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Biochemistry · Laboratory methods: radioimmunoassay
Sample itemIn a competitive radioimmunoassay for a hormone, a fixed amount of radiolabelled hormone and antibody is mixed with the patient sample. What happens to antibody-bound radioactivity as the sample's hormone concentration rises?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. It falls, because unlabelled hormone displaces labelled hormone from antibody
In a competitive assay, labelled and unlabelled hormone compete for a limited number of antibody sites. More hormone in the sample means less labelled hormone is bound, so bound counts fall in an inverse relation. Concentration is read from a standard curve built with known amounts of hormone.
Option by option
A. It falls, because unlabelled hormone displaces labelled hormone from antibody (correct)
Correct. Increasing unlabelled hormone displaces the tracer and lowers bound counts.
B. It stays unchanged, because antibody is saturated
Antibody binding is shared, so the bound radioactivity changes with the sample.
C. It rises, because more hormone forms more complexes
Antibody sites are limited, so extra hormone cannot raise the tracer bound.
D. It rises linearly with the hormone concentration
The relationship is inverse and not a direct linear rise.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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