Ethanol and Phenobarbital Interaction: Effects on Metabolism

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Questions and Answers

What percentage of alcohol is absorbed in the stomach?

  • 40%
  • 30%
  • 20% (correct)
  • 10%

Which organ is responsible for metabolizing about 90% of the alcohol in the body?

  • Liver (correct)
  • Pancreas
  • Lungs
  • Kidneys

What is the primary toxic compound yielded from alcohol metabolism by colon bacterial ADH?

  • Ethanol
  • Formaldehyde
  • Methanol
  • Acetaldehyde (correct)

Which system is important for breaking down large amounts of alcohol?

<p>Microsomal ethanol-oxidizing system (MEOS) (D)</p> Signup and view all the answers

What is the main compound that is excreted into the urine after alcohol metabolism?

<p>Ethanol (D)</p> Signup and view all the answers

What represents 1 unit for clinical purposes in terms of pure alcohol content?

<p>8g (C)</p> Signup and view all the answers

What is the primary target of peroxidation caused by free radical release in the liver?

<p>Phospholipids (D)</p> Signup and view all the answers

What contributes to the transient hyperglycemia observed after ethanol consumption with a meal?

<p>Inhibition of glycolysis (D)</p> Signup and view all the answers

What is the consequence of an accumulation of acetaldehyde in the liver after ethanol consumption?

<p>Diminished secretion of serum proteins (C)</p> Signup and view all the answers

What contributes to the formation of acetaldehyde adducts in chronic ethanol consumption?

<p>Covalently binds to proteins and lipids (D)</p> Signup and view all the answers

What is the consequence of the increased NADH/NAD+ ratio on FA metabolism?

<p>Inhibition of FA oxidation and accumulation of TAGs in the liver (B)</p> Signup and view all the answers

How does ethanol-induced hyperlipidemia occur?

<p>Through the incorporation of TAGs into VLDLs (C)</p> Signup and view all the answers

What is the result of ethanol metabolism on ketone body production?

<p>Increased ketone body production (C)</p> Signup and view all the answers

How does ethanol affect gluconeogenesis in fasting individuals?

<p>Increases the levels of lactate and alanine for gluconeogenesis (B)</p> Signup and view all the answers

What happens to OAA levels in the TCA cycle due to ethanol metabolism?

<p>OAA levels become too low for citrate synthase activity (C)</p> Signup and view all the answers

How does an increase in lactate affect blood glucose levels during fasting with ethanol consumption?

<p>It contributes to maintaining blood glucose through gluconeogenesis (C)</p> Signup and view all the answers

Which enzyme family is primarily responsible for the metabolism of ethanol in the liver?

<p>Alcohol Dehydrogenase (ADH) (C)</p> Signup and view all the answers

Which enzyme has a higher affinity for acetaldehyde and is very specific in its action?

<p>Acetaldehyde Dehydrogenase (ALDH) (A)</p> Signup and view all the answers

What is the preferred antidote for overdoses of methanol or ethylene glycol?

<p>Fomepizole (A)</p> Signup and view all the answers

Which enzyme is responsible for generating toxic acetaldehyde, particularly in the liver?

<p>Alcohol Dehydrogenase (ADH) (B)</p> Signup and view all the answers

Individuals with an allelic variant of which enzyme have a greatly decreased capacity for acetaldehyde metabolism?

<p>Acetaldehyde Dehydrogenase (ALDH) (B)</p> Signup and view all the answers

Chronic consumption of ethanol can lead to an increase in which enzyme levels by 5-10 fold?

<p>Cytochrome P450 2E1 (CYP2E1) (A)</p> Signup and view all the answers

How does disulfiram deter the consumption of alcohol in a chronic alcoholic patient?

<p>By blocking the conversion of acetaldehyde to acetate which causes the accumulation of acetaldehyde (B)</p> Signup and view all the answers

What effect does disulfiram have on the metabolism of ethanol in the body?

<p>It accelerates the metabolism of ethanol to acetate (A)</p> Signup and view all the answers

What role does the inhibition of ketogenesis play in the mechanism of disulfiram?

<p>It has no impact on ketone levels in the body (C)</p> Signup and view all the answers

How does disulfiram affect the balance between NAD and NADH?

<p>It increases NAD levels while reducing NADH levels (A)</p> Signup and view all the answers

What is the consequence of activating FAO in the presence of disulfiram?

<p>Increased lactic acidosis (A)</p> Signup and view all the answers

Which metabolic process is most affected by disulfiram in a chronic alcoholic?

<p>Gluconeogenesis (C)</p> Signup and view all the answers

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