Alcohol Related Physiology Flashcards

(38 cards)

1
Q

what borders hepatocytes

A

space of disse

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2
Q

what embryologic structure is the liver derived from

A

foregut

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3
Q

what is the role of alcohol dehydrogenase

A

metabolises alcohol to acetaldehyde

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4
Q

what is the role of aldehyde dehydrogenase

A

metabolises acetaldehyde to acetate

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5
Q

what is the effect of food on alcohol metabolism

A

decreases absorption and increases elimination

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6
Q

why do men require more units than women to feel the effects of alcohol

A

increased blood volume and lower levels of alcohol dehydrogenase

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7
Q

why does repeat drinking increase tolerance

A

effects sensitivities to neurotransmitters in CNS and increases levels of alcohol dehydrogenase

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8
Q

what effect does alcohol have on hdl

A

increases it

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9
Q

what short term effect does alcohol have on the heart

A

negative inotrope

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10
Q

what is 1 unit of alcohol

A

10ml of pure ethanol

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11
Q

what constitutes binge drinking in men and women

A

8 units in men

6 units in women

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12
Q

from what age can you drink supervised at home

A

5 years

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13
Q

what are the alcohol recommendations when breastfeeding

A

less than 2 units a week

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14
Q

what is the meyer overton rule

A

link between anaesthetic potency and lipid solubility

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15
Q

can ethanol cross the blood brain barrier

A

yes

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16
Q

is the glutamate neurotransmitter excitatory or inhibitory

17
Q

is the gama neurotransmitter excitatory or inhibitory

18
Q

what is the effect of ethanol on glutamate

19
Q

what is the effect of ethanol on gama

20
Q

give two examples of cys-loop receptors

A

acetylcholine ACh, GABA

21
Q

what are cys loop receptors

A

pentameric ligand gated ion channels

22
Q

how are cys loop receptors regulated

A

intracellular domain phosphorylation

23
Q

what is bac

A

blood alcohol concentration

24
Q

is ggt raised in acute or chronic alcohol excess

A

acute or chronic

25
is serum osmolarity raised in acute or chronic alcohol excess
acute
26
is serum albumin affected in acute or chronic alcohol excess
acute?
27
is prothrombin time raised in acute or chronic alcohol excess
acute
28
is ALT raised in acute or chronic alcohol excess
chronic
29
is mean cell volume affected in acute or chronic alcohol excess
chronic
30
is blood glucose affected in acute or chronic alcohol excess
acute
31
is triglycerides raised in acute or chronic alcohol excess
chronic
32
what does AST stand for
aspartate aminotransferase
33
what does ALT stand for
alanine aminotransferase
34
where is ALP produced
liver, bile canaliculi, bone, small intestine, kidneys, placenta
35
what is the most likely cause of elevated ALP but no other liver markers
bone pathology
36
what is osmolal gap
diff between measured & calculated osmolarity
37
what does ALT reflect
liver damage not liver funtion
38
what is bilirubin formed from
bilverdin