Question

question 46 (mandatory) (1 point)
listen
a 61 - year - old female patient tells you that she had a hard time sleeping last night. she has been experiencing unusual fatigue, some dizziness, shortness of breath and anxiety. her lab results are wnl except for mild leukocytosis, and elevated cpk, ldh & ast. which of the following is the most likely diagnosis?
a) hyperventilation
b) hepatitis
c) cirrhosis
d) gerd
e) myocardial infarction

Explanation:

• Hyperventilation: Usually presents with symptoms like tingling, numbness, not typically with elevated CPK (creatine phosphokinase), LDH (lactate dehydrogenase), AST (aspartate aminotransferase).
• Hepatitis: May have elevated liver - related enzymes (AST can be elevated in liver issues, but CPK elevation is not a key feature of hepatitis).
• Cirrhosis: Chronic liver condition with symptoms like ascites, jaundice (in later stages), not the constellation of symptoms and enzyme elevations here.
• GERD (Gastro - esophageal reflux disease): Main symptoms are heartburn, regurgitation, not related to the enzyme elevations and the described non - gastrointestinal symptoms.
• Myocardial Infarction (MI): Symptoms such as fatigue, shortness of breath, anxiety (especially in women, atypical symptoms can be more common). Enzymes like CPK (especially CPK - MB), LDH, AST are elevated in MI as a result of myocardial cell damage.

Answer:

e) Myocardial Infarction