1S [LAB]: ALP Flashcards

1
Q

Optimal pH level for alkaline phosphataes

A

9-10

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2
Q

Clinical significance of alkaline phosphatase

A

Hepatobiliary
Bone disorders

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3
Q

In ALP isoenzyme differentiation, heat stability is tested at what temperature and how long?

A

56C for 10 mins

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4
Q

In ALP isoenzyme differentiation, if after heating the remaining activity is <20%, the source of ALP elevation is the ___

A

bone

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5
Q

In ALP isoenzyme differentiation, if after heating the remaining activity is >20%, the source of ALP elevation is the ___

A

Liver

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6
Q

Phenylalanine inhibits ___% of intestinal and ___% of placental ALP

A

75
80

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7
Q

Most heat stable ALP isoenzyme

A

Regan isoenzyme

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8
Q

Regan isoenzyme can resist denaturation up to what temperature and how long?

A

65C for 30 mins

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9
Q

T/F: Regan isoenzyme is both stable under heat and phenylalanine

A

False (it is inhibited by phenylalanine)

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10
Q

The variant of Regan isoenzyme that is inhibited by L-leucine

A

Nagao-variant of Regan

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11
Q

ALP isoenzyme seen in metastatic CA of pleural surfaces

A

Nagao-variant of Regan

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12
Q

ALP isoenzyme seen in adenocarcinoma of the pancreas and bile duct

A

Nagao-variant of Regan

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13
Q

T/F: An increase in ALP can be non-pathologic

A

True (in the case of healing bone fractures and pregnancy)

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14
Q

Identify the ALP method:

B-glycerophosphate or Na-glycerophosphate

A

Bodansky method

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15
Q

Identify the ALP method:

Phenylphosphate or disodium phenylphosphate

A

King-Armstrong or Gutman-Gutman Method

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16
Q

Identify the ALP method:

A continuous monitoring technique of ALP activity

A

Bowers and McComb

17
Q

Identify the ALP method:

Based on the molar absorptivity of p-nitrophenol

A

Bowers and McComb

18
Q

Diet may elevate ALP level in which group/s of secretors

19
Q

ALP determination requires what ions as activators?

A

Mg2+ and Mn2+

20
Q

Buffer used in ALP determination

A

Diethanolamine buffer (pH 7.5)

21
Q

Activator used in ALP determination

A

Magnesium chloride

22
Q

Substrate used in ALP determination

A

P-nitrophenyl phosphate

23
Q

Factor to compute ALP