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Protein, Enzyme, Lipid, Electrolytes, Carbs, NPN

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Question
Answer
Electrolyte   Major ions of body fluid: constitute majority of osmotically active particles: cation electrolytes include sodium and potassium: anion electrolytes includes chloride and bicarbonate.  
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Anion Gap   Difference between sum of measured cations and sum of measured anions. Equation [Na+ -[Cl- +HCO3-]  
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Osmolality   Measurement of number of moles of particles per kilogram of water  
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Osmometry   Osmotic concentration expressed as osmoles or milliosmoles of solute per liter of solvent.  
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Hyponatremia   Abnormally low plasma sodium concentrations (Less than 136 mmol/L)  
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Hypernatremia   Abnormally high plasma sodium concentrations (More than 150 mmol/L)  
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V max   Occurs when substrate concentration is high enough that all enzyme molecules are bound to substrate and all active sites are engaged.  
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Michaelis-Menten constant (Km)   Substrate concentration in moles per liter when initial velocity is ½ v max. E+S=ES=E+P  
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1st order kinetics   Reaction involving enzymes and drug where rate of drug elimination is proportionate to its concentration.  
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Zero order kinetics   Change of plasma concentration of drug is independent of plasma drug concentration  
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McLean relationship   [Ca2+][Pr2-]/[CaPr]=K (Calcium)  
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Oxidoreducatse   Group of enzymes that catalyze oxidation reduction reactions (Examples: LDH and G6PD)  
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Transferase   Catalyze the transfer group other than hydrogen between two substrates (Example: AST, ALT, GGT)  
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Hydrolases   Catalyze the hydrolic addition of water cleavage of compounds (Example: AMS, LPS)  
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Lyases   Catalyze the removal of groups from substrates without hydrolysis addition of water leaving double bonds in product  
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Isomerases   Catalyze the interconverson of isomers  
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Ligases   Catalyze the joining of two molecules coupled with the hydrolysis of pyrophosphate bond in adenosisine triphosphate ATP or similar compounds  
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Creatine Kinase   In a cytoplasmic and mitocholdrial enzyme that catalyzes the reversible phosphorlyation of creatine by ATP ( Tnazer Gilvary, Oliver, Rosalki)  
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Relative index of CK   Calculated by dividing the CK-MB mass by the total CK: ratios higher than 5 indicate cardiac source  
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De Ritis ratio   Ratio of AST to ALT: helpful in determining cause of liver disease; in alcoholic liver disease and cirrhosis ALT> AST  
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Alkaline Phosphatase   Is a generic name for a group of enzymes with maximum activity in the ph range of 9.0 to 10.0.  
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Lipase   Hydrolyzes glycerol esters of long chain fatty acids to produce alcohol and fatty acids  
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Lipids   Class of organic compounds that are actually or potentially esters of fatty acids: soluble in organic solvents and nearly insoluble in water  
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Very low density lipoproteins (VLDLs)   Class of lipoproteins that are primarily transporters of endogenous triglycerides from liver to muscles and adipose cells: contain greater lipid-to-protein ratio  
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Fatty Acids   Simplest form of lipids, has chemical formula RCOOH  
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Triglyceride   Most common glycerol ester in plasma, comprising of glycerol and 3 fatty acids, neutral fat combines with proteins to form lipoproteins  
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Cholesterol   Contains 27 carbon atoms and four fused rings A, B, C, D called a perhydrochopentanophenatrene nucleus  
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Phospholipids   Diglycerides containg phosphorous example lecithin, constitute most of lipid portion of cell membrane  
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High Densitey lipoprotien HDL   Cholesterol scavenger that removes cholesterol from tissues, esterifies it and carries to the liver for disposal  
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Liebermann-Buchard and Abell-Kendall Assay   Early method for total cholesterol measurement  
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Freewald Equation   Used to calculate LDL from total cholesterol HDL and triglycerides; LDL cholesterol= Total cholesterol (HDL-C+TG/5  
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Nephrons   Structural and functional units of kidney: approximately 1 million to 1.5 million nephrons in each kidney: each one consists of glomerulus within Bowman’s capsule  
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Nonprotein nitrogen (NPN)   Products of catabolism of proteins and nucleic acids that contain nitrogen but are not part of protein molecule: urea  
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Nessler’s Reagent   Convert nitrogen to ammonia which formed a yellow color (Early detection for NPH in urine)  
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Azotemia   Increased levels of blood urea and other NPH compounds in blood.  
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BUN: creatine or BUN: CR ratio   Ratio that can be used to distinguish among three major types of azotemia-prenatal, renal, and postrenal.  
