Exam Knowledge Questions with Expertly written solution
2025/2026
Reaction of AST - correct answer transfer of an amino group between
aspartate and alpha keto acid
Physiological reaction of AST - correct answer aspartic acid + alpha
ketoglutarate --> oxaloacetate + glutamate
Coenzyme for AST - correct answer pyridoxal phosphate
Function of AST - correct answer Important in intermediate metabolism
Synthesis and degradation of amino acid
Tissue sources of AST - correct answer Cardiac tissue, liver, skeletal
muscle
Clinical importance of AST - correct answer -Was used to evaluate
myocardial infarction
-Evaluates skeletal muscle disease (muscular dystrophies)
-Useful in detecting liver damage and evaluate hepatocellular disease
Increased AST - correct answer AMI
Skeletal muscle disorders
Hemolytic anemia
Pulmonary embolism and congestive heart failure
Acute hepatic disorders
, Principle use of AST - correct answer LFT (liver function test)
AST is more sensitive to hepatocellular damage than ALT which is specific
Decreased AST - correct answer -Uremia
-Vitamin B deficiency
-Administration of some drugs
2 forms of AST isoenzymes - correct answer 1- Found in cell cytoplasm
2- Found in mitochondria
Assay used for AST - correct answer Karmen Method
Samples used for AST - correct answer Serum and plasma (non
hemolyzed)
ALT class - correct answer Transferase
ALT group - correct answer transaminase
ALT reaction - correct answer Catalyzes the reversible transfer of amino
acid
Physiological reaction of ALT - correct answer Alanine + alpha
ketoglutarate --> pyruvate + glutamate
ALT coenzyme - correct answer Pyridoxal phosphate (vitamin B6)