Liver Acinus Oxygenation Quiz
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Questions and Answers

What is the predominant function of hepatocytes in zone 1?

  • Bile salts synthesis
  • Gluconeogenesis
  • Fatty acid oxidation (correct)
  • Ammonia detoxification to urea

Which zone of the acinus is considered hypoxic relative to other tissues?

  • Zone 1
  • Zone 3 (correct)
  • Zone 2
  • Zone 4

What is a notable gradient observed for hepatotoxins along the acinus?

  • Higher levels of bile salts in zone 1
  • Greater amounts of glutathione in zone 3 (correct)
  • Higher levels of ammonia in the hepatic vein
  • Lower levels of cytochrome P450 proteins in the sinusoids

Which cells are NOT found in the hepatic sinusoids?

<p>Hepatocytes (B)</p> Signup and view all the answers

In comparison to other tissues, which zone of the acinus is exposed to substantially lower concentrations of oxygen?

<p>Zone 3 (C)</p> Signup and view all the answers

What is the inducible CYP2E1 isozyme primarily involved in?

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

Which vessel carries oxygen-depleted blood from the portal vein?

<p>Terminal hepatic venule (C)</p> Signup and view all the answers

Which of the following is NOT a mechanism of toxin-induced injury to liver cells?

<p>Increased bile production (D)</p> Signup and view all the answers

What is the biochemical characteristic of canalicular cholestasis?

<p>Elevated serum levels of bile salts and bilirubin (D)</p> Signup and view all the answers

What is the biochemical index of bile duct damage?

<p>Sharp elevation in serum alkaline phosphatase activity (D)</p> Signup and view all the answers

What condition can chronic administration of toxins that cause bile duct destruction lead to?

<p>Biliary proliferation and fibrosis resembling biliary cirrhosis (D)</p> Signup and view all the answers

Which of the following can compromise the functional integrity of the sinusoid?

<p>Both A and B (C)</p> Signup and view all the answers

What is the result of cholestasis?

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

What is the definition of cholestasis?

<p>A decrease in the volume of bile formed or an impaired secretion of specific solutes into bile (B)</p> Signup and view all the answers

What type of cholestasis is characterized by damage to the intrahepatic bile ducts?

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

Which of the following is NOT a component of bile?

<p>Glucose (B)</p> Signup and view all the answers

The inability to export copper into bile is a central problem in which genetic disorder?

<p>Wilson's disease (A)</p> Signup and view all the answers

Which of the following metals is NOT mentioned in the text as being excreted into bile?

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

What is the primary function of bile formation in the liver?

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

Which of the following processes is NOT involved in the excretion of metals into bile?

<p>Direct secretion into the bloodstream (C)</p> Signup and view all the answers

Which of the following statements about biliary excretion is true?

<p>It is usually but not always a prelude to toxicant clearance by excretion in feces or urine. (B)</p> Signup and view all the answers

Which of the following is NOT a step in the formation of bile by hepatocytes?

<p>Transporting glucose into the canalicular lumen (B)</p> Signup and view all the answers

Which of the following statements about the components of bile is true?

<p>Bile contains both organic and inorganic compounds. (D)</p> Signup and view all the answers

Which enzyme is responsible for the bioactivation of ethanol?

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

What is the consequence of having a slow aldehyde dehydrogenase polymorphism when consuming alcohol?

<p>Uncomfortable symptoms of flushing and nausea (A)</p> Signup and view all the answers

Which cytochrome P450 isozyme is implicated in the etiology of serious, end-stage liver damage?

<p>CYP2E1 (D)</p> Signup and view all the answers

What is the mechanism by which acetaminophen can cause liver injury at high doses?

<p>Depletion of glutathione levels (B)</p> Signup and view all the answers

Which of the following treatments can minimize acetaminophen-induced hepatotoxicity?

<p>Administration of N-acetylcysteine (C)</p> Signup and view all the answers

At therapeutic doses, what is the primary metabolic pathway for acetaminophen?

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

Which ethnic group is more likely to have the slow aldehyde dehydrogenase polymorphism?

<p>Asian populations (B)</p> Signup and view all the answers

What is the mechanism by which cytochrome P450 isozymes can contribute to hepatotoxicity?

<p>Generation of reactive oxygen species during biotransformation reactions (A)</p> Signup and view all the answers

What is the primary cause of veno-occlusive disease?

<p>Exposure to pyrrolizidine alkaloids found in some herbal teas and chemotherapeutic agents (B)</p> Signup and view all the answers

Which of the following statements about cirrhosis is true?

<p>It involves the accumulation of extensive collagen fibers in the liver (A)</p> Signup and view all the answers

Which type of liver tumor is associated with exposure to thorium dioxide?

<p>Multiple types of liver tumors (D)</p> Signup and view all the answers

What is the primary role of phase I enzymes in hepatocytes?

<p>To convert xenobiotics to reactive electrophilic metabolites (D)</p> Signup and view all the answers

Which of the following statements about phase II enzymes in hepatocytes is true?

<p>They add a polar group to molecules, enhancing their removal (B)</p> Signup and view all the answers

Which of the following is a potential risk factor for hepatocellular carcinoma?

<p>Both exposure to aflatoxin-contaminated diets and abuse of androgens (C)</p> Signup and view all the answers

Which type of liver tumor is derived from sinusoidal lining cells?

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

What is the primary function of bile formation in the liver?

<p>To aid in the digestion and absorption of fats and fat-soluble vitamins (D)</p> Signup and view all the answers

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