Deck 15: Clinical Enzymology

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Question
What is the relationship between the Michaelis-Menten plot and the Lineweaver-Burk plot?

A)The Lineweaver-Burk plot is a double reciprocal transformation of the Michaelis-Menten plot.
B)The Lineweaver-Burk plot is a logarithmic transformation of the Michaelis-Menten plot.
C)The Lineweaver-Burk plot is a semilogarithmic transformation of the Michaelis-Menten plot.
D)The Lineweaver-Burk plot is an inverse logarithmic transformation of the Michaelis-Menten plot.
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Question
An enzyme activity of 50 IU/L is equal to _____ nK/L.

A)3.0
B)16.7
C)416
D)835
Question
Which type of enzyme inhibitor is associated with an increased Km in order to maintain maximal velocity?

A)competitive inhibitor
B)noncompetitive inhibitor
C)uncompetitive inhibitor
D)allosteric inhibitor
Question
Enzymes that are of diagnostic utility are primarily located ______, and changes in plasma concentration of these enzymes are indicative of ______.

A)in plasma, the cause of the disease leading to the change
B)within cells, the cause of the disease leading to the change
C)in plasma, the location and nature of the pathological change
D)within cells, the location and nature of the pathological change
Question
What is the purpose of transforming the Michaelis-Menten plot into a Lineweaver-Burk plot?

A)to establish a linear relationship that allows for the conversion of enzyme activity into enzyme concentration
B)to establish a linear relationship that allows for the conversion of measured absorbance into enzyme activity
C)to establish a linear relationship that allows for the conversion of measured absorbance into enzyme concentration
D)to establish a straight-line relationship from which Km and the maximal velocity can be determined with accuracy
Question
A convenient method for assaying enzyme activity is based on measuring the conversion between the oxidized and reduced forms of nicotinamide adenine dinucleotide (NAD/NADH).Which form of nicotinamide adenine dinucleotide has a unique wavelength of absorption, and what is the wavelength at which is unique absorption is at its maximum?

A)oxidized, 260 nm
B)oxidized, 340 nm
C)reduced, 260 nm
D)reduced, 340 nm
Question
Considering the active site of an enzyme, which of the following statements is not correct?

A)The active site of an enzyme involves a relatively small percentage of the total number of amino acids in the enzyme.
B)The active site of an enzyme is the location where allosteric inhibitors bind to the enzyme.
C)The attraction between enzyme and substrate is typically non-covalent.
D)The active site of an enzyme takes on a three-dimensional orientation for specific binding with the substrate.
Question
Which of the following is necessary for maximal enzyme velocity?

A)The enzyme concentration must be in excess of the substrate concentration.
B)The substrate concentration must be in excess of the enzyme concentration.
C)The substrate and enzyme concentrations must be equal.
D)The enzyme and substrate reaction must be reversible.
Question
A/An ______ is a non-protein organic material that is one type of cofactor that may be needed for the ______form of the enzyme being measured.

A)activator, apoenzyme
B)coenzyme, holoenzyme
C)activator, holoenzyme
D)coenzyme, apoenzyme
Question
Which of the following factors that influence enzymatic activity demonstrate a bell-shaped curve when relating the factor to enzyme activity?

A)pH
B)temperature
C)noncompetitive inhibitors
D)both a and b
Question
What substrate concentration is typically utilized in enzymatic analyses to ensure zero-order kinetics?

A)substrate concentration equal to ½ Km
B)substrate concentration equal to Km
C)substrate concentration of less than 10 × Km
D)substrate concentration of 10 - 100 × Km
Question
Which type of enzyme inhibitor binds to the active site and is considered to be a reversible inhibitor?

A)competitive inhibitor
B)noncompetitive inhibitor
C)uncompetitive inhibitor
D)allosteric inhibitor
Question
Enzymes are a subgroup of ______ that can be distinguished from other members of the group by the enzyme's ______.

