Myocardial Infarction Diagnosis Quiz

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Questions and Answers

Which enzymes released from necrotic cells during a myocardial infarction are more specific for heart tissue?

  • Creatine phosphokinase with M and B subunits (CKMB) and myosin
  • Lactic dehydrogenase (LDH-1) and creatine phosphokinase with M and B subunits (CKMB) (correct)
  • Aspartate aminotransferase (AST) and myosin
  • Lactic dehydrogenase (LDH-1) and aspartate aminotransferase (AST)

Which substance, elevated a few hours after MI, provides an earlier confirmation of a myocardial infarction?

  • Lactic dehydrogenase (LDH-1)
  • Troponin (correct)
  • Myosin
  • Creatine phosphokinase with M and B subunits (CKMB)

Which abnormal laboratory findings are common in patients with myocardial infarction, signifying inflammation?

  • Leukocytosis, elevated CRP, and erythrocyte sedimentation rate (correct)
  • Elevated serum electrolytes
  • Arterial blood gases abnormalities
  • High levels of myosin and troponin

Which enzyme is not typically released from necrotic cells during a myocardial infarction?

<p>Alkaline phosphatase (B)</p> Signup and view all the answers

Which measurements are helpful in determining ventricular function during a myocardial infarction?

<p>Pulmonary artery pressure measurements (B)</p> Signup and view all the answers

Which of the following is the most specific ECG change that confirms the diagnosis of a myocardial infarction?

<p>Pathological Q waves (D)</p> Signup and view all the answers

Which of the following serum enzymes is the earliest marker of myocardial necrosis after a myocardial infarction?

<p>Troponin (D)</p> Signup and view all the answers

Which of the following serum electrolyte abnormalities is most commonly seen in patients with a myocardial infarction?

<p>Hypokalemia (D)</p> Signup and view all the answers

Which of the following laboratory findings is NOT commonly seen in patients with a myocardial infarction?

<p>Thrombocytosis (D)</p> Signup and view all the answers

Which of the following measurements is the most helpful in determining ventricular function during a myocardial infarction?

<p>Pulmonary artery pressure (D)</p> Signup and view all the answers

Which of the following enzyme isoforms is the most specific marker for myocardial injury during a myocardial infarction?

<p>Troponin (B)</p> Signup and view all the answers

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