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A 37-Year-Old Woman Who Thinks She Might Be Pregnant Visits

Question 6

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A 37-year-old woman who thinks she might be pregnant visits her physician with a complaint of upper right quadrant pain.Blood samples are obtained.Increased enzyme activity was seen for ALP,AST,LD,and GGT.The ALP was 10 times higher than the upper reference limit.A hepatitis panel and a pregnancy test had negative results.Gel electrophoresis was done to separate ALP isoenzymes,with a dense liver band and what appeared to be a diffuse placental band.If there is not a pregnancy,what is the name given to the observed isoenzyme band that migrates in the same region as the placental isoenzyme?


A) Stable placental isoenzyme
B) Regan isoenzyme
C) S-AMY isoenzyme
D) LD-X isoenzyme

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