Academic Integrity: tutoring, explanations, and feedback — we don’t complete graded work or submit on a student’s behalf.

1 Given the following information for a rate reaction, calculate the activity of

ID: 87517 • Letter: 1

Question

1

Given the following information for a rate reaction, calculate the activity of a serum specimen for alanine aminotransferase in international units per liter (IU/L). (2 pts)

Time

Absorbance

1 min

1.104

Specimen volume= 20 uL

2 min

1.025

Reagent volume= 3.0 mL

3 min

0.950

Molar absorptivity for NADH at 340 nm= 6.22 x 103 L/mol cm

4 min

0.873

Light path= 1 cm

186

198

1857

1869

2

A 42 yr old male presents with anorexia, nausea, fever and icterus of the skin and mucous membranes. He noticed that his urine had appeared dark for past several days. The following biochemical tests were resulted. What is your opinion of the most likely diagnosis?   

ALP                                              slightly elevated

ALT                                              markedly elevated

AST                                              markedly elevated

GGT                                             slightly elevated

TBIL                                             moderately elevated

Urine bilirubin                    positive

Fecal urobilinogen           decrease

3

Given the serum protein electrophoresis pattern shown, which transaminase (AST –ALT) results would you expect

Time

Absorbance

1 min

1.104

Specimen volume= 20 uL

2 min

1.025

Reagent volume= 3.0 mL

3 min

0.950

Molar absorptivity for NADH at 340 nm= 6.22 x 103 L/mol cm

4 min

0.873

Light path= 1 cm

Explanation / Answer

Answer:

1) Based on the information given:

2) A 42 yr old male presents with anorexia, nausea, fever and icterus of the skin and mucous membranes. He noticed that his urine had appeared dark for past several days. The following biochemical tests were resulted. What is your opinion of the most likely diagnosis?

Minute Absorbance 1 1.104 2 1.025 3 0.95 4 0.873