Biochemistry lab 2nd year Flashcards

1
Q

Reference Range Cholinesterase

A

4 - 10 U/ml

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2
Q

Serum Cholinesterase decreases in…

A
  1. hepatic failure: hepatic cirrhosis, liver insuficiency
  2. intoxication
    CAVE: Serum Cholinesterase is an important marker of liver function.
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3
Q

Reverence range Serum GOT.

A

< 50 U/L

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4
Q

Reverence range Serum GPT.

A

< 45 U/L

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5
Q

Explain Rittis coefficient.

A

GOT/ GPT = 1.33
medical diagnosis for liver damage and hepatotoxicity.

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6
Q

The activity of serum GOT increases in..

A

myocardial infarction, acute hepatits, toxic necrosis of the liver, acute pancreatitis, renal failure.
CAVE: In case of MI, GOT increases significantly.

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7
Q

The activity of serum GPT increases in..

A

acute hepatitis, toxic necrosis, alcoholic liver.

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8
Q

Serum amylase reference range.

A

60 - 300 U/l

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9
Q

Serum amylase is increases in..

A
  1. acute pancreatitis
  2. parotitis.
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10
Q

Acid phosphatase (ACP) has its optimum pH at..

A

4.5

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11
Q

Alkaline phosphatase (ALP) has its optimum pH at..

A

10.5

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12
Q

ACP found in..

A
  1. liver
  2. prostate
  3. Erys
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13
Q

ALP found in..

A
  1. liver
  2. bone
  3. gut
  4. kidney
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14
Q

Reference range ACP:

A

< 11 U/l

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15
Q

Reference range ALP:

A

20 - 48 U/l

(children: 38 - 138 U/l)

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16
Q

Reference range GGT:

A

male: 8-50 U/L
female: 8 - 40 U/L

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17
Q

GGT increases in..

A
  1. hepatobiliary disorders
  2. alcoholism
  3. drug administration
  4. acute pancreatitis, Diabetes mellitus
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18
Q

Reverence range of serum glucose..

A

70-110 mg/dl

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19
Q

Hyperglycemia

A
  1. Diabetes mellitus
  2. Cushing diseases
  3. Hyperthyrodism
  4. Peochromocytoma
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20
Q

Hypoglycemia

A
  1. Islet cell carcinoma
  2. Addison disease
  3. Hypothyrodism
  4. Overdose with insulin
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21
Q

Reference range of Urea..

A

15-40 mg/dl

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22
Q

Hyperuremia

A

1. Prerenal: decreases of blood flow in kidney

  • hemorrhage
  • dehydration
  • shock

2. Renal causes: decreased renal function

  • glomerulonephritis
  • tubular necrosis
  • nephrosclerosis

3. Postrenal causes: urinary tract obstruction

  • renal stones
  • tumor of bladder/ prostate
  • urethral strictures
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23
Q

Hypouremia

A

1, Malnutrion of proteins

  1. severe liver disorder
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24
Q

Reference range of Uric acid..

