Urea (UV) Test Quiz
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Questions and Answers

How is the change in absorbance for the standard calculated?

  • $ΔAS = AS2 - AS1$ (correct)
  • $ΔAS = AS1 - AS2$
  • $ΔAS = AS2 + AS1$
  • $ΔAS = AS1 + AS2$

What is the normal range for urea in serum/plasma?

  • 10-40 mg/dl (correct)
  • 30-50 mg/dl
  • 5-25 mg/dl
  • 15-45 mg/dl

What should be done if the urea concentration exceeds 300 mg/dl?

  • Stop the assay until further notice.
  • Replace the sample with a fresh one.
  • Report the result as is.
  • Dilute the serum with normal saline and repeat the assay. (correct)

Why is it necessary to run known controls with every assay?

<p>To ensure accuracy of the results. (D)</p> Signup and view all the answers

What is the recommended laboratory practice regarding the handling of reagents?

<p>Avoid contact with skin, eyes, and mucous membranes. (A)</p> Signup and view all the answers

What is the primary purpose of the LIQUIZYME UREA kit?

<p>To quantitatively measure Urea in various bodily fluids. (A)</p> Signup and view all the answers

In the process described, which substance is NOT a product of the urea hydrolysis reaction?

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

Which of the following conditions is associated with elevated Urea levels?

<p>Congestive heart failure (D)</p> Signup and view all the answers

What is the wavelength used for measuring absorbance in the LIQUIZYME UREA procedure?

<p>340 nm (C)</p> Signup and view all the answers

What should be done with urine samples prior to analysis when using the LIQUIZYME UREA kit?

<p>Dilute 1+49 with distilled water. (B)</p> Signup and view all the answers

Which reagent is NOT included in the LIQUIZYME UREA kit?

<p>Ammonium Ion Reagent (D)</p> Signup and view all the answers

How long is the working reagent stable when stored at 2-8 °C?

<p>4 weeks (B)</p> Signup and view all the answers

What is the main enzyme involved in the Urea hydrolysis reaction as per the LIQUIZYME UREA method?

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

Flashcards

Urea role in body

Urea is a waste product of protein metabolism, produced in the liver and excreted by the kidneys.

High urea levels

High urea levels indicate potential issues like kidney problems, dehydration, or heart failure.

Urea measurement method

Urea is measured by using urease to create ammonia, which is then measured through the increase in NAD to NADH.

Reagent 1 function

Reagent 1 contains the urea enzyme urease used in measuring urea content.

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Urea standard concentration

The concentration of the standard urea solution is 50 mg/dl.

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Sample preparation (urine)

Urine samples need a 1 in 50 dilution using distilled water, and results should be multiplied by 50.

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Working Reagent preparation

Combine 4 parts of Reagent 1 with 1 part of Reagent 2 to create the working solution.

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UV GLDH method

A method used to quantitatively measure urea in biological samples using a biochem analyzer.

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Urea calculation

Urea concentration (mg/dL) is determined by comparing the change in absorbance of the test sample (ΔAT) to the change in absorbance of a standard sample (ΔAS).

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Urea normal range (serum/plasma)

The typical amount of urea in serum or plasma is 10-40 mg/dL

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Urea/Creatinine Ratio Normal Range

The typical ratio between urea and creatinine levels in the blood is 25:40 (mmol/L)/(mmol/L) or 20:35 (mg/dL)/(mg/dL)

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Urea linearity

The method used for measuring urea is accurate up to 300 mg/dL. For higher values, dilute the sample and repeat the assay, accounting for the dilution factor in the result.

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Quality Control in Urea Assay

Using known control samples during the assay is crucial for ensuring the accuracy and reliability of the results

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Study Notes

Urea (UV) Test (UV GLDH Method)

  • Intended Use: Quantitative determination of urea in serum, plasma, and urine.
  • Clinical Significance: Urea is a waste product of protein metabolism. Elevated levels can indicate kidney disease, urinary obstruction, shock, or other conditions. Decreased levels might suggest liver failure or pregnancy.
  • Principle: The urease enzyme hydrolyzes urea to ammonia and carbon dioxide. The ammonia reacts with ketoglutarate and NADH. The rate of NADH to NAD conversion is measured (as a decrease in absorbance) which is proportional to the urea concentration in the sample.

Procedure

  • Reagents: Standard and sample require specific reagent volumes (1 ml, 10 μl).
  • Reading: Measure the initial and final absorbance values of both standard and sample. Calculate the change in absorbance.

Calculation

  • Formula: Specific formula for calculating urea concentration using the change in absorbance values (ΔAT/ΔAS)

Normal Values

  • Serum/Plasma: 10-40 mg/dL
  • Urine: 26-43 g/24 hours

Materials

  • Clean glassware
  • Laboratory pipette(s) or micropipettes
  • Biochemical analyzer

Samples

  • Serum, plasma, urine (avoid fluoride or ammonium ions in samples)
  • Urine samples require dilution (urine 1: 49 with water, then multiply result by 50)

Reagent Preparation and Stability

  • Mix Reagent 1 and Reagent 2 to create working reagent
  • Stable for 5 days at room temperature (15-25°C)
  • Stable for 4 weeks when stored at a temperature of 2 to 8.
  • Opened kit stable til expiry
  • Do not freeze reagents

System Parameters

  • Reaction Type: Fix time (Decreasing)
  • Wavelength: 340nm
  • Cuvette Temperature: 37°C
  • Delay Time: 30 Seconds
  • Interval Time : 60 Seconds

Linearity

  • Linear up to 300 mg/dL
  • Sample dilution needed for values greater than 300 mg/dl
  • Multiply result by dilution factor

Quality Control

  • Run known controls regularly for accuracy

Limitations and Precautions

  • Handle reagents carefully to avoid contact with skin, eyes, and mucous membranes
  • Follow lab safety procedures for safe handling.

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Description

Test your knowledge on the Urea (UV) Test using the UV GLDH method. This quiz covers the intended use, clinical significance, principle, procedure, and calculations involved in determining urea concentration in biological samples. Perfect for students and professionals in clinical biochemistry!

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