Amylase (b) Trypsin (c) Lipase (d) Rennin

Last Answer : (b) Trypsin

Emulsified fat is acted upon by : (a) Lipase (b) Amylase (c) Rennin (d) Pepsin

Description : Emulsified fat is acted upon by : (a) Lipase (b) Amylase (c) Rennin (d) Pepsin

Last Answer : (a) Lipase

The enzyme for starch digestion (a) Maltase (b) Invertase (c) Lipase (d) Amylase

Description : The enzyme for starch digestion (a) Maltase (b) Invertase (c) Lipase (d) Amylase

Last Answer : (d) Amylase

Which of the following human digestive enzymes is incorrectly matched to its substrate? a) pepsin - protein b) trypsin - starch (pron: TRIP-sin) c) pancreatic amylase - starch (pron: AM-i-lase) d) lipase - fat e) maltase - maltose.

Description : Which of the following human digestive enzymes is incorrectly matched to its substrate? a) pepsin - protein b) trypsin - starch (pron: TRIP-sin) c) pancreatic amylase - starch (pron: AM-i-lase) d) lipase - fat e) maltase - maltose.

Last Answer : ANSWER: B -- TRYPSIN - STARCH

Radiological ‘Colon cut off sign’ is seen in Options: 1) Acute intussusception 2) Acute lobar pneumonia 3) Acute pancreatitis 4) Crohn’s disease

Description : Radiological ‘Colon cut off sign’ is seen in Options: 1) Acute intussusception 2) Acute lobar pneumonia 3) Acute pancreatitis 4) Crohn’s disease

Last Answer : Correct Answer: 3) Acute pancreatitis

Kehr’s sign is a classical feature of Options: 1) Rupture of liver 2) Acute pancreatitis 3) Acute intestinal obstruction 4) Rupture of spleen

Description : Kehr’s sign is a classical feature of Options: 1) Rupture of liver 2) Acute pancreatitis 3) Acute intestinal obstruction 4) Rupture of spleen

Last Answer : Correct Answer: 4) Rupture of spleen

Kehr’s sign is a classical feature of Options: 1) Rupture of liver 2) Acute pancreatitis 3) Acute intestinal obstruction 4) Rupture of spleen

Description : Kehr’s sign is a classical feature of Options: 1) Rupture of liver 2) Acute pancreatitis 3) Acute intestinal obstruction 4) Rupture of spleen

Last Answer : Correct Answer: 4) Rupture of spleen

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

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

A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks modest quantities of alcohol. He takes no prescribed medications. Examination reveals a BMI of 33.5 kg/2 but nil else. The following detail his investigations: Serum sodium 146 mmol/l (NR 133-145) Serum potassium 3.2 mmol/l (NR 3.5 - 5) Urinary potassium excretion 42 mmol/l (NR less than 30) What is the likely diagnosis? 1) Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Description : A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks ... Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Last Answer : Answers-1 This patient is most likely to have Conn's syndrome as reflected by the hypokalaemic hypertension. Liquorice ingestion or Liddle's syndrome are again possible causes of ... hypertension (often diastolic hypertension), muscular weakness, paresthesias, headache, polyuria, and polydipsia."

A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results confirms the suspected diagnosis of primary hyperparathyroidism? 1) High normal 1,25-dihydroxyvitamin D concentration 2) High normal 24 hour urinary calcium concentration 3) High normal plasma parathyroid hormone concentration 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Description : A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results ... 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Last Answer : Answers-3 Bit too easy really. A high or even normal PTH concentration in the presence of hypercalcaemia would support the diagnosis of hyperparathyroidism. A high urinary Calcium concentration may ... but neither confirm the diagnosis. Elevated 1,25 VitD suggests a diagnosis of hypervitaminosis D.

