LAB2 - AST Flashcards

1
Q

is one of several enzymes that catalyze the exchange of amino acids and oxo groupds between alpha amino acids and alpha oxo acids

A

aspartate aminotransferase

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2
Q

ast is widely distributed throughout the body tissues with significant amounts in the

A

heart or liver

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3
Q

lesser amounts of AST are found in

A

skeletal muscle, kidney, pancreas, spleen, lungs, ad brain.

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4
Q

in myocardial infarction, serum AST may begin to rise within ___ after onset,

A

6-8 hours

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5
Q

in myocardial infarction, serum AST may begin to rise within 6-8 hours after onset, and will peak _____

A

within 2 days

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6
Q

in what day will AST go back to normal once MI occured

A

on fourth to fifth day of post infarction

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7
Q

coditions we can found increase serum AST

A

hepatitis, liver necrosis, cirrhosis, and liver metastasis

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8
Q

he/she first reported a kinetic method for measuring AST activity in serum

A

KARMEN

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9
Q

Subsequently, karmen’s kinetic method of measuring AST was been modified by

A

Bergmeyer et. al.

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10
Q

the first reaction in AST determination

A

L-aspartate + 2-oxoglutarate

catalyze by AST

L- glutamate + oxalacetate

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11
Q

2nd reaction in AST determination

A

oxalacetate + NADH + H

catalyze by malate dehydrogenase

L-malate + NAD

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12
Q

AST activity is determined by measuring the rate of oxidation of NADH at ____ nm

A

340

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13
Q

lactate dehydrogenase is inlcuded in the reagent to convert ______ in the sample to lactate

A

endogenous pyruvate

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14
Q

reagents are stable until the expiration date on their respective labels if stored in what temperature

A

2-8 * C

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15
Q

appearance of reagent

A

clear and colorless

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16
Q

the working reagent is stable for how many weeks if stored in 2-8 *C

17
Q

the working reagent is stable for how many days if stored in room temp

18
Q

the working reagent should be discarded if the initial absorbance read against distilled water at 340 m is below

19
Q

specimen of choice for ast

A

non hemolyzed serum

20
Q

aside from yellow top or serum, what other tubes as can be used

A

edta treated plasma or heparinized plasma

21
Q

whenever possible, specimens should be separated and analyzed on the day of collection

oki?

22
Q

the enzyme in serum is reportedly stable for a minimum of how many days in 2-8 *C

23
Q

hemolysis must be avoided as the concentration of AST in red cells is roughly how many times of serum

24
Q

acceptable level of bilirubin

25
acceptable level of triglycerides
2000 mg/dl
26
the values are derived based on the
absorptivity micromolar extinction coefficient of NADH at 340 nm
27
if the absorbance is greater than 0.16, what should we do
1 part of sample with 9 parts isotonic saline and re assay, multiply the result by 10
28
what type of specimen may require the use of sample blank
grossly icteric or turbid sample
29
normal range
8-33 U/L
30