Chemical and Enzymatic Methods Flashcards

(48 cards)

1
Q

Chemical Methods include:

A
  1. ALKALINE COPPER REDUCTION METHOD
  2. ALKALINE FERRIC REDUCTION METHOD / HAGEDORN JENSEN
  3. CONDENSATION METHOD
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2
Q

ALKALINE COPPER REDUCTION METHOD includes:

A

FOLIN WU
NELSON SOMOGYI
NEOCUPROINE
BENEDICT’S

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3
Q

Reduce cupric ion to cuprous ion by the action of a reducing substance such as glucose

A

ALKALINE COPPER REDUCTION METHOD

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4
Q

Cu2+ + phosphomolybdic acid → phosphomolybdenum (blue)

A

FOLIN WU

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5
Q

Cu2+ + arsenomolybdic acid → phosphomolybdenum (blue)

A

NELSON SOMOGYI

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6
Q

Cu2+ + neocuproine → Cu – neocuproine (yellow/ y-orange)

A

NEOCUPROINE

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7
Q

end color of neocuproine

A

(yellow/ y-orange)

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8
Q

contains Cu(OH)2 copper hydroxide

A

Benedict’s reagent

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9
Q

end color of benedict’s

A

brick red precipitate

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10
Q

ALKALINE FERRIC REDUCTION METHOD aka

A

hagedorn jensen

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11
Q

ALKALINE FERRIC REDUCTION METHOD is _ method and _

A

TITRIMETRIC METHOD and INVERSE COLORIMETRY

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12
Q

Initial is colored and the final reaction is colorless.
Reduction of color is measured

A

INVERSE COLORIMETRY

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13
Q

in hagedorn jensen,

Potassium ferricyanide (yellow) is reduced when heated in an alkaline solution by a reducing sugar such as glcose, produces _ (colorless)

A

Potassium ferrocyanide

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14
Q

Uses: Ortho-toluidine is an aromatic amine

A

CONDENSATION METHOD

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15
Q

Method that uses glucose with aromatic amine forms schiff’s base when heated in an acidic sol’n

Absorbance:
Interferences:

A

Condensation Method

Absorbance: 630nm
Interferences: galactose & mannose can also form schiff’s base

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16
Q

Condensation Method’s acidic soln

A

glacial acetic

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17
Q

ENZYMATIC METHODS include:

A
  1. GLUCOSE OXIDASE METHOD
  2. HEXOKINASE METHOD
  3. GLYCOSYLATED HEMOGLOBIN METHODS
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18
Q

The most specific enzyme reacting with only B-D-Glucose

A

GLUCOSE OXIDASE METHOD

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19
Q

more abundant D-glucose in the blood

A

b-glucose (64%)

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20
Q

a-glucose in the blood

21
Q

Total Glucose also measures the a-glucose by adding the enzyme_ that will convert a-glucose to b-glucose.

22
Q

GLUCOSE OXIDASE METHOD falsely increase in

23
Q

GLUCOSE OXIDASE METHOD falsely decrease in

A

ascorbic acid, uric acid, bilirubin, hemoglobin, tetracycline,
glutathione

24
Q

GLUCOSE OXIDASE METHOD two methods:

A

COUPLED ENZYMATIC REACTION / SAIFER GERNSTENFIELD METHOD

POLAROGRPAHIC METHOD

25
enzyme used in coupled enzymatic method
glucose oxidase and peroxidase
26
uses enzyme and end product has color which is measured using a spectrophotometer
Enzymatic-Colormtetric Method
27
reduced chromogens in coupled enzymatic rx
3-methyl-2 benzothiazolinone hydrazone N,N-dimethylaniline O-dianisidine
28
glucose oxidase method principle
Trinder Rx
29
Measurement of the degree of oxygen consumption using a pO2 (Clark) electrode
POLAROGRPAHIC METHOD
30
POLAROGRPAHIC METHOD - Do not use _ sample as cells consume oxygen and may cause _
whole blood; FI
31
POLAROGRPAHIC METHOD requires addition of
molybdate and iodide or catalase and ethanol
32
Reference method for glucose determination because it uses an enzyme that is more accurate than Glucose Oxidase
HEXOKINASE METHOD
33
hexokinase method enzyme :
hexokinase and G-6-PD
34
enzyme that presence will not affect the glucose concentration
hexokinase
35
enzyme not affected by ascorbic acid and uric acid
g-6-pd
36
hexokinase method samples: interferences:
samples: Serum, Plasma, CSF, Urine, Serous fluid interferences: Hemoglobin, Drugs, Bilirubin, Lipemia
37
GLYCOSYLATED HEMOGLOBIN specimen
EDTA whole blood (does not require fasting)
38
GLYCOSYLATED HEMOGLOBIN METHOD preferred method of choice as it is not affected by HbF, HbS, and HbC
AFFINITY CHROMATOGRAPHY
39
GLYCOSYLATED HEMOGLOBIN METHOD temperature-dependent. HbF can cause FI. HbS and HbC causes FD.
CATION-EXCHANGE CHROMATOGRAPHY
40
all forms of Hgb are measured and quantitated. A separation technique.
HIGH PERFORMANCE LIQUID CHROMATOGRAPHY
41
1st reagent in GLYCOSYLATED HEMOGLOBIN METHODS
lysing agent
42
GLYCOSYLATED HEMOGLOBIN METHODS
AFFINITY CHROMATOGRAPHY CATION-EXCHANGE CHROMATOGRAPHY HIGH PERFORMANCE LIQUID CHROMATOGRAPHY ELECTROPHORESIS LATEX IMMUNOAGGLUTINATION INHIBITION METHODOLOGY
43
Recommended Frequency for DM Patients (ADA Guidelines) o DM patients with stable glycemic control:
twice a year (every 6months)
44
Recommended Frequency for DM Patients (ADA Guidelines) o DM patients with unstable glycemic control:
quarterly (every 3 months)
45
Most common method (uses glucometer and reagent strips) — useful for monitoring hyperglycemia and hypoglycemia among diabetic patient
self-monitoring of glucose WHOLE BLOOD GLUCOSE
46
tests which can be done outside the laboratory
POCT (POINT OF CARE TESTING)
47
How often do we measure whole blood glucose for diabetic px in Type 1 DM
3-4x /day
48
specimen for self-monitoring glucose
capillary blood