A

2,5 - 7 mg/dl

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25
Hyperuricemia
**1. Increasd dietary intake** **2. Increases uric acid production:** - gout: inflammantory arthritis of joints, very painful - Teatment with chemotherapry: increaed breakdown of cell nuclei **3. Lesch-Nyhan syndrome:** decreased excretion
26
Hypouricemia
1. Severe liver disease 2. Defective kidney tubular reabsorption
27
Reverence range Creatinine..
0,5 - 1,2 mg/dl (less in female -\> reduces muscle mass.
28
Hypercreatininemia
similar to urea! **1. Prärenal: *decreases blood flow in kideny*** - hemorrhage - dehydration - shock **2. Renal causes: *decreased renal function*** - Glomerulonephritis - acute tubular necrosis - nephrosclerosis **3. Postrenal causes: *urinary tract obstruction*** - renal stones - tumors of bladder or prostate - urehtal strictures
29
Hypocreatininemia
1. severe liver disease 2. myasthenia gravis: autoimmune disease by which antbodies destroy communication between nerves & muscles
30
Reverence range bilirubin..
0,2 - 1,0 mg/dl
31
Pathological modification of bilirubin
Ikterus, Jaundice = yellow pigmention of the skin and eyes (sclerae) **1. Hemolytic jaunice (Prähepatic)** **2. Obsturctive jaundice (Posthepatic)** **3. Hepatocellular jaundice**
32
Reference range plasma total lipid concentration..
600-800 mg/dl
33
Hyperlipidemia (Hyperlipoproteinemia)
**1. Primary:** - Lipoprotein lipase defiency - LDL receptor deficiency - increased apo-B production - decreased apo-E prodcution - overproduction of triglycerides by liver **2. Secondary:** - in diabetes mellitus - nephrotic syndrome - hypothyroidsm - pancreatitis - obstructive liver and bile canaliculi disease - pregnancy -
34
Hypolipidemia (Hypolipoproteinemia)
**1. Primary:** Tangier disease **2. Secondary:** - malnutrition - liver disorder: hepatic cirrhosis, liver insufficiency - severe anemia - hyperthyroidsm
35
Cholesterol reverence range
150 - 220 mg/dl
36
Hypercholesterolemia
1. diabetes mellitus 2. nephrotic syndrome 3. hypothyroidism 4. obstructive liver and bile canaliculi diseases 5. atherioscleoris and cardiovascular diseases 6. pregnancy
37
Hypocholesterolemia
1. malnutrition & malabsorption 2. hyperthyroidism 3. hepatic cirrhosis 4. liver insufficiency 5. severe anemia
38
Reverence range of triglycerides
50 - 150 mg/dl
39
Hypertriglyceridemia
1. Primary hyperlipoproteinemia: type 1, 4, 5 2. diabetes mellitus 3. pancreatitis 4. cardiovascular disease 5. nephrotic syndrome 6. hormone use
40
Hypotriglyceridemia
1. Primary hypolipoproteinemia 2. Malnutrition 3. Severe liver diseases 4. anemia
41
Reference range total serum protein
**6 - 8 g/dl** albumin: 4,5 - 5,5 g/dl globulin: 1,5 - 2,5 g/dl
42
Hyperproteinemia
1. multiple myeloma 2. Waldenstrom macroglobulinemia
43
Hypoproteinemia
1. liver disease: hepatic cirrhosis, liver tumor, liver insufficiency 2. kidney disease: glomerulonephritis, nephrotic syndrome
44
Acute inflammation:
a1 globulins high a2 globulins high
45
Chronic inflammation
gamma globulin high
46
Multiple myeloma
Total protein high gamma protein high
47
Hepatic cirrhosis
Total protein low Albumin low b globulin high gamma globulin high
48
Nephrotic syndrome
Total protein low Albumin low gamma protein low a2 protein high b globulin high (in severe form)
49
Hypogammaglobulinemia
Total protein low gamma protein low
50
Reverence range Hemaglobin
male: 14 - 18 g/dl female: 12 - 16 g/dl
51
Increased Hb:
polycythemia
52
Decreased Hb:
anemia
53
HbA1
total glycosylated hemoglobin =\> average blood glucose level of last two or three months (120 days) **\< 5 % normal** **\> 9 %** **_diabetes mellitus_**
54
HbA1c
major glycosylated hemoglobin fraction
55
Principle for serum glucsoe
1. **Glucose oxidase (GOD)** oxidize Glucose to glunocic acid with formation hydrogen peroxide. **2. Peroxidase (POD)** catalyzes oxidation of diansidine (yellow compound).
56
Principle urea
Berthelot method: 1. **Urease** hydrolyse ***urea*** to ammnonium in the formation of blue coloured indophenol by sodium nitroprusside Absorbtion: 620.
57
Principle uric acid
1. **Uricase** oxidize uric acid and hydrogen peroxide to allantoin. 2. **Peroxidase** oxidize hydrogen peroxide to yellow compound dianisidine. Absorbance: 436 nm
58
Principle of creatinine
**Jaffe method:** Creatinine with **picric acid** in alkaline solution form a red-orange complex. ***Absorbance. 520 nm***
59
Bilirubin Principle
1. Serum/ plasma in a solution with sodium acetate and caffeine together with (diazotized) sulfanilic acid form red - purple azobilirubin. ## Footnote ***Absorbance: 560 nm***
60
Principle plasma total lipids
Plasma lipids in presence of - sulfuric acid - phosphoric acid, - vanillin (under heating conditions) form a pink compound. ***Absorbance: 580 nm***
61
Principle cholesterol
1. Cholesterol in persence of sulfuric acid, acetic anhydride form a blue compound.
62
Principle Triglycerides
1. **Lipase** oxidize Triglycerides into Glycerol and fatty acids. 2. **Glycerol kinase** phosphorylate Glycerol into Glycercol 3-phosphate . 3. **Glycerol 3 phosphate oxidase** tranform Glycerol 3-phosphate into 3- Phosphoglyceric acid. 4. In the presence of **peroxidase** a yellow compound diasidine is obtained.
63
Principle of serum protein
Cupric ions with peptide bonds in an alkaline medium form a violet colored complex. ## Footnote ***Absorbance: 540 nm***
64
Principle hemoglobin
Hemoglobin in presence of Drabkin reagent form cyanmethemoglobin.
65
Principle Serum Cholinesterase
1. **Pseudocholinesterase** hydrolyze butyrylthiocholine to thiocholine and butyric acid. 2. Thioline reacts with DTNB. to form yellow compound 5-thio-2 nitrobenzoic acid. ***Absorbance: 412 nm.***
66
Principle serum transferase
1. AST/ ALT react with colour reaction of keto acid with 2,4 dinitrophenyl hy**drazine** to form 2,4 dinitrophenyl hy**drazone.** Absorbance: 546 nm.
67
Principle serum amylase
1. **Amylase** determine the amount of unhydrolzyed starch after its reaction with iodine. 2. The resulted product - **starch I**2 **=** blue. Absorbance: 620 nm.
68
Principle acid and alkaline phosphatase
**Paranitrophenylphosphate** hydrolyzed to yellow compound **para nitrophenol** in alkaline medium. ***Aborbance: 405 nm***
69
Principle Gamma - Glutamyl Tansferase
1. **Gammaglutamyl transferase (GGT)** catalyse the transfer of gamma-glutamyl group from a donor substrate (gamma-glutamyl-p-nitroanilide) to a acceptor (glycylglycine) with the formation of a yellow **p-nitroaniline.** ***Aborbance: 405 nm***
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