Clinical Enzymes Quiz

<p>Hepatic disorders (D)</p> Signup and view all the answers

<p>24 hours (B)</p> Signup and view all the answers

<p>Karmen Method (D)</p> Signup and view all the answers

<p>Viral hepatitis (C)</p> Signup and view all the answers

<p>Heparin (C)</p> Signup and view all the answers

<blockquote> <p>1.0 (C)</p> </blockquote> Signup and view all the answers

<p>Severe viral hepatitis (C)</p> Signup and view all the answers

<p>Break down starch and glycogen (A)</p> Signup and view all the answers

<p>Saccharogenic method (B)</p> Signup and view all the answers

<p>Acute pancreatitis (B)</p> Signup and view all the answers

<p>Fatty acids (A)</p> Signup and view all the answers

<p>Lactate dehydrogenase (C)</p> Signup and view all the answers

<p>Pancreas (D)</p> Signup and view all the answers

<p>Osteitis deformans (C)</p> Signup and view all the answers

<p>O or B (A)</p> Signup and view all the answers

<p>Nagao ALP (B)</p> Signup and view all the answers

<p>Placental, Bone, Intestinal, Liver (C)</p> Signup and view all the answers

<p>Bowers and Mc Comb method (B)</p> Signup and view all the answers

<p>Zinc deficiency (C)</p> Signup and view all the answers

<p>ACP activity &gt;50 IU/L (B)</p> Signup and view all the answers

<p>Neuraminidase and wheat germ lectin (C)</p> Signup and view all the answers

<p>Within 12-24 hours (A)</p> Signup and view all the answers

<p>Hepatic carcinoma (B)</p> Signup and view all the answers

<p>Flipped pattern seen in myocardial infarction (B)</p> Signup and view all the answers

<p>Wacker Method (B)</p> Signup and view all the answers

<p>LD values decrease since LD-S is cold-labile (B)</p> Signup and view all the answers

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An enzyme that is active at a basic pH and is often elevated in bone disease.

ALP isoenzyme found in bone, increases due to osteoblastic activity, especially during growth and in older adults.

ALP isoenzyme found in the intestines, its presence in serum depends on blood group, often elevated after fatty meals.

An ALP isoenzyme found in various cancers. Regan ALP is the most heat stable, found in lung, breast, ovarian and gynecological cancers. Nagao ALP is a variant found in pancreatic and bile duct adenocarcinoma.

A method to separate and identify different ALP isoenzymes based on their migration in an electric field.

A test that uses different temperatures to distinguish ALP isoenzymes based on their heat stability. Placental ALP is the most stable, while bone ALP is the least.

A method to inhibit ALP isoenzymes using specific chemicals like phenylalanine, urea, and levamisole. Each reagent inhibits different isoenzymes.

An enzyme active at acidic pH, often elevated in the presence of seminal fluid in a sample.

A specific substrate for measuring ACP activity.

A form of ACP resistant to tartrate inhibition, found elevated in certain leukemias and lymphomas.

An enzyme found in high concentrations in the liver, heart, and skeletal muscle.

An enzyme found in high concentrations in the liver, more liver-specific than AST.

The process of measuring enzyme activity.

An essential coenzyme required by many enzymes, including AST and ALT.

A significant increase in the levels of the AST and ALT enzymes is often observed in this condition.

A liver enzyme that catalyzes the transfer of an amino group from an amino acid to an alpha-keto acid.

A liver enzyme that catalyzes the transfer of an amino group from aspartate to alpha-ketoglutarate.

Ratio of ALT to AST, often used in diagnosing liver diseases. Values over 1.0 suggest acute hepatitis.

An enzyme that breaks down starch and glycogen, crucial for digesting carbohydrates.

A type of amylase found in saliva, also known as ptyalin.

A type of amylase found in the pancreas, also known as amylopsin.

A pancreatic enzyme that breaks down fats (triacylglycerols) into fatty acids and glycerol.

A hydrogen-transfer enzyme crucial in many metabolic processes, often elevated in hemolytic disorders and pernicious anemia.

LD-1 (H subunit) is elevated primarily in myocardial infarction (heart attack) and hemolytic anemia. This pattern is called "flipped" because LD-1 is higher than LD-2 in these conditions.

LD levels rise within 12-24 hours after damage, peak within 48-72 hours, and remain elevated for 10-14 days. Different conditions lead to different LD patterns.

Liver diseases, like viral hepatitis and cirrhosis, cause a moderate increase in LD-5. However, in hepatic carcinoma (liver cancer) and toxic hepatitis, LD-5 is significantly elevated.

LD-6 is associated with the alcohol dehydrogenase enzyme, which breaks down alcohol. Elevated levels of LD-6 indicate drug hepatoxicity (liver damage from drugs), obstructive jaundice, and methanol poisoning.