Quiz 3 crossword Flashcards
_______ cells are active phagocytes that engulf bacteria, old RBCs, toxins, debris from blood flowing through sinusoids
Kuppfer
Bilirubin conjugated w/ 2 glucuronic acid molecules
Direct
A chronic, lifelong conditinon in which the body cannot produce or cannot use insulin properly
Diabetes mellitus
Enzyme that helps digest carbs
Amylase
Plot in which reverse of Vmax = y-intercept
Lineweaver-Burk
Chronic liver disease characterized pathologically by fibrosis and conversion of normal liver architecture into structurally abnormal lobules
Cirrhosis
Condition characterized by yellow discolouration of skin, sclera, mucous membranes caused by elevated bilirubin levels
Jaundice
Waste product from the degradation of the heme portion of old RBCs
Bilirubin
The product of amino acid and protein catabolism; elevated levels associated w/ impending hepatic coma and Reye;s syndrome
Ammonia
Indicated by negative HbsAg and Anti-HBc and positive HBs antibody
Immunization
The stoppage or obstruction of the flow of bile from intrahepatic causes, obstruction of bile duct by gallstones, or any process that blocks the bile duct
Cholestasis
Development of both HBs and HBc antibodies indicates
Recovery
Autosomal recessive disorder resulting in increased serum total bilirubin and presence of bilirubin in the urine
Dubin-Johnson
Enzyme that is higher in post-hepatic obstruction compared to intrahepatic obstructions
GGT
Analytical method involves hydrolysis of starch to release iodine
Amyloclastic
Tablet test for analysis of bilirubin in urine
Ictotest
Inhibition which results in increased slope and y-intercept when plotted on Lineweaver-Burk plot
Non-competitive
Sudden inflammation of the pancreas
Acute pancreatitis
Autosomal recessive disorder of copper metabolism associated with low levels of ceruloplasmin
Wilson’s disease
An inflammatory condition of the pancreas most often caused by excessive alcohol consumption
Chronic pancreatitis
Principle based on the production of a colored product in bilirubin analysis
Diazo
The geometric shape of a protein composed of a single polypeptide chain
Tertiary
Liver enzyme that catalyzes the reaction of aspartate and oxoglutarate
AST
Transmission of Hep A and E viruses
Fecal-oral
Group of enzymes that catalyze the transfer of amino groups
Aminotransferases
Aminotransferase that is more liver-specific and diagnostic in hepatocellular disorders
ALT
________ syndrome: unconjugated hyperbilirubinemia involving a protein with active transport of bilirubin by ligandin through the hepatocyte cell membrane to the microsome
Gilbert’s disease
Result of bacterial action on conjugated bilirubin
Urobilinogen
Condition differentiated from other cases of increased amylase by amylase creatinine clearance ratio
Macroamylasemia
Condition that occurs when pancreas fails to provide the necessary amount of digestive enzymes
Pancreatic insufficiency
Jaundice as a result of increased hemolysis and excessive destruction of RBCs leading to increased bilirubin
Pre-hepatic
Enzyme that catalyzes the breakdown of fats to fatty acids and glycerol
Lipase
Virus that is dependent on another virus to replicate
HDV
Enzyme which oxidizes bilirubin to biliverdin
Bilirubin oxidase
Enzymes that differ in amino acid sequences but catalyze the same chemical reaction
Isoenzyme
Lined by Kuppfer cells
Sinusoid
The concentration of substrate which permits the enzymes to achieve half Vmax
Km
Particle of HBV which consists of a core and an envelope
Dane
Antibody usually indicating acute infection of hepatitis
IgM
Mumps or swelling of the major salivary glands
Parotitis
Fibrosing disease leading to non-alcoholic steatohepatitis
NAFLD
Enzyme that can be used to differentiate bone disorders from liver disorders
GGT
Location in the liver between a hepatocyte and a sinusoid
Space of Disse
Reaction that has a rate independent of the concentration of the reactant(s)
Zero-order
Infiltration of liver cells with fat
Steatosis
Enzyme that is elevated in liver and bone disorders
ALP
Medications that may interfere with amylase and lipase analysis
Opiates
Substance (other than substrate) whose presence is essential for activity of an enzyme
Cofactor
Water soluble end product of toxic ammonia
Urea
Enzymes which catalyze the joining of specified molecules or groups by a double bond
Lyase
Period when environment is adjusting a reaching equilibrium
Lag