Liver Enzymes Flashcards

1
Q

Other name for Aspartate Aminotransferase

A

Serum glutamic-oxaloacetic transaminase (SGOT) or serum glutamate-oxaloacetate transaminase

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2
Q

Transfer of an amino group between aspartate and alpha- keto acids where oxaloacetate and glutamate are the products

A

AST

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3
Q

Involved in the synthesis and degradation of amino acids

A

AST

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4
Q

AST is not liver-specific because it is widely distributed, highest activities in

A

Cardiac, Liver and Skeletal Muscles

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5
Q

Predominant isoenzyme in the serum

A

Cytoplasmic AST

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6
Q

Elevated when there is severe injury or damage to the cell (mitochondrial membrane is damaged allowing mitochondrial AST to elevate)

A

Mitochondrial AST

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7
Q

After MI, AST levels begin to rise in __ hours,
peak (highest serum level) at __ hours and return
to normal in __ days

A

6 to 8 hours
24 hours
5 days

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8
Q

T/F; AST is released to a greater degree in chronic
disorder of the liver with progressive damage to
the hepatocytes.

A

TRUE

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9
Q

Uses malate dehydrogenase and monitors decrease in absorbance at 340 nm

A

Karmen Method

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10
Q

Reduce, high, increased absorbance

A

NADH

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11
Q

Oxidized, decreased absorbance

A

NAD

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12
Q

What is the color of the product in Karmen Method?

A

Colorless

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13
Q

Secondary/coupling/indicator enzyme, found in reagent in Karmen Method

A

Malate Dehydrogenase

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14
Q

The activity of AST is __ to the product of secondary enzyme (MD)

A

Directly proportional

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15
Q

Alanine Aminotransferase (ALT) is also known as

A

Serum glutamic-pyruvic transaminase (SGPT)

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16
Q
  • Transfer of an amino group between alanine and alpha-ketoglutarate where the product is pyruvate and glutamate
  • Increased in hepatocellular disorders
A

ALT

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17
Q

More liver-specific than AST

A

ALT

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18
Q

Is a significant marker in the evaluation of the hepatic disorders, specifically acute inflammatory conditions

A

ALT

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19
Q

ALT is used to:

A
  1. Monitor the course of hepatitis treatment
  2. Monitor the effects of drug therapy especially among px with chronic disease
  3. Also used to screen blood donors
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20
Q

More sensitive and specific for post-transfusion hepatitis and occupational toxic exposure

A

ALT

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21
Q

Secondary enzyme for ALT measurement

A

Lactate Dehydrogenase

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22
Q

The AST/ALT Ratio
Differentiates the cause of hepatic disord

A

De Ritis Ratio

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23
Q

Non-viral origin; AST is higher than ALT

A

Ratio >1

24
Q

Viral in origin; ALT is higher than AST

A

Ratio <1

25
Q

coenzyme for aminotransferases. This will serve as a prosthetic group

A

Pyridoxal Phosphate (Vitamin B6)

26
Q

Major organ affected SGOT/AST

A

Heart, muscle, liver

27
Q

Substrate of SGOT/AST

A

Aspartic Alpha Ketoglutaric acid

28
Q

End products of AST

A

Glutamic acid + Oxaloacetic acid

29
Q

Color developer used in AST

A

2,4 DNPH

30
Q

Color intensifier for AST

A

0.4 N NaOH

31
Q

Methods used for AST

A

Reitman and Frankel

32
Q

Major affected organ for SGPT/ALT

A

Liver

33
Q

Substrate for SGPT/ALT

A

Alanine alpha Ketoglutaric acid

34
Q

End product of SGPT/ALT

A

Glutamic acid + Pyruvic acid

35
Q

Color developer for ALT

A

2,4 DNPH

36
Q

Color intensifier methods

A

0.4 N NaOH

37
Q

Methods for ALT

A

Reitman and Frankel

38
Q

NDPH means

A

Dinitrophenylhyradizine

39
Q

is a colorimetric method for transaminase measurement

A

Reitman and Frankel

39
Q

Toxic Hepatitis

A

Both (AST and ALT)

40
Q

Acute Myocardial Infarction

A

AST

41
Q

Wolff-Parkinson White Syndrome (involuntary contraction of muscle)

A

AST

42
Q

Trichinosis (Parasitic infection of T. spiralis

A

AST

43
Q

Chronic Alcoholism

A

Both (AST and ALT)

44
Q

Dermatomyositis (muscle)

A

AST

45
Q

Hepatic Cancer

A

Both

46
Q

Reye’s syndrome (Liver)

A

Both

47
Q

Viral Hepatitis

A

Both

48
Q

Muscular Dystrophy

A

AST

49
Q

Acute pancreatitis

A

AST

50
Q

Catalyze the transfer of the y-glutamyl residue to y-glutamyl peptides to amino acids, H2O, etc.

A

Gamma-Glutamyltransferase (GGT)

51
Q

Uses for diagnosis hepatobiliary disorders and chronic alcoholism

A

GGT

52
Q

Most common donor of gamma-glutamyl peptide is

A

Glutathione

53
Q

A sensitive marker for the determination of ethanol intoxication

A

GGT

54
Q

Used as marker for occult alcoholism (hidden consumption)

A

GGT

55
Q

Assay for GGT

A

Szaz Assay

56
Q

The absorbance of __ in Szaz assay is measured at

A

p-nitroaniline
405-420