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42 Cards in this Set
- Front
- Back
GGT |
GGT levels normal in the presence of bone disease and during pregnancy in contrast to alkaline phosphatase where levels would be elevated |
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differentiate liver disorder (OJ) from bone disorder (Paget) |
GGT is a marker used together with ALP to |
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GGT is a test for |
occult alcoholism |
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phenobarbital and phenytoin |
GGT activity induced by drugs are caused by |
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Gamma-Glutamyl Transferase |
What is GGT |
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Phosphoric monoester hydrolase |
5’ NT predominantly secreted from the liver |
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5’ Nucleotidase (5’-NT) |
Differential test for serum ALP |
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cholestatic disorder |
5’ Nucleotidase is increased in |
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- Acetylcholinesterase (AChE) - Acetylcholine acylhydrolase |
Cholinesterase Two Related Enzyme |
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Acetylcholinesterase (AChE) |
● True Cholinesterase ● Found in red blood cells, lungs, spleen, nerve endings, and gray matter of the brain |
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Pseudocholinesterase PChE or butyrylcholinesterase (BuChe) |
Other term for Acetylcholine acylhydrolase |
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Acetylcholine acylhydrolase |
● AKA Pseudocholinesterase PChE or butyrylcholinesterase (BuChe) ● Found in liver, pancreas, heart, white matter of the brain, and serum |
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increased |
PChE found in serum is normally |
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Pseudocholinesterase |
Decreased amount in hepatocellular disease (cirrhosis, hepatitis) due to decrease synthesis |
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- hepatocellular disease (cirrhosis, hepatitis) - insecticide poisoning/organophosphate poisoning |
Pseudocholinesterase decreased amount in |
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risk of prolonged response to muscle relaxants |
PChE testing identifies individuals with a typical forms who are at |
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succinylcholine and mivacurium |
PChE deficiency results in abnormally slow metabolic degradation of exogenous choline ester drugs such as |
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peptidyl-dipeptidase A or kininase II |
Angiotensin – Converting Enzyme (ACE) AKA (PDA Kayong 2!) |
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Angiotensin – Converting Enzyme (ACE) |
It is as aspartic acid protease |
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Angiotensin – Converting Enzyme (ACE) |
A hydrolase enzyme that requires zinc for activation
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vascular endothelium of lungs and kidney |
ACE is found mainly in the |
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Aspartic acid protease |
a proteolytic enzyme ( enzymes that breaks down protein) |
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Renin-angiotensin system |
regulation of blood pressure |
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Angiotensin Converting Enzyme |
Component of renin – angiotensin system |
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ACE |
Component of renin – angiotensin system |
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SARCOIDOSIS |
ACE is a diagnostic test for |
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neural dysfunction (Alzheimer’s disease) |
ACE is a possible indicator of |
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ACE2 |
cellular receptor for SARS and SARS-CoV-2 |
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Glucose-6-Phosphate Dehydrogenase (G-6-PD) |
● Functions to maintain NADPH in the reduced form in the erythrocytes ● Newborn screening marker |
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G6PD |
Deficiency can lead to drug-induced hemolytic anemia (primaquine, antimalarial drug) |
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primaquine antimalarial drug |
G6PD is caused by |
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RBC’s spleen lymph nodes adrenal cortex |
Source of G6PD |
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MI and Megaloblastic anemia |
G6PD is increased in |
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● Red cell hemolysate and serum |
Required Sample for G6PD |
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Ceruloplasmin |
Copper – carrying protein with an enzymatic activity |
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Wilson Disease (hepatolenticular disease) |
Ceruloplasmin is a Marker of |
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Kayser-Fleischer Ring |
Cornea |
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Ornithinecarbamoyltransferase (OCT) |
● Marker for hepatobiliary disease ● Serum concentration: useful marker for disease severity and useful marker for High Risk HepaC |
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Serum concentration |
useful marker for disease severity and useful marker for High Risk HepaC |
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hepatobiliary disease and High Risk HepaC (serum level) |
Ornithinecarbamoyltransferase (OCT) is increased in |
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Trypsin |
●Produced in secretory granules of the pancreatic acinar cell ● Serves as an activator of digestive proenzyme ● Inactive trypsinogen in the acinar cells ● More specific than amylase in pancreatitis |
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Trypsin |
Serves as an activator of digestive proenzyme |