T3 L6: Clinical Biochemistry; musculoskeletal system (KS)

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60 Questions

Which of the following symptoms is commonly associated with metabolic muscle diseases?

Exercise intolerance

Which of the following is a biochemical abnormality commonly seen in metabolic muscle diseases?

Elevated CK

Which genetic mutation is commonly associated with Duchenne muscular dystrophy?

Dystrophin gene

Which of the following is a common symptom of myasthenia gravis?

All of the above

Which marker is a specific indicator of bone resorption?

CTX

Which marker is a fairly good indicator of bone formation?

P1NP

Which of the following is a use of bone turnover markers (BTM)?

Predicting fracture risk

Which of the following is a symptom of metabolic muscle diseases?

Muscle pain after exercise

What is the most common cause of rhabdomyolysis?

Injury

What is the main component of skeletal muscle?

Proteins

What is the role of myoglobin in rhabdomyolysis-induced renal failure?

Increases urine concentration

Which of the following is not a cause of increased creatine kinase (CK) levels?

Myotonia

What is the most appropriate management for hypovolemia in rhabdomyolysis?

Fluid replacement

Which of the following is a characteristic of metabolic muscle diseases?

Exercise intolerance

Which of the following is NOT a biochemical marker of muscle damage?

Troponin

Which of the following is NOT a cause of skeletal muscle disease?

Metabolic bone diseases

Which of the following is NOT a non-metabolic cause of muscular diseases?

Metabolic myopathies

Which of the following is NOT a genetic metabolic disorder associated with muscle disease?

Hyperthyroidism

Which of the following is a bone-turnover marker?

Alkaline Phosphatase (ALP)

Which of the following is NOT a rheumatological disease?

Hyperadrenalism

Which of the following is NOT a metabolic bone disease?

Hyperthyroidism

Which laboratory investigations are commonly used in the diagnosis of osteoporosis?

TFT, PTH, 25(OH)D

What are the common secondary causes of osteoporosis?

Endocrine malignancy, connective tissue disease, hyperparathyroidism

Which radiology technique is commonly used in the diagnosis of osteoporosis?

DEXA

What can bone turnover markers (BTM) tell you about osteoporosis?

Treatment complications

What is the aim in the treatment of gout?

Decrease urate levels

What percentage of adults are affected by gout?

1%

Which of the following is NOT a common secondary cause of osteoporosis?

Marfan syndrome

Which laboratory investigation is commonly used to monitor therapy for osteoporosis?

Bone turnover markers (BTM)

Which of the following is NOT a common anabolic or anti-resorptive therapy for osteoporosis?

Gastrointestinal disease

What is the marker commonly used to demonstrate muscle damage?

Creatine kinase

What is the specific marker for cardiac muscle damage?

Troponin

Which of the following is NOT a cause of muscle disease?

Fatty acid oxidation

Which of the following is a non-metabolic cause of muscle disease?

Inflammation

Which of the following is a symptom commonly associated with mitochondrial diseases?

Hearing loss

Which of the following is a common symptom of fatty acid oxidation defects?

Muscle weakness

Which of the following tests is commonly used to diagnose metabolic disorders?

Lactate

What is the main purpose of testing lactate levels in a metabolic crisis?

To assess energy production in cells

Which of the following is a common cause of rhabdomyolysis?

Excessive exercise

What is the main component released into the circulation during rhabdomyolysis?

Myoglobin

Which of the following is NOT a metabolic muscle disease?

Rhabdomyolysis

What is the most appropriate management for hypovolemia in rhabdomyolysis?

Fluid replacement

Which of the following is a potential cause of rhabdomyolysis-induced renal failure?

High uric acid levels

Which of the following is a potential complication of compartment syndrome?

Permanent muscle damage

Which of the following is NOT a recommended management strategy for rhabdomyolysis?

Colonization with vitamin C

Which of the following is a potential cause of increased creatine kinase (CK) levels?

Muscle injury

Which of the following is a common symptom of metabolic muscle diseases?

Exercise intolerance

Which of the following is NOT a genetic metabolic disorder associated with muscle disease?

Polymyositis

Which of the following is a characteristic of metabolic muscle diseases?

Symmetrical muscle weakness

Which laboratory investigation is commonly used to monitor therapy for osteoporosis?

Bone turnover markers (BTMs)

Which of the following conditions is characterized by antibodies to the acetylcholine receptor?

Myasthenia gravis

What is the role of myoglobin in rhabdomyolysis-induced renal failure?

It can cause kidney damage

Which of the following is NOT a symptom commonly associated with metabolic muscle diseases?

Twitching muscles

What is the main component of skeletal muscle?

Actin

Which of the following conditions is characterized by weak muscles despite their large appearance?

Muscle fibrosis

Which of the following is a common secondary cause of osteoporosis?

Hormonal imbalance

Which type of muscle is NOT discussed in this module?

Smooth muscle

According to the text, why is it interesting to study the biochemistry of the musculoskeletal system in isolation?

It helps make more sense when seeing patients in clinic

What is the main aim in the treatment of gout?

All of the above

Which of the following is NOT a common symptom of myasthenia gravis?

Muscle stiffness

Test your knowledge on metabolic muscle diseases and their symptoms, including general muscle weakness, exercise intolerance, hearing loss, diabetes, and short stature. Learn about maternal inheritance and other related conditions like MERRF and Kearns-Sayre. Explore the causes of metabolic muscle diseases, including defects of fatty acid oxidation and lipid storage disorders. Challenge yourself with questions on muscle weakness, pain, myoglobinuria, and the onset of symptoms after exercise.

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