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Urea   Major nitrogen-containg metabolic product of protein catabolism in humans  
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Jaffe Reaction   Reaction between creatine and picric acid in alkaline medium, yellow orange compound  
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Glomerular filtration Rate GFR   Rate of urine formation as plasma passes through glomeruli of kidney Volume of plasma filtered T (per unit of time)  
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Creatine Clearance Test Formula   CrCl(mL/min/1.73m2=[(U x V) }x (1.73/A) P  
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Lesch-Nyhan Syndrome   X linked genetic disorder caused by deficiency of hypoxanthine-guanine phosphoribosyl transferase: mental retardation (Uric Acid)  
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Reye’s Syndrome   Acute, often fatal, childhood syndrome presumably caused by virus hallmarks are encephalopathy and fatty infiltration of the liver (no aspirin for kids)  
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Hormone   Chemical substance that has specific regulatory effect on activities of certain organ, organs or cell types.  
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Steroids   Organic compound containing in its chemical nucleus the ring structure groups of compounds related to sterols, including vitamin D, bile acids and certain hormones.  
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Addison’s Disease   Primary adrenal insufficiency caused by progressive destruction of adrenal gland because of infectious diseases or infiltration by neoplastic tissue.  
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Cushing’s syndrome   Condition characterized by increased concentration of adrenal glucocorticoids hormone in the bloodstream.  
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Mineralcocrticoids   Steroid hormones secreted by adrenal cortex that stimulates resorbtion of sodium and excretion of potassium in kidneys; aldestrone is the major minieralocorticoid in humans  
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Amino Acid   Molecule containing amino group, (NH2), carboxyl group (COOH), Hydrogen and R group.  
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Essential Amino Acid   Amino acid that is not synthesized in the body that must be ingested in diet; in humans 8-10 essential amino acids  
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Alkaptonuria   A rare inherited disease that results from the deficiency of the enzyme homogentisitc acid oxidase in the catabolic pathway of tyrosine: build up of acid in tissues  
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Maple Syrup Urine Disease (MSUD)   Genetic disorder named for characteristic maple syrup or bunt sugar odor of affected individuals urine; caused by absence of or extremely low levels of alpha- ketoacid decarboxylase enzyme  
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Phenylketonuria (PKU)   Inborn error of metabolism, an autosomal recessive trait, in results in the inability to metabolize essential amino acid phenylalanine to tyrosine  
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Multiple Myeloma   Cancer of plasma cells in bone marrow (M spike, High IgG, kappa or lambda in serum and urine)  
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Albumin: globulin ratio (A: G)   Ratio of albumin to globulin proteins in serum; reference range for ratio is approximately 1.0-1.8, with albumin levels normally higher than globulins. (Albumin/Globulin= in percent)  
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Islets of Langerhans   Endocrine portion that makes up approximately 1% of pancreases and produce hormones that are secreted into circulatory system. Each islet contains three types of cells: alpha, beta and delta.  
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Breath Test   Test that have been developed to evaluate fat absorption: detect specific substance in exhalant that helps explain metabolic change  
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Fecal fat   Test to determine quantity of lipids in times stool specimen: used to evaluate chronic diarrhea and confirm diagnosis of malabsorbtion or pancreatic dysfunction  
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Pancreatitis   Inflammation of pancreas that occurs as result of autodigestion  
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Insulin   Small peptide hormone secreted by the beta cells of islets of Langerhans. (Decreases blood glucose)  
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Embden-Meyerhoff Pathway   Glycolysis of glucose into pyruvate or lactate with or with out oxygen present; principal means of energy production in humans, glucose broken down into two 3 carbon molecules, lactate or pyruvate with the net gain of two ATP molecules.  
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Diabetes mellitus (Type 1)   Group of chronic metabolic diseases characterized by hyperglycemia because of defects in insulin production (polydipsia, polyria, Polyphagia in childhood) (fruity smell)  
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Diabetes mellitus (Type 2)   Insulin action (most common- gradual)  
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Diabetic ketoacidosis (DKA)   Condition affecting type 1 diabetics because of tendency to produce high levels of keytones when glucose levels are out of control  
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Glucose-6-Phosphate deficiency   Type I and most common form of glycogen storage disease: also known as von Gierke disease.  
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Pompe’s disease   Type II glycogen storage disease, such as acid maltase deficiency : divided into to forms based on age of onset  
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Cori’s Disease   Type III glycogen storage disease; caused by glycogen debrancher enzyme deficiency in the liver, muscle, and some blood cells.  
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Anderson’s Disease   Type IV glycogen storage disease: enzyme deficiency in liver, brain, heart, skeletal muscle, skin.  
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Galactosemia   Autosomal recessive trait characterized by lack of an enzyme, galactose 1 phosphate  
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Henderson- Hasslebalch equation   Equation that defines relationships among ph, bicarbonate, and partial pressure of dissolved carbon dioxide gas  
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Acidemia   condition of decreased ph of blood.  
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