A)carbohydrates, catalytic activity
B)lipids, lipid solubility
C)proteins, catalytic activity
D)nucleic acids, lipid solubility
Question
Most clinical laboratory assays measure concentration of analyte in the blood stream.Why do most enzyme analyses measure enzyme activity instead of enzyme concentration?

A)The assays utilized to measure enzymes involve equilibrium reactions where the reaction can proceed in both directions during the assay.
B)The enzyme being analyzed may be present in such a large concentration that it is difficult to maintain linearity, causing activity measurements to be more suitable.
C)Enzymes are not consumed during the reactions in which they are involved, requiring analysis by activity instead of concentration.
D)The products formed by enzymatic reactions are not sufficiently chromophoric to be measured by traditional spectrophotometric techniques.
Question
The purpose of an enzyme is to:

A)alter the energy difference between the substrate and product
B)increase the rate of a chemical reaction
C)prevent the reversal of chemical reactions
D)protect the substrate during the addition of heat or energy
Question
Calculate the enzyme activity in IU/L, given the following information.
Change in absorbance over 7 minutes = 0.350
Molar absorptivity = 6.22 × 10³ L/mol•cm
Light path = 1 cm
Total assay volume = 3.0 mL
Total sample volume = 0.5 mL

A)0.3 IU/L
B)1.3 IU/L
C)48 IU/L
D)338 IU/L
Question
The loss of enzyme activity is known as ______ and is typically a result of changes in the enzyme's _____ structure.

A)inactivation, secondary
B)denaturation, primary
C)inactivation, primary
D)denaturation, tertiary
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Deck 15: Clinical Enzymology
1
What is the relationship between the Michaelis-Menten plot and the Lineweaver-Burk plot?

A)The Lineweaver-Burk plot is a double reciprocal transformation of the Michaelis-Menten plot.
B)The Lineweaver-Burk plot is a logarithmic transformation of the Michaelis-Menten plot.
C)The Lineweaver-Burk plot is a semilogarithmic transformation of the Michaelis-Menten plot.
D)The Lineweaver-Burk plot is an inverse logarithmic transformation of the Michaelis-Menten plot.
The Lineweaver-Burk plot is a double reciprocal transformation of the Michaelis-Menten plot.
2
An enzyme activity of 50 IU/L is equal to _____ nK/L.

A)3.0
B)16.7
C)416
D)835
835
3
Which type of enzyme inhibitor is associated with an increased Km in order to maintain maximal velocity?

A)competitive inhibitor
B)noncompetitive inhibitor
C)uncompetitive inhibitor
D)allosteric inhibitor
competitive inhibitor
4
Enzymes that are of diagnostic utility are primarily located ______, and changes in plasma concentration of these enzymes are indicative of ______.

A)in plasma, the cause of the disease leading to the change
B)within cells, the cause of the disease leading to the change
C)in plasma, the location and nature of the pathological change
D)within cells, the location and nature of the pathological change
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Unlock for access to all 17 flashcards in this deck.
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5
What is the purpose of transforming the Michaelis-Menten plot into a Lineweaver-Burk plot?

A)to establish a linear relationship that allows for the conversion of enzyme activity into enzyme concentration
B)to establish a linear relationship that allows for the conversion of measured absorbance into enzyme activity
C)to establish a linear relationship that allows for the conversion of measured absorbance into enzyme concentration
D)to establish a straight-line relationship from which Km and the maximal velocity can be determined with accuracy
Unlock Deck
Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
6
A convenient method for assaying enzyme activity is based on measuring the conversion between the oxidized and reduced forms of nicotinamide adenine dinucleotide (NAD/NADH).Which form of nicotinamide adenine dinucleotide has a unique wavelength of absorption, and what is the wavelength at which is unique absorption is at its maximum?

