Enzymes Flashcards

0
Q

Abnormal large amount of enzymes in serum are used clinically as evidence of?

A

Organ damage

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1
Q

When bind tightly to the enzyme, the coenzyme is called

A

Prosthetic group

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2
Q

Water free cavity

A

Active site

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3
Q

Inactive enzyme precursor. Coagulation factors and digestive enzyme

A

Proenzyme or zymogen

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4
Q

Where the substrates bind and undergo a chemical reaction

A

Active site

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5
Q

Active substance formed by a combination of a coenzymes and an apoenzymes

A

Holoenzyme

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6
Q

Binds regulatory molecules

A

Allosteric site

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7
Q

Substance acted upon enzyme, specific for each enzyme

A

Substrates

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8
Q

Promote change in shape

A

Allosteric site

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9
Q

Specific biologic proteins that catalyze biochemical reactions without altering the equilibrium point of the reaction or being consumed or changed in composition

A

Enzymes

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10
Q

Represents the subclass to which the enzyme is assigned

A

Second and third digits

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11
Q

Serial number that is specific to each enzyme in a subclass

A

Final and fourth number

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12
Q

Helper molecules, nonprotein substance added in the enzyme substance complex to manifest the enzyme activity

A

Cofactors

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13
Q

Places the enzyme in its classification

A

First digit

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14
Q

Catalyze the hydrolysis of various bonds.

Splitting of a bond by addition of water

A

Hydrolases

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15
Q

Catalyze the interconversion of geometric, optical or positional isomers

A

Isomerase

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16
Q

Protein portion of enzyme, subject to denaturation, in enzyme losses activity

A

Apoenzyme

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17
Q

Physical binding of a substrate to the active site of an enzyme

A

ES complex

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18
Q

Catalyze an oxidation reduction reaction between two substrates

A

Oxidoreductase

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19
Q

Catalyze the joining of two substrate molecules, coupled with breaking of the pyrophosphate bond in adenosine triphosphate or a similar compound

A

Ligases

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20
Q

Enzymes combined with only one substrate and catalyzes only one reaction

A

Absolute specificity

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21
Q

They combine with all the substrates containing a particular chemical group

A

Group specificity

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22
Q

Reaction rate is directly proportional to substrate concentration

A

First order kinetics

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23
Q

Excess energy
The energy required to raise all molecules in 1mol of a compound at a certain temperature to the transition state at the peak of energy barrier

A

Activation energy

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24
Q

Specific to chemical bonds

A

Bond specificity

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25
Q

pH range wherein most physiologic reactions occur

A

7-8

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26
Q

Enzymes that predominantly combine with only one optical isomer of certain compound

A

Stereoisomeric specificity

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27
Q

Only a fixed number of substrates is converted to product per second

A

Zero order kinetics

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28
Q

Inactivation temperature of enzymes

A

60-65C

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29
Q

Nonprotein entities that must bind to particular enzymes before a reaction occurs

A

Cofactor

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30
Q

Optimal pH is controlled by means of appropriate

A

Buffer solution

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31
Q

Catalyze the transfer of a group other than hydrogen from one substrate to another

A

Transferase

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32
Q

Incubation temperature

A

+/-1C

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33
Q

For every 10C increase in temperature, there will be two fold increase in enzymatic activity

A

Temperature coefficient

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34
Q

Alter the spatial configuration of the enzyme for proper substrate binding, linking substrate to the enzyme or coenzyme

A

Activators

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35
Q

Binds an enzyme at a place other than the active site but instead prevent all enzymatic activity by binding to all allosteric site located elsewhere on the enzyme

A

Noncompetitive inhibitor

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36
Q

Catalyze the removal of groups from substrates without hydrolysis.
The product contains double bonds

A

Lyases

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37
Q

Second substrate

A

Coenzyme

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38
Q

Physically bind to the active site of an enzyme and compete with the substrate for the active site

A

Competitive inhibitor

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39
Q

Appear in the serum following cellular injury

A

Enzymes

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40
Q

Enzymes are measured in terms of?

A

Change in:
Substrate concentration
Product concentration
Coenzyme concentration

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41
Q

Results in permanent loss or enzymatic activity

A

Permanent binding

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42
Q

Results from a change in the shape of the active site when an inhibitor binds to an allosteric site

A

Allosteric inhibitor

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43
Q

Reaction rate depends only on enzyme concentration

A

Zero order kinetics

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44
Q

Enzymes are active at what temperatures?

