Cardiac Biomarkers Quiz
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Questions and Answers

What is the characteristic pattern of rise and fall seen in cardiac biomarkers?

  • Linear increase
  • Sudden spike followed by gradual decline (correct)
  • Constant level
  • Exponential decrease
  • Which of the following is NOT a common cardiac biomarker?

  • B-type natriuretic peptide (BNP)
  • Myoglobin
  • Troponin I
  • Hemoglobin A1c (correct)
  • What is the most common test used to understand the pathogenesis in human diseases?

  • Blood sample measurements
  • Electrocardiogram (ECG)
  • Echocardiogram
  • Histopathology examination (correct)
  • Which condition is NOT diagnosed using cardiac function tests?

    <p>Atherosclerosis</p> Signup and view all the answers

    What is the primary purpose of using cardiac biomarkers?

    <p>Evaluate myocardial injury</p> Signup and view all the answers

    Which test is NOT used in the diagnosis of heart conditions?

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    Which enzyme is more concentrated in the heart muscle and is more likely to indicate heart damage?

    <p>Creatine kinase-MB (CK-MB)</p> Signup and view all the answers

    What is the role of phosphocreatine in cardiac tissue?

    <p>It provides a stable release of energy</p> Signup and view all the answers

    Which enzyme is determined by immunoassay and is more likely to indicate heart damage?

    <p>Creatine kinase (CK)</p> Signup and view all the answers

    Which cardiac biomarker is good for detecting re-infarction?

    <p>Creatine kinase-MB (CK-MB)</p> Signup and view all the answers

    What happens to the levels of Creatine kinase (CK) after a myocardial infarction?

    <p>They peak within 6 hours and return to normal within 2 days</p> Signup and view all the answers

    Which enzyme is useful as a marker of tissue injury?

    <p>Creatine kinase (CK)</p> Signup and view all the answers

    What does prolonged ischemia lead to?

    <p>Cell death and necrosis</p> Signup and view all the answers

    Which enzyme is increased in over 90% of myocardial infarction cases within 4-6 hours after onset?

    <p>Creatine kinase (CK)</p> Signup and view all the answers

    What are the ideal characteristics of a cardiac biomarker according to the text?

    <p>Absolute cardiac specificity, specific for irreversible injury, early release, high tissue sensitivity</p> Signup and view all the answers

    Which condition can also cause elevated levels of most cardiac biomarkers?

    <p>Kidney disease</p> Signup and view all the answers

    Cardiac biomarkers are substances released into the bloodstream from damaged or stressed heart muscle. (True/False)?

    <p>True</p> Signup and view all the answers

    Diagnostic accuracy of serum markers of cardiac injury are altered in patients with renal failure. (True/False)?

    <p>True</p> Signup and view all the answers

    B-type natriuretic peptide (BNP) is not a common cardiac biomarker. (True/False)?

    <p>False</p> Signup and view all the answers

    Cardiac function tests are used to help diagnose and monitor all types of heart conditions. (True/False)?

    <p>False</p> Signup and view all the answers

    Myocarditis is a condition that can be diagnosed using cardiac function tests. (True/False)?

    <p>False</p> Signup and view all the answers

    The primary purpose of using cardiac biomarkers is to evaluate myocardial injury. (True/False)?

    <p>True</p> Signup and view all the answers

    Acute myocardial infarction results from a reduction of coronary blood flow that leads to an insufficiency of oxygen supply to myocardial tissue.

    <p>True</p> Signup and view all the answers

    Myocardial cell death and necrosis occur when myocardial ischemia is prolonged and reversible.

    <p>False</p> Signup and view all the answers

    Anaerobic glycolysis is decreased in myocardial muscles with low oxygen supply.

    <p>False</p> Signup and view all the answers

    Lysosomal enzymes are activated during prolonged and irreversible ischemia in the myocardium.

    <p>True</p> Signup and view all the answers

    Creatine kinase (CK) is an enzyme found only in the heart muscle and not in skeletal muscle.

    <p>False</p> Signup and view all the answers

    CK-MB is more concentrated in skeletal muscle than in heart muscle.

    <p>False</p> Signup and view all the answers

    CK-MB or total CK provides additional evidence supporting the diagnosis of acute myocardial infarction.

    <p>True</p> Signup and view all the answers

    Creatine kinase begins to rise 24 hours after myocardial infarction and returns to normal within 2 days.

    <p>False</p> Signup and view all the answers

    Phosphocreatine serves as an energy reserve in cardiac tissue as well as other tissues.

    <p>True</p> Signup and view all the answers

    Elevated levels of most cardiac biomarkers are only caused by heart conditions such as myocardial infarction.

    <p>False</p> Signup and view all the answers

    Study Notes

    Cardiac Biomarkers

    • Characteristic pattern of rise and fall seen in cardiac biomarkers: increase after myocardial infarction, then decrease
    • Common cardiac biomarkers: NOT B-type natriuretic peptide (BNP)
    • Most common test used to understand pathogenesis in human diseases: NOT specified
    • Condition NOT diagnosed using cardiac function tests: Myocarditis
    • Primary purpose of using cardiac biomarkers: to evaluate myocardial injury
    • Test NOT used in the diagnosis of heart conditions: NOT specified

    Enzymes and Markers

    • Enzyme more concentrated in heart muscle and indicative of heart damage: Creatine kinase (CK)
    • Role of phosphocreatine in cardiac tissue: serves as an energy reserve
    • Enzyme determined by immunoassay and indicative of heart damage: CK-MB
    • Cardiac biomarker good for detecting re-infarction: CK-MB
    • Effect of myocardial infarction on Creatine kinase (CK) levels: increase, then decrease
    • Enzyme useful as a marker of tissue injury: Creatine kinase (CK)
    • Prolonged ischemia leads to: myocardial cell death and necrosis

    Ideal Characteristics of Cardiac Biomarkers

    • Ideal characteristics of a cardiac biomarker: NOT specified

    Other Cardiac Conditions

    • Condition that can also cause elevated levels of most cardiac biomarkers: Renal failure
    • True/False statements:
      • Cardiac biomarkers are substances released into the bloodstream from damaged or stressed heart muscle: TRUE
      • Diagnostic accuracy of serum markers of cardiac injury are altered in patients with renal failure: TRUE
      • B-type natriuretic peptide (BNP) is not a common cardiac biomarker: FALSE
      • Cardiac function tests are used to help diagnose and monitor all types of heart conditions: FALSE
      • Myocarditis is a condition that can be diagnosed using cardiac function tests: FALSE
      • The primary purpose of using cardiac biomarkers is to evaluate myocardial injury: TRUE

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    Description

    Test your knowledge about cardiac biomarkers, which are substances released into the bloodstream from damaged or stressed heart muscle. Learn about their characteristic rise and fall pattern, and their diagnostic accuracy in patients with renal failure. Identify the most common cardiac biomarkers used for evaluating myocardial injury.

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