Plasma Cholesterol and Lipoproteins
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Questions and Answers

What is the main function of HDL cholesterol?

  • To release cholesterol into the blood
  • To absorb dietary cholesterol in the intestine
  • To build up plaque in the arteries
  • To remove cholesterol from the arteries (correct)
  • What is the normal range for Total Cholesterol in a healthy individual?

  • 240-280 mg/dL
  • 150-200 mg/dL (correct)
  • 150-180 mg/dL
  • 200-240 mg/dL
  • What is the primary source of cholesterol build-up and blockage in the arteries?

  • VLDL Cholesterol
  • Total Cholesterol
  • HDL Cholesterol
  • LDL Cholesterol (correct)
  • What is the reference range for VLDL Cholesterol in a healthy individual?

    <p>&lt; 30 mg/dL</p> Signup and view all the answers

    What is the term for the total amount of cholesterol in the blood?

    <p>Total Cholesterol</p> Signup and view all the answers

    What is the reference range for a healthy HDL Cholesterol level?

    <p>&gt; 40 mg/dL</p> Signup and view all the answers

    Which component is part of the hydrophilic surface of lipoproteins?

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

    What is the main function of HDL in the body?

    <p>Transport cholesterol from peripheral tissues to the liver</p> Signup and view all the answers

    Apolipoproteins can be found in which structure?

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

    What distinguishes chylomicrons from other lipoproteins based on density?

    <p>They float on centrifugation due to high lipid content</p> Signup and view all the answers

    Which of the following does not have a specific function according to the classification of lipoproteins?

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

    What is a distinct feature of esterified cholesterol?

    <p>It is part of cholesterol esters</p> Signup and view all the answers

    Which apolipoprotein is not correctly paired with its type?

    <p>Apo D - Apo G</p> Signup and view all the answers

    What is a major source of cholesterol in the plasma?

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

    What classifies a disorder as primary dyslipidemia?

    <p>Genetic Disorders</p> Signup and view all the answers

    Which main lipoprotein is elevated in Familial Hypercholesterolemia?

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

    Which condition is NOT a risk factor for atherosclerosis?

    <p>Low cholesterol levels</p> Signup and view all the answers

    Which disorder is linked to Secondary Dyslipidemia?

    <p>Diabetes Mellitus</p> Signup and view all the answers

    What is the primary characteristic of fatty liver disease?

    <p>Intrahepatic fat accumulation greater than 5%</p> Signup and view all the answers

    What is the main lipid elevated in Familial Hyperchylomicronemia?

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

    Which lipoproteins are elevated in Mixed Hypertriglyceridemia?

    <p>Chylomicrons and VLDL</p> Signup and view all the answers

    Which process is a primary cause of atherosclerosis?

    <p>Plaque build-up in the artery's inner lining</p> Signup and view all the answers

    What condition is characterized by total cholesterol below normal levels?

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

    Which lipid measurement indicates a risk of atherosclerosis when elevated above 130 mg/dL?

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

    Which disorder is NOT associated with hypercholesterolemia?

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

    Which risk factor is common to both coronary heart disease and atherosclerosis?

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

    What is dyslipidemia mainly associated with?

    <p>Lipid or lipoprotein overproduction or deficiency</p> Signup and view all the answers

    Which condition is associated with high levels of cholesterol and also affects the endocrine system?

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

    What condition is characterized by low levels of HDLC (< 40 mg/dL)?

    <p>Coronary heart disease</p> Signup and view all the answers

    Which condition is NOT typically associated with hypocholesterolemia?

    <p>Nephrotic syndrome</p> Signup and view all the answers

    Study Notes

    Plasma Cholesterol

    • Total cholesterol is the sum of HDL, LDL, and VLDL cholesterol in the blood.
    • HDL (good) cholesterol helps remove cholesterol from arteries, while LDL (bad) cholesterol is the main source of cholesterol buildup and blockage in arteries.
    • VLDL cholesterol contributes to plaque buildup in arteries.

    Reference Range

    • Total cholesterol: 150-200 mg/dL (healthy), 200-240 mg/dL (at risk), > 240 mg/dL (dangerous)
    • HDL cholesterol: > 60 mg/dL (healthy), 40-60 mg/dL (at risk), < 40 mg/dL (dangerous)
    • LDL cholesterol: < 100 mg/dL (healthy), 100-130 mg/dL (at risk), > 130 mg/dL (dangerous)
    • VLDL cholesterol: < 30 mg/dL (healthy), > 30 mg/dL (at risk)

    Primary and Secondary Dyslipidemia

    • Primary dyslipidemia occurs due to genetic disorders.
    • Secondary dyslipidemia occurs due to diabetes mellitus, nephrotic syndrome, hypothyroidism, hypertension, and drug-induced causes.

    Atherosclerosis

    • Atherosclerosis is the thickening or hardening of arteries caused by plaque buildup.
    • Risk factors include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, and physical inactivity.

    Cardiovascular Disease

    • Cardiovascular disease is a disease of the heart or blood vessels.
    • It can lead to reduced blood flow to the heart, brain, or body due to atherosclerosis and blood clots.

    Fatty Liver Disease

    • Fatty liver disease is a condition caused by excessive fat buildup in the liver.
    • An accumulation of intrahepatic fat > 5% is dangerous to health.

    Lipoproteins

    • Lipoproteins are complex particles with a central hydrophobic core of triglycerides and cholesterol esters, a hydrophilic surface of phospholipids and free cholesterol, and apoproteins.
    • Apolipoproteins are proteins that bind lipids to form lipoproteins.

    Classification of Lipoproteins

    • Lipoproteins are classified into five major types based on density: chylomicrons, VLDL, IDL, LDL, and HDL.
    • Lipoproteins with high lipid content have low density and large size, while those with high protein content have high density and compact size.

    Functions of Lipoproteins

    • Chylomicrons transport dietary TG from the intestine to adipose tissue for storage and to muscle, heart, and brain for energy.
    • VLDL transports endogenous TG from the liver to peripheral tissue for energy.
    • LDL transports cholesterol from the liver to peripheral tissues.
    • HDL transports cholesterol from peripheral tissues to the liver.

    Sources of Plasma Cholesterol

    • The liver is the main source of plasma cholesterol.
    • Cholesterol can also come from dietary sources.

    Clinical Importance of Plasma Cholesterol

    • High levels of LDL-C (> 130 mg/dL) and low levels of HDL-C (< 40 mg/dL) are risk factors for coronary heart disease.
    • High levels of VLDL-C (> 30 mg/dL) show the risk of atherosclerosis and coronary heart disease.
    • Abnormal total cholesterol: HDL ratio shows the risk of atherosclerosis and coronary heart disease.
    • Hypocholesterolemia (rare condition) is associated with hyperthyroidism, malabsorption, malnutrition, hemolytic jaundice, and inflammation.

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    Description

    Learn about plasma cholesterol values, unesterified and esterified cholesterol, and lipoproteins in blood plasma. Understand how lipids are transported in the blood as complexes with proteins.

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