A

25, 30, and 37C

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45
Q

Binds to the enzyme substrate complex. Does not yield products

A

Uncompetitive inhibitor

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46
Q

Theory wherein based on the shape of the key must fit into the lock

A

Lock and key theory

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47
Q

The reactants are combined, the reaction proceeds for designated time, the reaction stopped and a measurement of the amount of reaction that has occurred is made

A

Fixed time method

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48
Q

An increase in the concentration of substrate molecules will result to the increase in the likelihood of the active site that will be filled by the substrates instead of inhibitors

A

Reversible competition

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49
Q

An organic factor

A

Coenzyme

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50
Q

Based on the substrate binding to the active site of the enzyme.

A

Induced fit theory

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51
Q

Coenzyme frequently measured in the lab

A

NADH

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52
Q

Multiple measurements of the absorbance changed are made during the reaction

A

Continuous monitoring

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53
Q

Results when binding of an activator molecule to an allosteric site caused a change in the active site that makes it capable a binding a substrate

A

Excitory allosteric inhibitor

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54
Q

Enzyme concentration are always performed in?

A

Zero order kinetics

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55
Q

Similar enzymatic activity but differ in physical, biochemical and immunologic characteristics

A

Isoenzyme

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56
Q

Increasing its concentration will increase the velocity of an enzymatic reaction.
Essential for complete enzymatic activity

A

Coenzyme

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57
Q

The reaction is assumed to be linear over the reaction time

A

Fixed time method

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58
Q

As the enzyme binds to the substrate the shape of the active site conforms precisely to the shape of the substrate

A

Induced fit

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59
Q

Convenient method of an enzyme quantitation is measurement of its?

A

Catalytic activity

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60
Q

Optimum temperature of enzymatic activity

A

37C

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61
Q

More advantageous over fixed time method because the linearity of the reaction may be more adequately verified

A

Continuous monitoring

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62
Q

Acid phosphatase is seen in

A

Prostatic carcinoma

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63
Q

Alanine transferase is seen in

A

Hepatic disorder

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64
Q

Alkaline phosphatase is seen in

A

Hepatic disorder

Bone disorder

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65
Q

GGT in

A

Hepatic disorder

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67
Q

Lactate dehydrogenase

A

Myocardial infarction
Hepatic disorder
Hemolysis
Carcinoma

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68
Q

Amylase in

A

Acute pancreatitis

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69
Q

Lipase in

A

Acute pancreatitis

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71
Q

Trypsin in

A

Acute pancreatitis

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72
Q

Aspartate aminotransferase

A

Myocardial infarction
Hepatic disorder
Skeletal muscle disorder

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73
Q

Myocardial infarction increase in what enzyme?

A

AST
CK
LD

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75
Q

Hepatic disorder increase in

A
ALT
ALP
AST
GGT
LD
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76
Q

Chymotrypsin in

A

Chronic pancreatitis insufficiency

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77
Q

Skeletal muscle disorder increase in

A

AST

CK

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78
Q

Acute pancreatitis increase in

A

AMY
LPS
Trypsin

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79
Q

Chronic pancreatitis insufficiency increase in?

A

Chymotrypsin

Elastase 1

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80
Q

Generally associated with ATP regeneration in contractile or transport system

A

CK

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81
Q

CK major sources

A

Skeletal, muscle and brain tissue

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82
Q

Predominant function occurs in muscle cells, where it is involved in the storage of high energy creatine phosphate

A

CK

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83
Q

CK level is considered as sensitive indicator of?

A

Acute myocardial infarction

Duchenne type

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84
Q

CK is a dimeric molecule with small molecular size composed of pair of two different monomers called

A

M and B

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85
Q

This is known to increase CK <5x URL

A

Intramuscular injection

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86
Q

The dominant isoenzyme of CK found in brain, intestine and smooth muscle

A

CK-BB

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87
Q

Highest concentration of CK BB is seen in

A

CNS
GIT
Uterus during pregnancy

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88
Q

Useful tumor associated marker

A

CK BB

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89
Q

CK isoenzyme that Migrate fastest

A

CK BB

CK-1

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90
Q

Serves as buffer

Component of CK reagent

A

Imidazole

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92
Q

Creatine kinase in

A

Myocardial infarction

Skeletal muscle disorder

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93
Q

The only tissue from which CK MB enters the serum in significant quantities

A

Myocardium

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94
Q

Measures decrease in absorbance at 340nm with optimum pH oh 9. CK method

A

Tanser-Gilbarg assay

Forward or direct method

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95
Q

Potent inhibitor

A

Urate and cystein

97
Q

For the detection of myocardial damage

A

CK MB

98
Q

Elastase-1 in

A

Chronic pancreatitis insufficiency

99
Q

Forward method is coupled with

A

Pyruvate kinase-LD-NADH system

100
Q

CK is sensitive with?

