Clinical Chemistry Pt. 1 - Prof. Jedidiah Calunsag April 2024
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Questions and Answers

What is the color of the flame when sodium is excited?

  • Red
  • Blue
  • Violet
  • Yellow (correct)
  • In spectro photometry, what does Beer’s Law state about an unknown substance?

  • It is directly proportional to transmitted light
  • It is inversely proportional to transmitted light
  • It is directly proportional to absorbed light (correct)
  • It is inversely proportional to absorbed light
  • What is the conversion factor from cholesterol in mg/dL to mmol/L?

  • 88.4
  • 0.0555 (correct)
  • 10
  • 0.0113
  • Which element emits a violet flame when excited?

    <p>Rubidium</p> Signup and view all the answers

    In clinical chemistry, what does an increase in uric acid levels at 59 y/o indicate?

    <p>Gout</p> Signup and view all the answers

    What is the conversion factor from bilirubin in mg/dL to umol/L?

    <p>17.1</p> Signup and view all the answers

    What is the main purpose of Flame Emission Photometry?

    <p>Measure the light emitted by a single atom burned in a flame</p> Signup and view all the answers

    What is the disadvantage of the Blank Technique Flame Emission Photometry in correcting absorbance?

    <p>Turbidity caused by lipids is not corrected</p> Signup and view all the answers

    What is the main function of Atomic Absorption Spectroscopy (AAS)?

    <p>Measure the light absorbed by dissociated atoms</p> Signup and view all the answers

    What is the role of fluorophores in Fluorometry?

    <p>Speed up fluorescence emission</p> Signup and view all the answers

    How does Ultracentrifugation help in Blank Technique Flame Emission Photometry?

    <p>Dissolves lipids to reduce turbidity</p> Signup and view all the answers

    What distinguishes Fluorometry from Flame Emission Photometry?

    <p>Emission of light after excitation by electromagnetic radiation</p> Signup and view all the answers

    What is another name for a substance used to calibrate instruments?

    <p>Calibrator</p> Signup and view all the answers

    What is the primary purpose of a Type III reagent?

    <p>For estimation only</p> Signup and view all the answers

    What is the molarity of 300g of H2SO4 dissolved in 500mL of water?

    <p>6M</p> Signup and view all the answers

    Which type of reagent is used for histology and qualitative tests?

    <p>Type III</p> Signup and view all the answers

    What is the main difference between precision and accuracy?

    <p>Accuracy measures small changes, while precision measures consistency.</p> Signup and view all the answers

    What is the maximum water purity used in laboratory tests?

    <p>Type I</p> Signup and view all the answers

    What is the purpose of adding a base reagent to a urine sample?

    <p>To bind with the H+ ions present in the urine</p> Signup and view all the answers

    Which colligative property decreases as osmolality increases?

    <p>Vapor Pressure</p> Signup and view all the answers

    What is the purpose of measuring the current or voltage generated in amperometry?

    <p>To determine the concentration of a specific ion</p> Signup and view all the answers

    What is the role of oxygen in the reaction between a serum sample and Silver Silver Chloride in ISE?

    <p>It acts as the oxidizing agent</p> Signup and view all the answers

    Which two substances are measured to calculate the osmolality of a urine sample?

    <p>Sodium and glucose</p> Signup and view all the answers

    Which of the following is NOT a colligative property?

    <p>Density</p> Signup and view all the answers

    What is the condition characterized by a protuberant abdomen due to hepatomegaly and renomegaly, rickets, and failure to thrive?

    <p>Hersage</p> Signup and view all the answers

    Which enzyme is deficient in Pompe disease?

    <p>Alpha glucosidase</p> Signup and view all the answers

    What is the most likely symptom for a person with muscle phosphorylase deficiency after intense exercise?

    <p>Dark red urine</p> Signup and view all the answers

    What is the purpose of the L/S ratio in determining fetal lung maturity?

