UNIT X: Urea Nitrogen Determination Flashcards

(72 cards)

1
Q

Major excretory product of protein metabolism

A

Urea

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2
Q

T or F: Urea is formed in the kidney

A

F

Liver

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3
Q

Urea is also known as

A

Carbamide

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4
Q

Chemical formula of urea

A

CO(NH2)2

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5
Q

T or F: Urea has 2 -NH2 groups joined by a carbonyl functional group

A

T

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6
Q

T or F: Urea determination is also known as Blood Urea Nitrogen

A

T

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7
Q

Urea determination is a common blood chemistry test ordered by physicians to assess renal function, together with ______ (another NPN)

A

creatinine

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8
Q

Enzymatic method uses this enzyme

A

Urease or Urea Amidohydrolase

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9
Q

Most frequently used method in clinical laboratories

A

Enzymatic method

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10
Q

T or F: Enzymatic method allows the hydrolysis of urea in the sample, and the ammonium ion (NH4+) produced in the reaction is quantified

A

T

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11
Q

Most common enzymatic method

A

GLDH

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12
Q

GLDH stands for

A

Glutamate dehydrogenase

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13
Q

Indicator dye measures urea by ______ ______ using a pH indicator

A

color change

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14
Q

T or F: GLDH uses liquid reagents, multilayer film formats, and reagent strips

A

F

Indicator Dye uses these

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15
Q

Conductimetric method uses an ________ to measure the rate of increase in conductivity

A

electrode

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16
Q

This is the reference method

A

IDMS

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17
Q

IDMS uses ________-labeled compounds for quantification

A

isotopically

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18
Q

IDMS stands for

A

Isotope Dilution Mass Spectrometry

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19
Q

Direct/Indirect: Measures a chromogen produced directly from Urea

A

Direct

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20
Q

Direct/Indirect: Involves heating he sample with diacetyl monoxime in acidic solution

A

Direct

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21
Q

Direct/Indirect: Involves digesting the urea with urease to form ammonia

A

Indirect

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22
Q

Direct/Indirect: Lacks sensitivity, is time-consuming and hazardous

A

Direct

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23
Q

T or F: GLDH is an example of a Direct method

A

F

Indirect

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24
Q

T or F: Only the nitrogen part of Urea is quantitated in BUN

A

T

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25
The biosynthesis of urea from ammonia is exclusively carried out by the _________ ________
hepatic enzymes
26
___% of urea is reabsorbed
40
27
Principle behind Urease/GLDH Method
Enzymatic + UV + Kinetic
28
T or F: In GLDH Method, absorbance is read twice
T
29
T or F: Decrease in absorbance at 430 nm is proportional to the concentration of Urea
F 340 nm
30
Urease hydrolyzes Urea to form _______ and ______
ammonia ; carbonate
31
Glutamate dehydrogenase forms these 3 products
Glutamate, NAD, and water
32
In GLDH method, ________ and _______ are converted to glutamate
ammonia ; a-oxoglutarate
33
T or F: The oxidation of NADH to NAD+ causes a decrease in absorbance in the reaction
T
34
This method is best used as a kinetic measurement
GLDH
35
This method is the most specific and rapid
Conductometric
36
Specimen used in Urea determination (3)
Serum Plasma Timed Urine Specimen
37
These additives should be avoided if plasma is collected for Urea determination
Sodium citrate Sodium fluoride
38
T or F: Urine is stable up to 5 days if stored at 2-8C
F 4 days only
39
Sodium citrate and sodium fluoride are inhibitors of ______
urease
40
T or F: Fasting is required in Urea determination
F
41
Reagent 1
Tris buffer (7.6) ADP alpha-ketoglutarate urease glutamate dehydrogenase sodium azide
42
Reagent 2
NADH sodium azide
43
T or F: Sodium azide irritates eyes and skin
T
44
Concentration of Standard Urea
50 mg/dL or 8.33 mmol/L
45
T or F: Lithium heparinized plasma can be used
T
46
Ellitrol I is the _______ Control; while Ellitrol II is the _______ Control
Normal ; Pathologic
47
Type of test tube to be used
Kahn test tube
48
Ratio of R1 to R2
1:1
49
Volume of Reagent 1A
1.0 mL
50
T or F: Reagent is added to the test tubes before the sample
F Sample first
51
T or F: When delivering the sample, touch the pipet directly to the bottom of the tube
T
52
T or F: Spectrophotometer is set up prior to adding the sample to the test tube
F after adding the sample and prior to adding the reagent
53
T or F: When delivering the reagent, touch the pipet directly to the bottom of the tube
F only to the side of the tube
54
Cover the test tube with parafilm and invert the tubes _____ times
2-3
55
Read and record the absorbance as A1 at ___ seconds
27
56
Read and record the absorbance as A2 at ___ seconds
90
57
Wavelength required
340 nm
58
Optical path required
1 cm
59
Temperature required
37 C
60
Assay should be read against ________ ______
distilled water
61
Formula for the change in absorbance
A1 - A2
62
T or F: BUN value is higher than Urea value
F lower (1:2)
63
Conversion factor for Urea mg/dL to BUN mg/dL
0.466
64
Conversion factor for BUN mg/dL to Urea mg/dL
2.14
65
Conversion factor for BUN mg/dL to Urea mmol/L
0.357
66
Reference interval for Plasma or Serum
Conventional: 6-20 mg/dL SI: 2.1-7.1 mmol/L
67
Reference interval for 24-hr urine
Conventional: 12-20 g/day SI: 0.43-0.71 mmol/day
68
Elevated urea concentration in blood
Azotemia
69
Uremia / Uremic Syndrome
Increased urea level accompanied by renal failure
70
T or F: Severe diarrhea can cause a decrease in the concentration of Urea
T
71
Range for normal control
13.3 - 17.7 mg/dL
72
Range for abnormal control
42.4 - 51.6 mg/dL