A

Light and pH

101
Q

CK MB begin to rise in? Peak? Normalize?

A

Rise:4-8 hrs
Peak:12-24hrs
Normalize:48-72hrs

102
Q

Released after cell lysis interferes with CK assay particularly with hemolysis of >320mg/dL

A

Adenylate kinase

103
Q

CK MB is not elevated in?

A

Angina

104
Q

Not usually measurable when tissue damage occurs

A

CK BB

105
Q

With this amount, CK MB is considered as the most sensitive indicator of myocardial damage

A

> 6% of total CK

106
Q

Both abundantly present in cardiac and skeletal muscle

A

CK MM

107
Q

Pyridoxal phosphate functions as coenzyme

A

AST

108
Q

Most commonly performed
2-6x faster
Optimal pH of 6.8
CK method

A

Oliver rosalki

Reverse indirect method

109
Q

EC code of CK

A

EC 2.7.3.2

110
Q

Involved in the transfer of an amino group between aspartate and alpha keto acids with the formation of oxaloacetate and glutamate

A

AST

111
Q

Major source of AST

A

Cardiac tissue
Liver
Skeletal muscle

112
Q

AST is for the evaluation of

A

Myocardial infarction
Skeletal muscle involvement
Hepatocellular disorder

113
Q

In AMI, AST begin to rise? Peak? Normalize?

A

Rise:6-8hrs
Peak:24hrs
Normalize:within 5 days

114
Q

Routinely used method for AST.

pH 7.5; 340nm

A

Karmen method

115
Q

Karmeyhod used this indicator reagent to monitor the change in absorbance

A

Malate dehydrogenase

116
Q

Two enzyme fraction of AST

A

Cytoplasm and mitochondrial

117
Q

Predominant AST isoenzyme occurring in serum

A

Cytoplasmic isoenzyme

118
Q

EC code of LD

A

EC1.1.1.27

119
Q

Enzyme that catalyzes the interconversion of lactic and pyruvic acid

A

LD

120
Q

LD 1 contain high levels of?

A

RBC and cardiac tissue

121
Q

EC code of AST

A

EC 2.6.1.1

122
Q

Hydrogen transfer enzyme that uses the coenzyme NAD+

A

LD

123
Q

Markedly increased in hepatic carcinoma and toxic hepatitis

A

LD5

124
Q

Two different polypeptide chain in LD

A

H and M

125
Q

In AMI, LD levels rise? Peak? Normalize?

A

Rise:12-24hrs
Peak:48-72hrs
Remain elevated for 10days

127
Q

Major isoenzyme in the sera of healthy individuals

A

LD2

128
Q

LD isoenzyme. More abundant in skeletal muscle

A

LD5

129
Q

G6PD in

A

Drug induced hemolytic anemia

130
Q

Alcohol dehydrogenase LD isoenzyme

A

LD6

131
Q

LD6 is elevated in

A

Drug hepatotoxicity and obstructive jaundice

132
Q

LD6 is present in patients with

A

Arteriosclerosis

133
Q

LD1 prefers what method? How bout Ld5?

A

LD1-forward

LD5-reverse

134
Q

Screening test for AMI.

Small heme protein found in skeletal and cardiac muscle

A

Myoglobin

135
Q

Highest level of LD are seen in

A

Pernicious anemia

Hemolytic disorder

136
Q

Reverse method is coupled with

A

Hexokinase-G6PD-NADP system

137
Q

Substrate that the represent LD1 activity of total LD

A

Alpha hydroxybutyrate

138
Q

Marker for angina and early detector for AMI

A

Myoglobin

139
Q

Method in myoglobin:

Based on latex enhanced immuno turbidimetric method

A

Diazyme myoglobin assay

140
Q

Method in LD.
pH7.2
2x faster as the forwad

A

Wroblenski La due

Reverse

141
Q

Complex of three proteins that bind to the thin filaments of cardiac muscle

A

Troponins

142
Q

Most important marker of cardiac injury

A

Troponin

143
Q

Specific for heart muscle
Valuable tool in diagnosis of AMI
Binds the troponin complex to tropomyosin

A

Troponin T

144
Q

TnI in AMI

A

Onset:3-6hrs
Peak:12-18hrs
Normalize:5-10days

145
Q

Liver specific enzyme

A

ALT

146
Q

EC code of ALT

A

EC2.6.1.2

147
Q

Regulate the calcium dependent interaction of myosin head with actin filament during striated muscle contraction

A

Cardiac troponin

148
Q

Responsible for transmitting calcium signal that triggers muscle contraction

A

Troponin

149
Q

Troponin is gold standard in?

