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_____________ is a
protein that may be
included in testing
for neural tube defects in
prenatal screening.
1a
A1-FETOPROTEIN

1b
Abnormal CSF protein bands
located in the gamma region
on electrophoresis are referred
to as ______________, and
are indicative of
_____________.
2a
Oligoclonal bands;
multiple sclerosis
2b
Define acute phase
reactant
3a
Nonspecific response to
inflammation that includes
elevation
of certain plasma proteins and
decrease of others due to cytokine
production
3b
DEFINE AN AMPHOLYTE

4a
Ionized molecule with
coexistent negative and
positive charges. Proteins
and amino acids are
examples of ampholytes.
4b
Descibe albumin
migration during
electrophoresis
5a
At pH 8.6, the direction in which
albumin migrates is determined
by the ionization of the carboxyl
groups. This yields a net negative
charge and the albumin migrates
towards the anode
5b
Describe amino acids
at a low pH.
6a
At low pH, an amino acid is
in its cationic form with
both its amino and
carboxyl groups protonated
6b
Describe the clinical
significance of
prealbumin.
7a
It is often used to
asses a patient's
nutritional statua
7b
Describe the effect
that hemolysis would
have on serum
protein.
8a
Hemoglobin would
increase the serum
protein level
8b
A heavy distinct band located
in the beta-gamma region of
serum protein
electrophoresis indicates
______________.
9a
A monoclonal
protein
9b
How are amino acids
synthesized?
10a
Amino acids are formed by specific triplet
codons that are specified by DNA. They
are then transcribed into messenger RNA
where they are then translated into amino
acids. The amino acids are joined together
by peptide bonds to form
a protein.
10b
How is an infant's
IgG concentration
different from an
adult's?
11a
Infants have a lower IgG
concentration relative to
a normal adult
concentration of IgG
11b
If a patient has biliary
cirrhosis, which globulin
fraction will be most
elevated on serum protein
electrophoresis?
12a
GAMMA

12b
In nephrotic syndrom,
what happens to total
protein and albumin
levels?
13a
They decrease as
they are excreted in
the urine
13b
In vivo, what is
complement
responsible for?
14a
Phagocytosis of
infectious agents
14b
Is haptoglobin
normally increased
or decreased in
hemolytic disorders?
15a
DECREASED

15b
Maple syrup urine
disease is caused by
a defect in ______?
16a
Branched chain ketoacid decarboxylase
16b
The migration rate of
proteins on cellulose
acetate is based on
.
17a
THE IONIC CHARGE

17b
Name some
examples of fibrous
proteins.
18a
■
■
■
■

Collagen
Troponin
Myosin
Fibrinogen

Fibrous proteins are involved in
construction of connective tissue, tendons,
bone matrix, and muscle fiber

18b
Name the plasma protein
that demonstrates an
increased
concentration in iron
deficiency anemia.
19a
Transferrin
Transferrin reversibly binds and
transports iron and copper. In
cases of iron deficiency, transferrin
levels are increased, but the protein
is less saturated with iron
19b
Name two methods
that are commonly
used to detect low
levels of CSF protein.
20a
Turbidimetric methods
and the Coomassie
Brilliant Blue dyebinding method
20b
Name two plasma
proteins that
decrease in the acute
phase response.
21a
Albumin and
transferrin
21b
On cellulose acetate
electrophoresis at pH
8.6, what is the order
of migration?
22a
Albumin, alpha-1
globulin, alpha-2
globulin, beta globulin,
gamma globulin
22b
Serum protein analysis
via the biuret method is
dependent upon
.
23a
the number of
peptide bonds
23b
What causes the
hyperproteinemia
commonly seen in
Waldenstrom's
macroglobulinemia?
24a
INCREASE IN IGM

24b
What causes the
hyperproteinemia
commonly seen in multiple
myeloma?
25a
An increase in one of
the immunoglobulins
which is usually IgG
25b
What element is
found in protein but
not in lipids or
carbohydrates?
26a
NITROGEN

26b
What is a
distinguishing
feature of Bence
Jones protein?
27a
It is soluble at 100
degrees celsius
27b
What is an A:G
ratio?
28a
It is the ratio of albumin to
globulins
Normal ratio is 1:18 but
this is reversed in
monoclonal gammopathies
28b
What is
ceruloplasmin?
29a
It is the primary coppercontaining protein in
plasma. Decreased levels
are common in Wilson's
disease.
29b
What is considered a
normal pH in the body? At
what charge does a protein
carry in the body at normal
pH?
30a
Normal pH is 7.4
Proteins carry a
negative charge at
this pH
30b
What is required of a
protein before it can
be analyzed by the
biuret method?
31a
A minimum of two
peptide bonds
31b
What is the charge of
a protein at a pH
between 7.37 to
7.47?
32a
NEGATIVELY CHARGED

32b
What is the effect of
a low total protein?
33a
Water leaves the
blood vessels, goes
into the tissues and
causes edema
33b
What is the main
function of albumin?
34a
It regulates colloidal oncotic pressure. Low
albumin results in edema. Albumin plays a
role in binding and transporting various
substances in the blood

34b
What is the most
common method for
measuring total
SERUM protein?
35a
Biuret method
Cupric ions react with
peptide bonds at an
alkaline pH producing a
colored complex
35b
What is the name of the
reference method for protein
determination
that converts nitrogen to
ammonium ions by acid
digestion?
36a
KJELDAHL METHOD

36b
What is the waste
product of protein
catabolism?
37a
Urea which is
excreted in the urine
37b
WHAT IS TRANSFERRIN?

38a
It is a protein that is
associated with the
transport of ferric
ions
38b
What is Wilson's
disease?
39a
Wilson's disease is a
copper-binding disorder
that results from
decreased ceruloplasmin
39b
What is Wilson's
disease?
40a
It is an inherited disorder
of copper metabolism
Copper is distributed in
the skin, liver, and brain
40b
What will cause an
increase in albumin
levels?
41a
DEHYDRATION

41b
Where are proteins
synthesized?
42a
Proteins are synthesized in the
liver.
The exception are the yglobulins (IgG, IgA, IgM, IgD,
and IgE). These are synthesized
in plasma cells.
42b
Which protein has
the highest dyebinding capacity?
43a
ALBUMIN

43b
Which serum protein
fraction will be most
elevated in a patient with
nephrotic syndrome?
44a
ALPHA-2 GLOBULIN

44b
Which stage of protein structure
involves the folding of the
polypeptide in three dimensions
and the formation of hydrogen
bonds, and van der Waals
forces?
45a
TERTIARY STRUCTURE

45b

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