Creatine Kinase Flashcards

(54 cards)

1
Q

MW

A

82,000 D

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2
Q

Class of enzyme

A

Transferase

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3
Q

Associated with

A

ATP regeneration

Transport system

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4
Q

Transfase of phosphate group PO4

A

Kinase

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5
Q

Ami

A

Acute myocardial infarction

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6
Q

Cns shock

A

Sepsis

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7
Q

High concentration in

A

Skeletal muscle
Heart muscle
Brain tissue

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8
Q

Sensitive indicator for

A

Ami

Md-duchenne type

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9
Q

Also seen in CNS disorder such as

A

Stroke, nerve degeneration, seizures, cns shock

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10
Q

2 subunits

A

H and M

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11
Q

Isoenzymes

A

Ck bb-brain type
Ck mb- hybrid type
Ck mm- muscle type

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12
Q

Fastest iso

A

Ck bb

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13
Q

Slowest iso

A

Ck mm

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14
Q

Most predominant iso in healthy individuals

A

Ck mm

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15
Q

Ck mm found in

A

Striated muscle and normal serum

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16
Q

Heart muscle activity mostly

A

80% ck mm

20% ck mb

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17
Q

Hypothyroidism

A

Ck mm

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18
Q

High conc in brain

A

Ck bb

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19
Q

Seen in cns, git, uterus

A

Ck bb

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20
Q

Pregnancy

A

Ck bb

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21
Q

Ck bb used to detect

A

Cns damage
Childbirth
Tumor

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22
Q

Hypothyroidism result to ck mm decrease or elevate?

23
Q

Ck mb not increase

A

Angina pectoris

24
Q

Bedridden patients increase or decrease ck activity

25
Major iso
Ck mm
26
If patient undergone a vaccination and submit herself for a ck test, what could be the results?
Elevate
27
Increase within what range of hrs
4-8 hrs
28
Peak time
12-24 hrs
29
Return to normal in
48-72 hrs
30
Used as more sensitive and specific marker for myocardial damage
Troponin I and T
31
2 atypical forms
Macro ck | Mitochondrial c
32
Appears in severe illness
Mitochondrial c
33
Appears in age and gender
Macro ck
34
Reference method for ck
Electrophoresis
35
More sensitive and precise than electrophoresis
Ion exchange chromatography
36
Enzyme released by rbc
Adenylate kinase
37
Used to inhibit ak in hemolyzed sample
Amp
38
Do not have ck
Liver cells | Rbc
39
Most anodal and labile
Ck bb
40
Least anodal
Ck mm
41
Potent inhibitors
Urate | Cysteine
42
Buffer
Imidazole
43
Assays
Tanzer gilbarg | Oliver rosalki
44
Forward rxn ph
9
45
Reverse rxn ph
6.8
46
Most commonly performed method in ck
Oliver rosalki
47
Does hemolysis elevate or decrease ck?
Elevate
48
Serum is inactivated by
Light and ph
49
Serum should be kept at
Dark place
50
Restores lost ck activity
Cleland reagent | Glutathione
51
Stored in
4c (7days) | -20 (1 month)
52
Reference range in male and female
M: 46-171 U/L F: 34-145 U/L
53
It is added to reverse reverse method to inhibit ak
Adenosine monophosphate
54
Expression of the percentage of total ck
Ck relative index