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Questions and Answers
What does Dalton's Law of Partial Pressure state about the total pressure in a mixture of gases?
How is the partial pressure of a gas calculated?
What is the partial pressure of O2 when delivered at sea level in a 30% O2 mixture?
If the atmospheric pressure is 550 mm-Hg, what is the partial pressure of O2 in that environment?
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What is the partial pressure for N2 in the atmosphere at sea level?
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What is the primary purpose of carbohydrates in the body?
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Which type of carbohydrate contains a ketone functional group?
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What defines a monosaccharide?
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In Fisher projections, how are horizontal and vertical lines represented?
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What is the ratio of oxygen to hydrogen in carbohydrates?
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Which classification of carbohydrates includes those made of many sugar units?
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What do Lewis dot structures illustrate?
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Which of these describes a characteristic feature of simple carbohydrates?
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What is the role of amino acid side chains in enzyme function?
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Which enzyme system is known as the 'mixed-function oxidase system'?
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What effect does an inducer have on an enzyme-catalyzed reaction?
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What is the primary metabolic action of Pseudocholinesterase?
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How does grapefruit juice affect drug metabolism?
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Which type of receptor is primarily responsible for transmitting signals via GTP?
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What occurs when the M2 receptor is inhibited in the SA node?
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What is a significant characteristic of the fluidity of the cell membrane?
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Which enzyme is involved in converting a prodrug to its active metabolite?
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What happens to metabolism in a patient who is both acidic and hypothermic?
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What happens to temperature when pressure is decreased in a gas system?
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What is the primary reason for the drop in pressure observed when the nitrous oxide cylinder is at 1/4 full?
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Which method is used to accurately measure the amount of N2O remaining in a cylinder?
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What is the molecular weight of nitrous oxide (N2O)?
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How long will a full nitrous oxide cylinder last if 2 liters are administered per minute?
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Why can PSI gauges on N2O cylinders not be relied upon as they are for O2 cylinders?
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What is the weight of the N2O in a full cylinder given that its full weight is 5.6 kg and the tare weight is 4.5 kg?
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According to the Joule-Thompson effect, what occurs when a compressed gas is allowed to escape freely into space?
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What happens to the pressure in a N2O cylinder as it empties?
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How is the Joule-Thompson effect related to pressure in a constant-volume cylinder?
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According to Avogadro's hypothesis, how many liters does one mole of a gas occupy at STP?
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What is Avogadro's number?
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What condition defines the critical temperature of a gas?
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Which equation represents the ideal gas law?
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In a clinical application, how does the pressure in a Bourdon's gauge correspond to gas content?
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What occurs in a closed space when a cylinder of compressed gas is opened?
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Study Notes
Enzyme Function
- Active site on enzymes is the specific area where substrates bind to facilitate reactions.
- Amino acid composition is crucial; side chains determine the enzyme's shape and ability to accommodate substrates.
- Binding of amino acid residues alters enzyme shape, size, and chemical behavior, contributing to the formation of the enzyme-substrate complex.
Cytochrome P450
- Critical enzyme system for metabolizing anesthetic drugs, referred to as the "mixed-function oxidase system."
- Use of anti-seizure medications can induce the CYP450 system, potentially rendering other medications like Rocuronium ineffective.
- Inducers accelerate metabolic reactions, necessitating higher doses of medications such as fentanyl and midazolam for analgesic effect.
- Inhibitors, like grapefruit juice, reduce enzyme activity, enhancing the effects of opioids and benzodiazepines.
Plasma Pathways of Metabolism
- Pseudocholinesterase: Metabolizes succinylcholine, allowing for rapid drug clearance compared to traditional agents like neostigmine.
- Nonspecific Esterase: Rapid metabolism of remifentanil, enabling swift recovery from its effects.
- Alkaline Phosphatase: Converts prodrug Frospropofol into its active form.
- Hoffman Elimination: Reaction rate affected by pH and temperature; for instance, metabolic rates of cisatracurium decrease in acidic, hypothermic conditions.
Cellular Communication
- Extracellular communication occurs via chemical signals (hormones, neurotransmitters), electrical signals (action potentials), and mechanical signals (pressure).
- Cells receive signals through receptors that convert extracellular input into specific intracellular responses.
- Most receptors are membrane-bound, although some exist intracellularly.
Types of Receptors
- Extracellular Receptors: Include ion channels, G-protein coupled receptors, and enzyme-linked receptors.
- Intracellular Receptors: Respond to signals from within the cell.
- Cell membrane, composed of a phospholipid bilayer, enables protein mobility crucial for cellular functions.
G-Protein Coupled Receptors
- These 7-transmembrane receptors transmit signals from extracellular substances to intracellular molecules, activating GTP.
- Ligand binding triggers G-proteins, which can then influence channels, transport, enzymes, receptors, or structural proteins.
- These receptors act to either open/close ion channels or activate/inhibit intracellular enzymes, impacting physiological functions like heart rate.
Carbohydrates
- Carbohydrates are biomolecules primarily composed of carbon, hydrogen, and oxygen, exemplifying a 2:1 hydrogen-oxygen ratio similar to water.
- Classified into simple carbohydrates based on functional groups (ketose, aldose) and by the number of sugar molecules (monosaccharides, disaccharides, polysaccharides).
- Fischer projections provide a means to visualize carbohydrate structures in two dimensions.
Lewis Dot Structures
- Illustrate bonds formed between atoms through valence electrons, aiding in understanding molecular interactions.
Dalton's Law of Partial Pressure
- Total gas pressure is the combined pressure of individual gases in a mixture, assuming no chemical interaction.
- At sea level, partial pressures of O2 (160 mmHg) and N2 (600 mmHg) combine for a total atmospheric pressure of 760 mmHg.
- Partial pressures are calculated by multiplying the gas fraction by atmospheric pressure, assisting in anesthesia calculations.
Avogadro's Number and Hypothesis
- Equal volumes of gases at the same temperature and pressure contain equal particle numbers.
- One mole of gas occupies 22.4 liters at standard conditions.
Cylinders and Gas Principles
- Critical Temperature: The highest temperature at which a gas can exist as a liquid; gas cannot be liquefied above this temperature.
- Adiabatic Processes: Rapid pressure release from gas leads to a temperature increase due to heat conservation.
- Joule-Thompson Effect: Gas expansion under low pressure results in cooling; decreased pressure causes a temperature drop.
Nitrous Oxide Cylinder (N2O)
- Gauge readings do not accurately represent gas quantity as N2O exists as both liquid and vapor.
- Pressure decreases significantly as the tank empties, requiring weight measurements for accurate content assessment.
- Full N2O cylinder weighs approximately 5.6 kg and can provide anesthesia based on predefined weight and flow rate calculations.
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Description
This quiz explores the role of the active site in enzymes and how the amino acid composition influences the enzyme-substrate complex. Understand the significance of side chains in shaping the active site and their effect on enzyme functionality. Test your knowledge on enzyme mechanics and binding dynamics.