    <p>To determine if the baby can be delivered preterm</p> Signup and view all the answers

    What causes Niemann-Pick disease?

    <p>Inability of macrophages to metabolize sphingomyelin</p> Signup and view all the answers

    Which lipid is most abundant and found in cell membranes?

    <p>Cholesterol</p> Signup and view all the answers

    Study Notes

    Urine Analysis

    • Urine analysis checks for the volume of acid and alkaline present, not the exact pH.
    • Measurement of acid and alkaline involves adding a base reagent and a blue indicator to the urine sample.
    • The binding of OH- with H+ causes the color to change from blue to colorless (neutral), indicating the presence of acid.

    pH Measurement

    • pH measurement involves measuring the concentration of H+ (hydrogen ions) in the urine, regardless of whether the urine is acidic or alkaline.

    Osmolality Measurement

    • Osmolality measures the changes in colligative properties of a solution.
    • Colligative properties include boiling point, freezing point, vapor pressure, and osmotic pressure.
    • As osmolality increases, freezing point and vapor pressure decrease.
    • The formula for osmolality is: (2(sodium) + glucose/20 + BUN)/3 = milliosmole/kg.

    Amperometry

    • Amperometry measures the current or voltage generated by the activity of a specific ion.
    • It involves the reaction of two chemicals, producing electricity.
    • Example: Serum sample with silver silver chloride in an ion-selective electrode (ISE) measures oxygen diffusion inside the ISE membrane.

    Clinical Features

    • Pompe disease: protuberant abdomen due to hepatomegaly and renomegaly, rickets, and failure to thrive.
    • Muscle phosphorylase deficiency: exercise intolerance, muscle cramps, dark red urine after intense exercise.
    • Niemann-Pick disease: accumulation of sphingomyelin, macrophage cannot metabolize sphingomyelin due to lack of sphingomyelinase, resulting in foamy cytoplasm.

    Lipids

    • Phospholipids are the most abundant lipids in cell membranes.
    • Lecithin and sphingomyelin are used to determine fetal lung maturity.
    • L/S ratio: lecithin divided by sphingomyelin, must be ≥2.

    Cholesterol

    • Cholesterol is used to produce steroid hormones and is a component of cell membranes.
    • Sources of cholesterol: 90% endogenous (from the body).

    Clinical Chemistry

    • Conversion factors: albumin, bilirubin, BUN, sodium, potassium, chloride, creatinine, glucose, thyroxine, triglyceride, uric acid.
    • To remember: same with total protein, b171rubin, Cr8inine, and cholesterol.

    Analytical Methods

    • Spectrophotometry: measures the light transmitted by a solution.
    • Beer's Law: unknown substance is directly proportional to absorbed light and inversely proportional to transmitted light.
    • Blanking technique: used to correct absorbance caused by reagent's color and hemoglobin.
    • Disadvantage: turbidity by lipid is not corrected, remedy: ultracentrifugation dissolves lipids.

    Flame Emission Photometry

    • Measures light emitted by a single atom burned in a flame.
    • For unexcited elements, absorption spectroscopy is used.

    Atomic Absorption Spectroscopy

    • Measures light absorbed by atoms dissociated by heat.
    • Uses a spectro flame to dissociate molecules.

    Fluorometry

    • Measures light intensity emitted by a molecule after excitation by electromagnetic radiation.
    • Uses 2 monochromators.
    • Disadvantage: quenching effect.

    Molarity

    • Molarity: number of moles of solute per liter of solution.
    • Formula: Mole = g / mw.
    • Example: 2 mole HCl in 500 mL, answer: 4M.
    • Example: 300g H2SO4 in 500 mL, explanation: convert 300g H2SO4 into moles using the formula.

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    Description

    Test your knowledge on clinical chemistry concepts including conversion factors for Albumin, Bilirubin, BUN, Na, K, Cl, and more. Learn about the specific colors emitted by excited elements in a blue flame versus a yellow flame. Recall important mnemonic devices for remembering conversion factors.

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