Chelation Therapy for Heavy Metal Toxicity
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Questions and Answers

Which adverse effect is associated with the administration of Dimercaprol?

  • Hypokalemia
  • Hypotension
  • Bradycardia
  • Thrombocytopenia (correct)
  • What is the mechanism of action of Dimercaprol in treating metal poisoning?

  • Enhancement of metal absorption
  • Chelation of heavy metals (correct)
  • Inhibition of free radical production
  • Neutralization of metal ions
  • Which organ is primarily responsible for the excretion of Dimercaprol from the body?

  • Lungs
  • Kidneys (correct)
  • Liver
  • Intestines
  • What is a potential risk associated with the redistribution of arsenic and mercury to the central nervous system by Dimercaprol?

    <p>Neurotoxicity</p> Signup and view all the answers

    How does Dimercaprol contribute to the reversal of metal-induced inhibition of sulfhydryl-containing enzymes?

    <p>By chelating metal ions</p> Signup and view all the answers

    Which clinical finding is NOT commonly associated with the use of Dimercaprol?

    <p>Bradypnea</p> Signup and view all the answers

    What is a common clinical finding associated with chronic inorganic arsenic poisoning?

    <p>Hyperpigmentation and hyperkeratosis of hands and feet</p> Signup and view all the answers

    What is a key pharmacokinetic property of mercury?

    <p>Most concentrated in the kidneys</p> Signup and view all the answers

    How is mercury commonly absorbed into the human body?

    <p>Inhalation of mercury vapors</p> Signup and view all the answers

    What is a toxic effect of chronic exposure to inorganic arsenic on children?

    <p>Developmental delays and learning disabilities</p> Signup and view all the answers

    Which of the following is NOT a mechanism of action of arsenic toxicity?

    <p>Cell apoptosis induction</p> Signup and view all the answers

    What is a significant source of environmental release contributing to mercury bioaccumulation in fishes?

    <p>Burning of fossil fuels</p> Signup and view all the answers

    Which factor determines the effectiveness of chelation therapy in removing a metal from a particular organ?

    <p>The half-life of the metal in that organ</p> Signup and view all the answers

    What is a unique characteristic of the heavy metals that can be chelated by therapeutic agents?

    <p>They are always divalent cations</p> Signup and view all the answers

    Why are chelators only effective when in their ionized form?

    <p>Ionized chelators have higher affinity for heavy metals</p> Signup and view all the answers

    What is the main function of chelation therapy in the context of heavy metal toxicity?

    <p>To accelerate the elimination of heavy metals from the body</p> Signup and view all the answers

    How does a therapeutic chelating agent affect the distribution of heavy metals to vital organs?

    <p>It may increase distribution to vital organs</p> Signup and view all the answers

    In what form are chelators administered to effectively bind with heavy metals?

    <p>With a masking group that prevents binding initially</p> Signup and view all the answers

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