A)oxidized, 260 nm
B)oxidized, 340 nm
C)reduced, 260 nm
D)reduced, 340 nm
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Unlock for access to all 17 flashcards in this deck.
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k this deck
7
Considering the active site of an enzyme, which of the following statements is not correct?

A)The active site of an enzyme involves a relatively small percentage of the total number of amino acids in the enzyme.
B)The active site of an enzyme is the location where allosteric inhibitors bind to the enzyme.
C)The attraction between enzyme and substrate is typically non-covalent.
D)The active site of an enzyme takes on a three-dimensional orientation for specific binding with the substrate.
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Unlock for access to all 17 flashcards in this deck.
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k this deck
8
Which of the following is necessary for maximal enzyme velocity?

A)The enzyme concentration must be in excess of the substrate concentration.
B)The substrate concentration must be in excess of the enzyme concentration.
C)The substrate and enzyme concentrations must be equal.
D)The enzyme and substrate reaction must be reversible.
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Unlock for access to all 17 flashcards in this deck.
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k this deck
9
A/An ______ is a non-protein organic material that is one type of cofactor that may be needed for the ______form of the enzyme being measured.

A)activator, apoenzyme
B)coenzyme, holoenzyme
C)activator, holoenzyme
D)coenzyme, apoenzyme
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Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
10
Which of the following factors that influence enzymatic activity demonstrate a bell-shaped curve when relating the factor to enzyme activity?

A)pH
B)temperature
C)noncompetitive inhibitors
D)both a and b
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Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
11
What substrate concentration is typically utilized in enzymatic analyses to ensure zero-order kinetics?

A)substrate concentration equal to ½ Km
B)substrate concentration equal to Km
C)substrate concentration of less than 10 × Km
D)substrate concentration of 10 - 100 × Km
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Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
12
Which type of enzyme inhibitor binds to the active site and is considered to be a reversible inhibitor?

A)competitive inhibitor
B)noncompetitive inhibitor
C)uncompetitive inhibitor
D)allosteric inhibitor
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Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
13
Enzymes are a subgroup of ______ that can be distinguished from other members of the group by the enzyme's ______.

A)carbohydrates, catalytic activity
B)lipids, lipid solubility
C)proteins, catalytic activity
D)nucleic acids, lipid solubility
Unlock Deck
Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
14
Most clinical laboratory assays measure concentration of analyte in the blood stream.Why do most enzyme analyses measure enzyme activity instead of enzyme concentration?

A)The assays utilized to measure enzymes involve equilibrium reactions where the reaction can proceed in both directions during the assay.
B)The enzyme being analyzed may be present in such a large concentration that it is difficult to maintain linearity, causing activity measurements to be more suitable.
C)Enzymes are not consumed during the reactions in which they are involved, requiring analysis by activity instead of concentration.
D)The products formed by enzymatic reactions are not sufficiently chromophoric to be measured by traditional spectrophotometric techniques.
Unlock Deck
Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
15
The purpose of an enzyme is to:

A)alter the energy difference between the substrate and product
B)increase the rate of a chemical reaction
C)prevent the reversal of chemical reactions
D)protect the substrate during the addition of heat or energy
Unlock Deck
Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
16
Calculate the enzyme activity in IU/L, given the following information.
Change in absorbance over 7 minutes = 0.350
Molar absorptivity = 6.22 × 10³ L/mol•cm
Light path = 1 cm
Total assay volume = 3.0 mL
Total sample volume = 0.5 mL

A)0.3 IU/L
B)1.3 IU/L
C)48 IU/L
D)338 IU/L
Unlock Deck
Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
17
The loss of enzyme activity is known as ______ and is typically a result of changes in the enzyme's _____ structure.

A)inactivation, secondary
B)denaturation, primary
C)inactivation, primary
D)denaturation, tertiary
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Unlock for access to all 17 flashcards in this deck.
Unlock Deck
k this deck
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Unlock Deck
Unlock for access to all 17 flashcards in this deck.