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Exam 2
Muscle
21
Veterinary Medicine
Professional
11/09/2015

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Cards

Term
Definition: Sensitivity
Definition
-ability to detect true positives (few false negatives)
Term
Definition: Specificity
Definition
-ability to detect true negatives (few false positives)
Term
In a 20 test biochemical profile, ___% of normal animals will have at least one abnormal result.
Definition
64%
Term
Definition: Sensitivity
Definition
Ability to detect true positives (few false negatives)
Term
Definition: Specificity
Definition
Ability to dtect true negatives (few false positives)
Term
What is the formula for Predictive Values positive?
Definition
PV positive = TP / (TP+FP) X 100
Term
What is the formula for Predictive Values Negative?
Definition
PV negative = TN / (TN+FN X 100
Term
Predictive values depend on what three things?
Definition
Sensitivity, specificity, and disease prevalence
Term
True or False: Predictive values worsen when clinical suspicion for the disease is high.
Definition
FALSE; predictive values improve when clinical suspicion for the disease is high.
Term
What lab value indicates muscle injury in small animals? What about large animals?
Definition
SA = CK (AST)
LA = CK (AST)
Term
What lab results indicate hepatocyte injury in small animals? What about in large animals?
Definition
SA = ALT (AST)
LA = AST, SDH
Term
What lab results indicate cholestasis in small animals? What about in large animals?
Definition
SA = DOGS ONLY = ALP, GGT
LA = GGT
Term
What are the two reasons for increased ezymes?
Definition
Increased leakage from tissue
Increased production (induction)
Term
What are the 4 leakage enzymes (found free in cytoplasm or within organelles)
Definition
ALT, SDH, AST, CK
Term
What are the 2 induced enzymes (attached to membranes)?
Definition
ALP, GGT
Term
Where is creatine kinase (CK) normally found? What is its lab significance?
Definition
Free in the cytoplasm of skeletal, cardiac, and smooth muscle cells
It is muscle specific when found in elevated levels
Term
Where is aspartate aminotransferase normally found in the body? Is it a leakage or induced enzyme?
Definition
If is found in skeletal and cardiac muscle as well as hepatocytes
It is a leakage enzyme
Term
What can cause an increased serum CK?
Definition
Skeletal muscle injury: necrosis, trauma, hypoxia (down cattle/horses)
Muscle break down (catabolism): especially in severely anorexic cats
Term
Does CK have a short or long half-life? What does this mean clinically?
Definition
-very short half-life
-can normalize within 24-48 hrs after an acute injury
Term
Does AST have a short or long half-life? Is this muscle specific or not?
Definition
-increases more slowly than CK, stays increased longer
-not muscle specific
Term
Is ALT liver specific or not? Are there mild or drastic increases with muscle injury?
Definition
-liver specific in dogs, cats
-mild inc with severe muscle injury
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