STAN BIO - BILIRUBIN Flashcards

1
Q
A
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2
Q

Most routine clinical procedures for the determination of serum bilirubin
are based on the ___

A

classical Diazo reaction of Ehrlich

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3
Q

classical Diazo reaction of Ehrlich which was first applied to the estimation of this bile pigment in serum in what year and who are the people involved

A

1913 by Van den Berg and Snapper

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4
Q

An excellent review of many bilirubin methodologies
is given by __

A

Winkelman and his co-workers

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5
Q

When a solution of ___ in____ is combined
with one of ____, _____ is formed.

A

sulfanilic acid + dilute hydrochloric acid

sodium nitrite

= nitrous acid

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6
Q

This unstable acid, which must be freshly prepared for each group of assays, react to form ___

A

diazotized sulfanilic acid

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7
Q

diazotized sulfanilic acid also known as

A

p-benzenediazonium sulfonate”

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8
Q

p-benzenediazonium sulfonate couples with bilirubin to produce __

A

azobilirubin

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9
Q

the color
intensity of which is proportional to __.

A

bilirubin concentration

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10
Q

Since bilirubin standards suffer from a high degree of instability, the method presented utilizes a aqueous solution of ___ as a calibrator,

A

N-1naphthylethylenediamine dihydrochloride

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11
Q

the N-1naphthylethylenediamine dihydrochloride as a calibrator is according or made by

A

Bilissis and Speer

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12
Q

The calibrator supplied has been
prepared to yield, for the technique described, a color equivalent to the
labelled bilirubin level at what wavelength.

A

540 nm

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13
Q

: Total Bilibubin reagent, Direct Bilirubin
reagent, oxidant, and calibrator are stable when stored at _____ until the
expiration date on their respective labels

A

15-30°C

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14
Q

Discard oxidant if a ___ develops.

A

dark yellow color

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15
Q

An eventual color change of
Total Bilirubin reagent may occur but this color will not interfere with the
assay.

true or false

A

true

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16
Q

Reportedly, about ____ of bilirubin can
be lost when exposed to sunlight for 1 hour

A

50%

17
Q

Serum, or plasma collected by use of any of the common anticoagulants,
should be free of hemolysis and obtained in the fasting state to avoid
__ specimens

A

chylous

18
Q

Bilirubin is stable in serum or plasma
____ at 2-8°C
and for

____ when frozen (-20°C).

A

4-7 days

3 months

19
Q

: Gross hemolysis will cause falsely ___ bilirubin values, due to the inhibition of the diazo reaction by oxyhemoglobin

A

high

20
Q

___ serum may cause a falsely elevated bilirubin values

A

Turbid or lipemic

21
Q

Allow cuvettes to incubate at room temperature for exactly ___

A

3 minutes

22
Q

formula

A

Total or Direct Bilirubin (mg/dL) = as-asb/ ak X 10

23
Q

ref range

A

Total Bilirubin
Adults: 1.2
Newborns: 12.0

Direct Bilirubin
adults and Infants
(over 1 month) 0.5

24
Q
A