KROK 1 2009 – Question 189 · KROK (Medicine) · Biological Chemistry
A 49-year-old driver complains about unbearable constricting pain behind the breastbone irradiating to the neck. The pain arose 2 hours ago. Objectively: the patient’s condition is grave, he is pale, heart tones are decreased. Laboratory studies revealed high activity of creatine kinase and LDH₁. What disease are these symptoms typical for?
- A. Acute myocardial infarction
- B. Diabetes mellitus
- C. Cholelithiasis
- D. Acute pancreatitis
- E. Stenocardia
Hint
Think about which tissue is the main source of the raised enzymes and whether pain lasting two hours with a grave general state fits a brief, reversible process.
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