The characteristic urinary finding in acute intermittent porphyria is (A) Increased quantity of uroporphyrin (B) Increased quantity of coproporphyrin I (C) Increased quantity of coproporphyrin III (D) Massive quantities of porphobilinogen

Description : The characteristic urinary finding in acute intermittent porphyria is (A) Increased quantity of uroporphyrin (B) Increased quantity of coproporphyrin I (C) Increased quantity of coproporphyrin III (D) Massive quantities of porphobilinogen

Last Answer : Answer : D

Haematuria can occur in all of the following except (A) Acute glomerulonephritis (B) Cancer of urinary tract (C) Stone in urinary tract (D) Mismatched blood transfusion

Description : Haematuria can occur in all of the following except (A) Acute glomerulonephritis (B) Cancer of urinary tract (C) Stone in urinary tract (D) Mismatched blood transfusion

Last Answer : Answer : D

Which of the following is a characteristic feature of acute intermittent porphyria? 1) autosomal recessive inheritance 2) excessive faecal protoporphyrin excretion 3) excessive urinary porphobilinigoen between acute attacks 4) hypernatraemia during attacks 5) photosensitivity

Description : Which of the following is a characteristic feature of acute intermittent porphyria? 1) autosomal recessive inheritance 2) excessive faecal protoporphyrin excretion 3) excessive urinary porphobilinigoen between acute attacks 4) hypernatraemia during attacks 5) photosensitivity

Last Answer : Answers-3 Features of acute intermittent porphyria include urinary porphobilinogen excretion raised between attacks, hyponatraemia during an acute attack and autosomal dominant inheritance.

The pancreatic amylase activity is increased in the presence of (A) Hydrochloric acid (B) Bile salts (C) Thiocyanate ions (D) Calcium ions

Description : The pancreatic amylase activity is increased in the presence of (A) Hydrochloric acid (B) Bile salts (C) Thiocyanate ions (D) Calcium ions

Last Answer : Answer : B

Catalytic activity of salivary amylase requires the presence of (A) Chloride ions (B) Bromide ions (C) Iodide ions (D) All of these

Description : Catalytic activity of salivary amylase requires the presence of (A) Chloride ions (B) Bromide ions (C) Iodide ions (D) All of these

Last Answer : A

What serologicaL test requires sheep red blood cells and a preparation of antibodies that recognizes the sheep red blood ceLls? a. ELISA b. Radioimmunoassay c. Immunodiffusion d. Complement fixation test

Description : What serologicaL test requires sheep red blood cells and a preparation of antibodies that recognizes the sheep red blood ceLls? a. ELISA b. Radioimmunoassay c. Immunodiffusion d. Complement fixation test

Last Answer : d. Complement fixation test

The diagnosis of pemphigus vulgaris is confirmed by: a. Tzanck cells. b. Test dose of corticosteroid. c. Test of anti body. d. Histological immunofluorescence. e. Serological test for auto antibody.

Description : The diagnosis of pemphigus vulgaris is confirmed by: a. Tzanck cells. b. Test dose of corticosteroid. c. Test of anti body. d. Histological immunofluorescence. e. Serological test for auto antibody.

Last Answer : d. Histological immunofluorescence.

The diagnosis of pemphigus vulgaris is confirmed by:** A. Tzanck cells B. Test dose of corticosteroid C. Test of anti body D. Histological immunofluorescence E. Serological test for auto antibody

Description : The diagnosis of pemphigus vulgaris is confirmed by:** A. Tzanck cells B. Test dose of corticosteroid C. Test of anti body D. Histological immunofluorescence E. Serological test for auto antibody

Last Answer : D. Histological immunofluorescence

Reviewing the laboratory findings of the client, the nurse would found which findings are elevated? 1. White blood cell count 2. Total serum bilirubin 3. Alkaline phosphate 4. Red blood cell count 5. Cholesterol 6. Serum amylase A. 1, 2, and 3 B. 2, 3, and 4 C. 3, 5, and 6 D. 1, 2, and 6

Description : Reviewing the laboratory findings of the client, the nurse would found which findings are elevated? 1. White blood cell count 2. Total serum bilirubin 3. Alkaline phosphate 4. Red blood cell count 5. Cholesterol 6. Serum amylase A. 1, 2, and 3 B. 2, 3, and 4 C. 3, 5, and 6 D. 1, 2, and 6

Last Answer : A. 1, 2, and 3

On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day

Description : On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day

Last Answer : Answer : B

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

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

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

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