Kidney Function and Liver Health Quiz
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Questions and Answers

What type of reaction does phosphotungstic acid (PTA) use in its chemical method?

  • Redox reaction (correct)
  • Acid-base reaction
  • Hydrolysis reaction
  • Precipitation reaction

In the electrophoresis of serum from a patient with cirrhosis, which pattern is typically observed?

  • Presence of monoclonal band on the gamma globulin region
  • Polyclonal bands on the gamma-globulin fraction (correct)
  • Reduced albumin fraction
  • Increased beta globulin fraction

What is the precursor of creatinine?

  • Lactic acid
  • Ammonia
  • Urea
  • Creatine (correct)

When using the Jaffe method for kinetic measurement of creatinine, which sample is utilized?

<p>Serum sample (B)</p> Signup and view all the answers

What type of relationship exists between plasma creatinine levels and GFR in a normal patient?

<p>Indirectly related (B)</p> Signup and view all the answers

Which metabolite classified as ketone bodies arises from the breakdown of fatty acids?

<p>B-hydroxybutyrate (B)</p> Signup and view all the answers

Which compound plays a crucial role as an intermediary in the metabolism of triglycerides?

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

Which option incorrectly describes the use of phosphotungstic acid?

<p>It only interacts with uricase. (A)</p> Signup and view all the answers

What does a low GFR indicate about kidney function?

<p>The kidney function is poor. (D)</p> Signup and view all the answers

What role does sodium fluoride play in urea determination?

<p>Acts as an inhibitor to glycolysis. (B)</p> Signup and view all the answers

Why do females typically have lower uric acid levels than males?

<p>Males have higher muscle mass than females. (B)</p> Signup and view all the answers

How does estrogen impact uric acid levels in females?

<p>It promotes the excretion of uric acid. (A)</p> Signup and view all the answers

What is the primary function of Kupffer cells in the liver?

<p>Engulf bacteria and pathogens. (A)</p> Signup and view all the answers

Which cells are directly involved in bile secretion?

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

What is indicated by the concentration of creatinine in the blood?

<p>Reduced kidney excretion capability. (D)</p> Signup and view all the answers

What is the significance of bile caniculi in liver function?

<p>They collect bile secreted by hepatocytes. (A)</p> Signup and view all the answers

What is the consequence of not typing questions within the day after the exam?

<p>Automatic removal from documents (A)</p> Signup and view all the answers

What should students do after every subject to avoid forgetting questions?

<p>Type keywords in phone notes or on paper (B)</p> Signup and view all the answers

What is one of the responsibilities of students regarding the questions they submit?

<p>To ensure the correct answer is provided (A)</p> Signup and view all the answers

What should be done if a student finds that their question number is already taken?

<p>Add additional details to the existing question (C)</p> Signup and view all the answers

Which of the following should NOT be done when preparing questions?

<p>Write questions with vague wording (D)</p> Signup and view all the answers

Why is it advised to memorize or familiarize oneself with questions before passing the paper?

<p>To avoid errors in question assignments (C)</p> Signup and view all the answers

What is the recommended approach if a student has an unsure answer?

<p>Mark it with a different color (B)</p> Signup and view all the answers

What action should be taken when similar questions are already inputted?

<p>Input unique versions of the same question (A)</p> Signup and view all the answers

What hormone secretion by the hypothalamus controls the anterior pituitary gland?

<p>Releasing hormones (B), Trophic hormones (D)</p> Signup and view all the answers

What is the primary transporter of thyroid hormones?

<p>Thyroxine Binding Globulin (B)</p> Signup and view all the answers

Which organ is particularly affected by acetaminophen toxicity?

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

What is a common disease associated with increases in LD4 and LD5 during electrophoresis?

<p>Pulmonary infarct (B)</p> Signup and view all the answers

What primary substance is associated with heroin as a precursor?

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

What is measured by the Kjeldahl digestion procedure?

<p>Nitrogen content of protein (D)</p> Signup and view all the answers

Which condition is characterized by the presence of two separate albumin bands in electrophoresis?

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

Which reagent contains sodium hydroxide and is used in the total protein reaction?

