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Alkaline Phosphatase
(Single Best Answer) Question 1: A 50-year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/l SGPT 700 IU/l and serum alkaline phosphatase was 280 IU/l. What is the most likely diagnosis ?
A) Acute pancreatitis
B) Acute cholangitis
C) Acute viral hepatitis
D) Posterior penetration of peptic ulcer
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease ?
A) Aminotransferase
B) Alkaline phosphatase
C) Bilirubin
D) Albumin
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A 12 year old boy is referred for evaluation of nocturnal enuresis and short stature. The blood pressure is normal. The blood urea is 112 mg/dL, creatinine 6 mg/dL, sodium 119 mEq/l, potassium 4 mEq/l, calcium 7 mg/dl, phosphate 6 mg/dl, and alkaline phosphatase 400 U/l. Urinalysis shows trace proteinuria with hyaline casts; no red and white cells are seen. Ultrasound shows bilateral small kidneys and the micturating cystourethrogram is normal. The most likely diagnosis is ?
A) Alport's syndrome
B) Medullary sponge kidney
C) Chronic glomerulonephritis
D) Nephronophthisis
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: Which one of the following is not a feature of multiple myeloma ?
A) Hypercalcemia
B) Anemia
C) Hyperviscocity
D) Elevated alkaline phosphatase
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: Which of the following tumors have an increased elevation of placental alkaline phosphatase in the serum as well as a positive immunohistochemical staining for placental alkaline phosphatase ?
A) Seminoma
B) Hepatoblastoma
C) Hepatocellular carcinoma
D) Peripheral neuroectodermal tumor
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A two-year old boy has vitamin D resistant rickets. His investigations revealed serum calcium - 9 mg/dl, phosphate - 2.4 mg/dl, alkaline phosphatase 1041 IU, normal intact parathyroid hormone and bicarbonate 22 mEq/l. Which of the following is the most probable diagnosis ?
A) Distal renal tubular acidosis
B) Hypophosphatemic rickets
C) Vitamin D dependent rickets
D) Hypoparathyroidism
Answer (Select an option above to get the answer):
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