CK Flashcards

(48 cards)

1
Q

Total creatine kinase-Kinetic method

A

Oliver-Rosalki, modified by Szasz

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2
Q

Addittion of Sulfhydryl and AMP

A

Nielson

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3
Q

Optimized the condition for measuring CK activity

A

Szasz and Scandinavian committee

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4
Q

Recommended method of IFCC

A

Reverse reaction and activation of NAC

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5
Q

pH of forward reaction

A

pH 6.8

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6
Q

pH of reverse reaction

A

pH 9.0

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7
Q

Activator of CK

A

Magnesium

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8
Q

Enzymes of forward reaction

A

CK, Pyruvate Kinase, Lactate dehydrogenase

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9
Q

Enzymes of reverse reaction

A

CK, Hexokinase, Glucose-6-Phosphate Dehydrogenase

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10
Q

Final product of forward reaction

A

NADH

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11
Q

Final product of reverse reaction

A

NAD

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12
Q

Direct or forward reaction method

A

Tanzer-Gilbarg method

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13
Q

Methods of separation of isoenzyme

A

Electrophoresis
Immunoassay
Column chromatography

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14
Q

Excess magnesium, chloride, calcium, sulfates

A

Inhibit CK activity

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15
Q

Heavy metals that inhibits CK activity

A

zinc, copper, manganese

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16
Q

Excess iodoacetate, and sulfhydryl agents

A

Inhihits CK activity

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17
Q

Excess ADP, citrate, fluoride, L-thyroxine, and uric acid

A

Inhibits CK activity

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18
Q

4hrs
8-12hrs
2-3 days

A

RT
4 deg celcius
Frozen

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19
Q

High ALP

A

Decrease CK value

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20
Q

Inactivated by light

21
Q

Lipemic sample

A

Causes high absorbance readings

22
Q

Intramuscular injection of sedative and analgesics

A

Induce increase CK activity

23
Q

Men have higher CK than women because of difference in?

24
Q

New born high value of CK due to

A

Skeletal muscle trauma during birth

25
Recent exercise
Increase serum CK
26
Sustained exercise
Increase CK-MB
27
Elders have decrease CK due to
Decrease muscle mass
28
Linearity of Total creatine kinase-Kinetic method
1200 IU/L
29
Magnesium
Cofactor for maximum catalytic activity
30
Adenosine-5'-Monophosphate
Inhibits adenylate kinase activity
31
N-acetylcysteine
Prevents oxidation of sulfhydryl group
32
Oxidation of sulfhydryl leads to
No enzyme activity of CK
33
EDTA
Chelates calcium which is an inhibitor of CK
34
55 deg celcius
No detectable CK activity
35
Preffered method of reaction
Reverse reaction
36
This reaction is 2-6× faster
Reverse reaction
37
CK- MB determination Immuno-inhibition
Wurzburg
38
Major source of CK
Muscle- CK-MM Heart- CK- MB Brain- CK-BB
39
Subunits of CK
M and B
40
Isoenzyme are separated via
Electrophoresis Column anion exchange Batch anion exchange chromatography
41
Antibody to CK- M monomer
Wurzburg
42
Quantitatively measure CK- B
Rosalki
43
Uses precipitating antisera against ( homologous rabbit antisera ) pure CK-MM and CK-BB
Immunoprecipitation
44
Used for fast and quantitative measurement of CK-MB
Immuno- inhibition
45
Used in doubtful cases
Immunoprecipitation
46
Isoenzyme that is usually absent is a healthy sera
CK-BB
47
Linearity of CK-MB determination
1500 IU/ L
48
Measurement of isoenzyme
Radio immunoassay Ion exchange chromatography Immuno inhibition Electrophoresis