A

Acute coronary syndrome

150
Q

Inhibits the binding of actin and myosin

Very sensitive indicator

A

Troponin I

151
Q

Troponin T in AMI

A

Onset:3-4hrs
Peak:10-24hrs
Normalize:7days

152
Q

Significant in the evaluation of hepatic disorders. Monitors the course of hepatitis treatment and effect of drug therapy

A

ALT

153
Q

Nonspecific enzyme capable of reacting with many different substrates

A

Alkaline phosphatase

154
Q

Alkaline phosphatase EC code

A

EC3.1.3.1

155
Q

Functions to liberate inorganic phosphate form an organic phosphate ester with the concomitant production of an alcohol

A

Alkaline phosphatase

156
Q

In normal sera, ALP was derived from?

A

Liver and bone

157
Q

This blood group increases intestinal ALP after consumption of a fatty meal

A

B and O blood group

158
Q

ALP require this ion as an activator

A

Mg2+

159
Q

Isoenzyme of ALP that migrate fastest? Slowest?

A

Fastest-liver ALP

Slowest-intestinal ALP

160
Q

Isoenzyme of ALP that is most heat stable? Heat Labile?

A

Stable-placental ALP

Labile-bone ALP

161
Q

Total ALP increased, what is the isoenzyme that is most frequently elevated? Associated disease?

A

Liver ALP

Obstructive jaundice

162
Q

Bone ALP increased in?

A

Pagets disease or osteitis deformans

163
Q

ALP levels are significantly decrease in ?

A

Hypophosphatasia

164
Q

Isoenzyme characterized by the ectopic production of an enzyme by malignant tissue

A

Regan isoenzyme

165
Q

Detected in lung, breast, ovarian and gynecologic cancers

A

regan isoenzyme

166
Q

Regan is co migrator of?

A

Bone ALP

167
Q

Regan is inhibited by?

A

Phenylalanine

168
Q

Useful in monitoring the effects of therapy because it disappear on successful treatment

A

Regan isoenzyme

169
Q

Detected in adenocarcinoma of the pancreas and bile duct, pleural cancers

A

Nagao isoenzyme

170
Q

Nagao is inhibited by?

A

Phenylalanine and L-leucin

171
Q

Heat stability test of ALP is performed at?

A

56C for 10-15mins

172
Q

Catalyze the transfer of glutamyl groups between peptides or amino acids through linkage at a gamma carboxyl group

A

GGT

173
Q

GGT EC code

A

Ec2.3.2.1

174
Q

Elevated among individuals undergoing warfarin, phenobarbital, and phenytoin therapy

A

GGT

175
Q

Cholinesterase EC code

A

EC3.1.1.7

176
Q

Cholinesterase is marker of?

A

Insecticide and pesticides poisoning

177
Q

Used to monitor the effect of muscle relaxants after surgery

A

Cholinesterase

178
Q

Useful in differentiating the source of an ALP level

A

GGT

179
Q

GGT is elevated in

A

Biliary tract obstruction

180
Q

GGT is a sensitive indicator of?

A

Alcoholism

181
Q

Involved in:
Peptide and protein synthesis
Regulation of glutathione levels
Transport of amino acid across cell membrane

A

GGT

182
Q

Index of parenchymal function

A

Cholinesterase

183
Q

Added to the reverse method to inhibit AK

A

Adenosine monophosphate

184
Q

In AMI: myoglobin onset? Peak? Normalize?

