QuestionSBA
QuestionChoice
Bilirubin is formed when red blood cells are broken down.

This can be raised when there is an increased turnover of red blood cells such as in sickle cell anaemia, the liver cannot process the protein due to liver cirrhosis or there us an obstruction from the gallbldder such as in cholelithiasis.
10005919
d
Bilirubin
QuestionChoice
This is a protein made by the liver that is raised in infection.
10005918
c
C- reactive protein (CRP)
QuestionChoice
High cholesterol is a risk factor for cardiovascular disease.

This blood test is useful to carry out at presentation to aid long term management. However, in this acute setting with an MI you would most likely expect the troponin to be raised which is more sensitive adnd specific for this presentation.
10005920
e
Hypercholesterolemia
QuestionChoice
Troponin is a protein that participates in muscle contraction.

Myocardial infarction is due to insufficient blood supply to myocardium causing necrosis. This leads to the release of troponin when dmaage to the myocytes have occured.
10005916
a
Troponin
QuestionChoice
This is secreted by cardiomyocytes in the ventricles in response to stretching.

This is released and raised in heart failure.
10005917
b
Brain Natriuretic Peptide (BNP)
Concept
Chapter
2693
3713
Myocardial infarction and Acute Coronary Syndrome (ACS)
Topic
134
Cardiology
13730
70 year old presents with crushing chest pain, nausea, sweating and shortness of breath.

A myocardial infarction is suspected and bloods and an ECG trace is ordered.

Which blood marker would you expect to be raised?
a