<p>Biuret reagent (B)</p> Signup and view all the answers

What is increased in amniotic fluid associated with spinal bifida?

<p>A1-fetoprotein (C)</p> Signup and view all the answers

What is a true statement about enzymes?

<p>Reduce activation energy to expedite the reaction (D)</p> Signup and view all the answers

Which disease is associated with abnormal bone formation and typically presents with stiffness and headaches?

<p>Paget’s disease (C)</p> Signup and view all the answers

What is the primary precursor of creatinine?

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

In the Jaffe reaction, what is a characteristic of the kinetic assay?

<p>Involves color change detection (D)</p> Signup and view all the answers

Study Notes

Kidney Function and Urea Determination

  • Low GFR indicates poor kidney function and inability to excrete waste, like creatinine, leading to increased blood concentration.
  • Urea is absorbed in the kidneys and does not provide an accurate relationship with eGFR.

Uric Acid Levels in Males and Females

  • Males generally have higher uric acid levels than females due to greater muscle mass.
  • Estrogen in females aids in regulating uric acid, promoting its excretion.
  • Males utilize glucose-phosphate through the pentose-phosphate pathway, influencing uric acid metabolism.

Protective Liver Cells

  • Bile caniculi are essential small spaces between hepatocytes, facilitating bile flow.
  • Kupffer cells are liver macrophages responsible for engulfing bacteria.
  • Hepatocytes play a crucial role in liver function and metabolism.

Phosphotungstic Acid (PTA) Method

  • PTA utilizes redox reactions and enzymes like sodium cyanide/carbonate for analysis, not uricase.

Cirrhosis and Electrophoresis

  • In patients with cirrhosis, serum electrophoresis shows monoclonal bands in the gamma globulin region, with increased albumin and bridging between beta-gamma globulin fractions.

Creatinine Precursors

  • The precursor of creatinine is creatine.

Jaffe Method for Creatinine

  • The Jaffe method uses serum samples for kinetic assays.

Creatinine and GFR Relationship

  • Plasma creatinine levels are directly related to GFR.

Ketone Body Formation

  • Ketone bodies are products of fatty acid breakdown, including acetone, acetoacetic acid, and β-hydroxybutyrate.

Triglyceride Metabolism

  • AcetylCoA is a crucial intermediary in the metabolism of triglycerides for energy production.

Kjeldahl Method for Nitrogen Quantification

  • The Kjeldahl method quantifies protein nitrogen by oxidation using strong sulfuric acid at elevated temperatures.

Bisalbuminemia

  • Bisalbuminemia indicates the presence of two distinct albumin fractions in protein electrophoresis.

Biuret Reaction

  • The biuret reagent consists of sodium hydroxide and hydrated copper(II) sulfate, crucial for total protein reaction.

Increased Amniotic Fluid and Diagnostic Importance

  • Elevated amniotic fluid levels of alpha-1-fetoprotein indicate conditions like spina bifida and neural tube defects.

Enzyme Function

  • Enzymes reduce activation energy, accelerating biochemical reactions.

Paget's Disease

  • Paget's disease is characterized by abnormal bone remodeling, indicated by elevated ALP levels.

Drug Metabolism

  • Heroin is a precursor to morphine; THC is the active compound in marijuana; acetaminophen is particularly toxic to the liver.

Drug Levels and Plasma Metabolites

  • Albumin is a chave factor in the pharmacokinetics of free drug levels, influencing plasma drug distribution.

Lithium and Manic Depression

  • Lithium is commonly used in the treatment of manic depression.

LDH and Tissue Specificity

  • LDH is less tissue-specific, with increased levels in conditions like hepatitis, cirrhosis, pulmonary infarct, myocardial infarction, and pancreatitis.

HDL Cholesterol Measurement

  • "Direct" or "homogeneous" HDL cholesterol methods permit analysis without laboratory intervention, facilitating efficient cholesterol profiling.

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Description

Test your knowledge on kidney function, urea determination, uric acid levels, and liver cell roles. This quiz explores physiological processes including the effects of gender on uric acid metabolism and the importance of hepatocytes. Dive into renal health and liver dynamics to enhance your understanding.

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