A

Onset:1-3hrs
Peak:5-12hrs
Normalize:18-30hrs

185
Q

Zinc containing enzyme that is part of the glycolytic pathway and is found virtually all cells in the body

A

LD

186
Q

Method in LD determination. Most commonly used
Produces positive rate NADH
Not affected by product inhibition

A

Wacker method

Forward method

187
Q

Tissue sources of LD

A

LD1&2-heart, RBC, kidneys
LD3-lungs, pancreas, spleen
LD4&5-skeletal muscles, liver, intestines

189
Q

Major isoenzyme in the sera of a healthy person

A

CK MM

190
Q

Catalyzes the breakdown of starch and glycogen

A

Amylase

191
Q

Addition of these substances will make assay more sensitive and specific for AP detection

A

Colipase and bile salts

192
Q

Measures amylase activity by following the decreases in substrate in substance concentration. Degradation of starch

A

Amyloclastic

193
Q

The most predominant pancreatic amylase isoenzyme in acute pancreatitis

A

P3

194
Q

Condition when amylase combined with immunoglobulin to form a complex that is too large to be filtered by the glomerulus

A

Macroamylasemia

195
Q

Measures the amount of reducing sugars produced by the hydrolysis of starch
Measures the appearance of product

A

Saccharogenic

196
Q

Major tissue sources of amylase

A

Acinar cells of pancreas and salivary glands

197
Q

Amylase EC code

A

EC3.2.1.1

198
Q

Stages in prostatic carcinoma

A

A and B- malignant tumor
C- prostate in pelvic area
D-metastasized tumor

199
Q

Measures disappearance of starch

A

Amyloclastic

200
Q

Amylase requires these ions for activation

A

Calcium and chloride ions

201
Q

Smallest enzyme. Normally filtered by the glomerulus and also appears in the urine

A

Amylase

202
Q

Enzyme that hydrolyzes the ester linkages of fats to produce alcohol and fatty acids

A

Lipase

203
Q

Measures amylase activity by the increase in color intensity of the soluble dye substrate solution produced in the reaction

A

Chromogenic

204
Q

Method for lipase: used an olive oil as a substrate and measured the liberated fatty acids by titration after a 24hr incubation

A

Cherry crandall method

205
Q

Amylase isoenzyme

A

S type-ptyalin

P type-amylopsin

206
Q

Catalyzes the same reaction made by ALP except that is active at pH5.0

A

Acid phosphatase ACP

207
Q

Specific substrate of choice for quantitative endpoint reaction in ACP

A

Thymolphthalein monophosphate

208
Q

Amylase in acute pancreatitis

A

Onset:2-12hrs
Peak:24hrs
Normalize:3-5days

209
Q

Inhibitor of prostatic ACP

A

L-tartrate

210
Q

Lipase EC code

A

EC3.1.1.3

211
Q

Newborn screening marker

A

G6PD

212
Q

Earliest pancreatic marker

A

Amylase

213
Q

Coupling of several enzyme systems to monitor amylase activity

A

Continuous monitoring

214
Q

G6PD EC code

A

EC1.1.1.49

215
Q

Confirmed AMI occured

A

LD1>LD2

CKMB >6%

216
Q

ALP and GGT

A

Biliary tract obstruction

217
Q

Useful serum markers for the diagnosis of AMI

A

Troponin I

218
Q

Important in HMP

A

G6PD

219
Q

ACP EC code

A

Ec3.1.3.2

220
Q

Salivary amylase inhibitor

A

Wheat germ lectin

221
Q

CKMB>6% and LD2>LD1

A

Myocardial damage, not necessarily AMI

222
Q

Useful in the forensic clinical chemistry in the investigation of rape cases

A

ACP

223
Q

Enzymes in bone disorders

A

ALP and ACP

224
Q

Common chronic skeletal disease
Excessive resorption of bone by osteoclastic activity
Irregular pattern of bone deposition

A

Pagets disease

225
Q

Increased osteoblastic activity

Vitamin D deficiency

A

Rickets-children

Osteomalacia-adult

226
Q

Effect of PTH to calcium and phosphorus

Little osteoblastic activity

A

Hyperparathyroidism

227
Q

In acute pancreatitis lipase:

A

Onset:6hrs
Peak:24hrs
Remain elevated:7days
Normalize:8-14days

228
Q

Most specific pancreatic marker

A

Lipase

229
Q

For the diagnosis of prostatic carcinoma

A

ACP

230
Q

LD2

A

Variety of noncardiac disorders

231
Q

Identify angina patients with high risk of having AMI

A

Troponin T

232
Q

AST increased

A

Liver cell necrosis

233
Q

Common bone tumor

A

Osteogenic sarcoma

234
Q

Ratio of acute pancreatitis

A

7-15%

235
Q

Renal clearance decreased

Low ratio of <2%

A

Macroamylasemia