Idiosyncratic Reactions in Medicine

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18 Questions

What is one major factor that influences toxicity as it relates to the exposure situation for a specific chemical?

Exposure duration

Which route of exposure generally results in the most rapid toxic response?

Inhalation

Why might an agent that acts on the central nervous system be less toxic when taken orally compared to inhalation?

Route of administration

Which route of administration would likely lead to the least potent toxic effect?

Dermal

What is a common factor that can account for individual susceptibility to a range of responses to toxic agents?

Genetic factors

Which route of exposure involves the gastrointestinal tract?

Ingestion

What is the most likely cause of prolonged muscular relaxation and apnea after succinylcholine administration?

Rapid metabolic degradation by plasma butyrylcholinesterase

Which factor largely determines whether a toxic effect on a tissue is reversible or irreversible?

Ability of differentiated cells to divide

Why are injuries to the central nervous system largely considered irreversible?

Inability of differentiated CNS cells to divide

Which characteristic distinguishes idiosyncratic reactions from other hypersensitivity responses?

Involvement of genetic polymorphisms

Why are some toxic effects of chemicals labeled as irreversible?

Inability of certain tissues like CNS to regenerate

What usually contributes to the irreversible nature of carcinogenic and teratogenic effects of chemicals?

Inability of mutated cells to be replaced

What term is used to describe the combined effects of two chemicals being much greater than the sum of the effects of each agent given alone?

Synergistic effect

When one substance does not have a toxic effect on a certain organ but enhances the toxicity of another chemical, this is known as:

Potentiation effect

Which type of antagonism occurs when two chemicals counterbalance each other by producing opposite effects on the same physiologic function?

Functional antagonism

Isopropanol, when administered with carbon tetrachloride, leads to a hepatotoxicity that is much greater than when it is given alone. This is an example of:

Potentiation effect

In toxicology, what do we call it when two chemicals administered together interfere with each other’s actions or one interferes with the action of the other?

Antagonistic effect

What term describes the occurrence when the combined effects of two chemicals are usually additive?

Additive effect

Explore the concept of idiosyncratic reactions in medicine through a classic example involving prolonged muscular relaxation and apnea after succinylcholine administration. Learn about the role of plasma butyrylcholinesterase in the metabolic degradation of succinylcholine and its implications for patient care.

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