Hepatotoxicity and Liver Function
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Questions and Answers

What is the primary function of the liver in relation to xenobiotics?

  • First pass metabolism
  • Site for toxication by metabolism (correct)
  • Storage of xenobiotic-metabolizing enzymes
  • Biosynthesis of xenobiotics
  • What is the consequence of enterohepatic circulation in the liver?

  • Increased detoxication of xenobiotics
  • Decreased bile flow
  • Enhanced biosynthesis of nutrients
  • Increased hepatotoxicity (correct)
  • Which of the following is a characteristic of cirrhosis?

  • Deposition of collagen fibers throughout the liver (correct)
  • Inflammation of the liver
  • Lipid peroxidation in the liver
  • Suppression of bile flow
  • What is the cause of hepatitis?

    <p>All of the above</p> Signup and view all the answers

    What type of agents can cause liver injury through oxidative stress?

    <p>Cytotoxic agents</p> Signup and view all the answers

    Which of the following environmental agents is NOT a cause of liver injury?

    <p>Healthy food</p> Signup and view all the answers

    What is the effect of cholestasis on the liver?

    <p>Suppression or blockage of bile flow</p> Signup and view all the answers

    What is the primary site of metabolism for xenobiotics in the body?

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

    What is the effect of alkylating agents on the gonadal function?

    <p>Destruction of primordial follicles</p> Signup and view all the answers

    What is the effect of hydroxyflutamide on fetal development?

    <p>Inhibition of fetal development</p> Signup and view all the answers

    What is the effect of smoking on the age of spontaneous menopause?

    <p>Decreases the age of spontaneous menopause</p> Signup and view all the answers

    What is the mechanism of Tamoxifen in inhibiting implantation of the embryo?

    <p>Suppression of uterine endometrium induction</p> Signup and view all the answers

    What is the effect of ovarian effects on hormone levels?

    <p>Abnormal hormone levels</p> Signup and view all the answers

    What is the effect of alkylating agents on DNA?

    <p>Formation of DNA conjugates</p> Signup and view all the answers

    What is the effect of general reproductive toxicants on fetal development?

    <p>Inhibition of fetal development</p> Signup and view all the answers

    What is the effect of PAHs on reproduction?

    <p>Inhibition of reproduction</p> Signup and view all the answers

    What is the primary function of acetylcholinesterase in the nervous system?

    <p>To break down acetylcholine into choline and acetate</p> Signup and view all the answers

    What is the effect of parathion on acetylcholinesterase activity?

    <p>It inhibits the activity of acetylcholinesterase</p> Signup and view all the answers

    What is the primary manifestation of anticholinergic poisoning?

    <p>All of the above</p> Signup and view all the answers

    What is the name of the plant from which the herbal tea 'Paraguay tea' is derived?

    <p>Ilex paraguariensis</p> Signup and view all the answers

    In the case study, what was the time frame in which the manifestations of anticholinergic poisoning occurred?

    <p>Within 2 hours after drinking the tea</p> Signup and view all the answers

    What is the name of the neurotransmitter that is responsible for physiological transmission of nerve impulses across the synapse?

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

    What is the effect of acetylcholinesterase inhibition on the level and duration of action of acetylcholine?

    <p>It increases the level and duration of action of acetylcholine</p> Signup and view all the answers

    What is the primary mechanism by which parathion exerts its toxic effects?

    <p>By inhibiting the activity of acetylcholinesterase</p> Signup and view all the answers

    What is the primary mechanism by which fluoroacetate interferes with aerobic metabolism in the heart?

    <p>Disruption of the TCA cycle</p> Signup and view all the answers

    Which of the following toxicants can cause acidosis and hyperkalemia, leading to alterations in myocardial conduction?

    <p>Ethylene glycol</p> Signup and view all the answers

    What is the effect of halogenated hydrocarbons on the myocardium?

    <p>Suppression of the SA node</p> Signup and view all the answers

    Which of the following toxicants can replace calcium in slow-current channels and alter the efflux of potassium from myocardial cells?

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

    What is the result of the inhibition of the sodium-potassium exchange mechanism in the myocardium?

    <p>Increased refractory period of the AV node</p> Signup and view all the answers

    Which of the following toxicants can cause myocardial necrosis?

    <p>All of the above</p> Signup and view all the answers

    What is the effect of dinitrophenols on the heart?

    <p>Inhibition of oxidative phosphorylation</p> Signup and view all the answers

    Which of the following toxicants can disrupt oxidative phosphorylation?

    <p>Rotenone and antimycin A</p> Signup and view all the answers

    What is the effect of toxicants that alter cell membrane function on cardiac contraction?

    <p>Increased intracellular calcium</p> Signup and view all the answers

    Which of the following toxicants selectively blocks sodium channels?

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

    What is the effect of gossypol on potassium transport?

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

    Which of the following toxicants causes oxidative damage and lipid peroxidation in myocardium?

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

    What is the effect of toxicants that bind to phospholipids on cardiac contraction?

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

    Which of the following toxicants causes sarcolemmal injury and calcium alterations?

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

    What is the effect of tetrodotoxin on cardiac contraction?

    <p>Decreased intracellular sodium</p> Signup and view all the answers

    Which of the following is an example of an endogenous catecholamine?

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

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