LAB2 - AST Flashcards

1
Q

is one of several enzymes that catalyze the exchange of amino acids and oxo groupds between alpha amino acids and alpha oxo acids

A

aspartate aminotransferase

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2
Q

ast is widely distributed throughout the body tissues with significant amounts in the

A

heart or liver

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3
Q

lesser amounts of AST are found in

A

skeletal muscle, kidney, pancreas, spleen, lungs, ad brain.

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4
Q

in myocardial infarction, serum AST may begin to rise within ___ after onset,

A

6-8 hours

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5
Q

in myocardial infarction, serum AST may begin to rise within 6-8 hours after onset, and will peak _____

A

within 2 days

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6
Q

in what day will AST go back to normal once MI occured

A

on fourth to fifth day of post infarction

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7
Q

coditions we can found increase serum AST

A

hepatitis, liver necrosis, cirrhosis, and liver metastasis

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8
Q

he/she first reported a kinetic method for measuring AST activity in serum

A

KARMEN

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9
Q

Subsequently, karmen’s kinetic method of measuring AST was been modified by

A

Bergmeyer et. al.

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10
Q

the first reaction in AST determination

A

L-aspartate + 2-oxoglutarate

catalyze by AST

L- glutamate + oxalacetate

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11
Q

2nd reaction in AST determination

A

oxalacetate + NADH + H

catalyze by malate dehydrogenase

L-malate + NAD

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12
Q

AST activity is determined by measuring the rate of oxidation of NADH at ____ nm

A

340

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13
Q

lactate dehydrogenase is inlcuded in the reagent to convert ______ in the sample to lactate

A

endogenous pyruvate

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14
Q

reagents are stable until the expiration date on their respective labels if stored in what temperature

A

2-8 * C

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15
Q

appearance of reagent

A

clear and colorless

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16
Q

the working reagent is stable for how many weeks if stored in 2-8 *C

A

4 weeks

17
Q

the working reagent is stable for how many days if stored in room temp

A

5 days

18
Q

the working reagent should be discarded if the initial absorbance read against distilled water at 340 m is below

A

0.800

19
Q

specimen of choice for ast

A

non hemolyzed serum

20
Q

aside from yellow top or serum, what other tubes as can be used

A

edta treated plasma or heparinized plasma

21
Q

whenever possible, specimens should be separated and analyzed on the day of collection

oki?

A

oki po

22
Q

the enzyme in serum is reportedly stable for a minimum of how many days in 2-8 *C

A

7 days

23
Q

hemolysis must be avoided as the concentration of AST in red cells is roughly how many times of serum

A

10 times

24
Q

acceptable level of bilirubin

A

40 mg/dl

25
Q

acceptable level of triglycerides

A

2000 mg/dl

26
Q

the values are derived based on the

A

absorptivity micromolar extinction coefficient of NADH at 340 nm

27
Q

if the absorbance is greater than 0.16, what should we do

A

1 part of sample with 9 parts isotonic saline and re assay, multiply the result by 10

28
Q

what type of specimen may require the use of sample blank

A

grossly icteric or turbid sample

29
Q

normal range

A

8-33 U/L

30
Q
A