Toxicology Flashcards

(58 cards)

1
Q

What is the study of the harmful effects of chemical, biological, and physical agents on living organisms called?

A

Toxicology

Toxicology examines how these agents adversely affect health and living systems.

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2
Q

What is the role of forensics?

A

The use of science within the legal system

Forensics applies scientific principles to legal investigations.

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3
Q

What does postmortem toxicology involve?

A

Analyzing a dead body for toxins

The body’s reaction to chemicals can differ after death.

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4
Q

What are poisons?

A

Anything that harms a living organism

The dose of a substance determines its potential to be a poison.

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5
Q

What are the most frequent occurrences of poisoning?

A

Most cases result from:
* Social and economic stress or mental disorders
* Illicit substance abuse (minority)
* Substances administered against will
* Unintentional accidents

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6
Q

What is a key responsibility of a toxicologist?

A

Conduct toxicological analysis

Toxicologists analyze samples to identify poisons and drugs.

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7
Q

What is the National Poisons Information Service (NPIS)?

A

Advises NHS healthcare professionals on the diagnosis, treatment, and care of poisoned patients.

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8
Q

What is the role of a pathologist in toxicology?

A

Perform medico-legal autopsies to establish the cause of death

They attend suspicious deaths and estimate time of death.

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9
Q

What are common drugs of abuse?

A

Legal:
* Alcohol
* Medicines
Illegal:
* Heroin
* Cannabis

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10
Q

What does the Misuse of Drugs Act (1971) state?

A

It is offensive to:
* Possess a controlled substance unlawfully
* Possess a controlled substance with intent to supply
* Supply or offer to supply a controlled drug
* Allow premises to be used for drug use

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11
Q

What are the categories in the spectrum of drug use?

A
  1. Opiates (Morphine, heroin)
  2. Depressants (alcohol, barbiturates)
  3. Minor tranquilizers (benzodiazepines)
  4. Stimulants (cocaine)
  5. Hallucinogens (LSD)
  6. Others (cannabis)
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12
Q

What is the goal of toxicological screening techniques?

A

To confirm and quantify chemical presence

The choice of technique depends on analytical sensitivity and specificity.

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13
Q

What are the steps to toxicological analysis?

A
  • Separation of poison and metabolites from biological material
  • Identification
  • Confirmation of identity
  • Quantification
  • Interpretation
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14
Q

What is acute exposure?

A

Contact with a substance that occurs once or for only a short time (up to 14 days)

It typically leads to immediate effects.

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15
Q

What is chronic exposure?

A

Contact with a substance that occurs for a year or longer

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16
Q

What are general symptoms of poisoning?

A
  • Neurological
  • Respiratory
  • Cardiovascular
  • Ocular
  • Mouth
  • GIT
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17
Q

What are the routes of administration/exposure?

A
  • Intravenous
  • Dermal
  • Inhalation
  • Rectal
  • Sublingual
  • Intraethecal
  • Oral
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18
Q

What is the definition of drug metabolism?

A

The enzyme-catalyzed conversion of a drug into a chemically distinct substance

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19
Q

What is half-life (t1/2) in drug elimination?

A

Time taken for drug concentration to decline by half

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20
Q

What is the significance of dose-response curves?

A

They plot % response against log of dosage to determine lethal doses and compare toxicity of substances

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21
Q

What is postmortem redistribution (PMR)?

A

Artificially elevated drug concentration in heart after death

Drug levels change due to time between death and blood collection.

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22
Q

What factors affect the passage of drugs through cell membranes?

A
  • Water solubility
  • Lipid solubility
  • Degree of ionization
  • Molecular weight
  • Active transport
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23
Q

What is the role of analytical methods in toxicology?

A

To confirm and quantify the presence of chemicals in biological samples

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24
Q

What are some examples of analytical techniques used in toxicology?

A
  • Immunoassays
  • Spot colour tests
  • TLC
  • GC
  • HPLC
25
What is the main site for drug absorption in oral administration?
Gastrointestinal tract (GIT) ## Footnote The GIT has a large surface area for absorption.
26
What is the significance of renal excretion?
It is the removal of intact drug from the body
27
What is oral administration?
Administration of drugs by mouth, easy for patient, high compliance ## Footnote Drugs must cross through or between cell membranes to reach target, absorbed from GIT into the bloodstream
28
What is intravenous administration?
Direct administration of drugs into the bloodstream, bypassing first pass metabolism ## Footnote This method allows for immediate drug effects
29
Define drug distribution.
The movement of a drug/chemical around the body, into and out of body tissues
30
What is the difference between excretion and elimination?
Excretion is the removal of intact drug from the body; elimination is the irreversible loss of drug by any mechanism
31
What is renal excretion?
The process of removing drugs from the body through the kidneys
32
What is biotransformation?
The process of chemical alteration of a drug in the body, primarily occurring in the liver
33
What is first pass metabolism?
The metabolism of a drug in the liver after being absorbed from the gastrointestinal tract but before reaching systemic circulation
34
What does enterohepatic circulation refer to?
The reabsorption of eliminated molecules from bile back into the bloodstream
35
List factors affecting drug passage through cell membranes.
* Water solubility * Lipid solubility * Degree of ionisation * Molecular weight * Active transport
36
Define drug metabolism.
The enzyme-catalysed conversion of a drug into a chemically distinct substance
37
What is half-life (t1/2)?
The time taken for drug concentration to decline by half
38
What is bioavailability?
The amount of drug absorbed relative to the dose administered
39
Describe a dose-response curve.
A plot of % response (e.g. % viability) against the logarithm of dosage, typically a sigmoid curve
40
What does LD50 represent?
The lethal dose that kills 50% of a population
41
What is postmortem redistribution (PMR)?
The phenomenon where drug concentrations, especially in the heart, increase after death as time passes until blood collection
42
What is the order of specimen collection after death?
Femoral > iliac > subclavian vessels > heart
43
What are common specimen types for toxicology?
* Blood * Vitreous humor * Liver * Muscle
44
What is the role of the National Poisons Information Service (NPIS)?
To advise NHS healthcare professionals on the diagnosis, treatment, and care of poisoned patients
45
What are poisons?
Any substance that harms a living organism, where the dose determines its toxicity
46
What are the most frequent occurrences of poisoning?
* Social and economic stress * Mental disorders * Illicit substance abuse * Unintentional accidents
47
What is the role of a toxicologist?
To identify drugs and poisons, screen throughout the body, and suggest possible effects on victims
48
List types of common drugs of abuse.
* Alcohol * Medicines * Heroin * Cannabis
49
What is the Misuse of Drugs Act (1971)?
UK legislation that prohibits unlawful possession, supply, and use of controlled substances
50
What are the common pharmacological groups of drugs of abuse?
* CNS stimulants * Narcotic analgesics * Hallucinogens * Hypnotics
51
What is acute exposure to toxicants?
Contact with a substance that occurs once or for a short time (up to 14 days)
52
What is chronic exposure to toxicants?
Contact with a substance that occurs for a year or longer
53
List general symptoms of poisoning.
* Neurological * Respiratory * Cardiovascular * Ocular * Mouth * GIT
54
What are the steps involved in toxicological analysis?
* Separation of poisons and metabolites * Identification * Confirmation of identity * Quantification * Interpretation
55
What are presumptive tests?
Qualitative tests that quickly identify substances based on characteristic color changes
56
What does ADMET stand for?
* Absorption * Distribution * Metabolism * Excretion * Toxicity
57
What is the reward system in relation to drug use?
Involves dopamine pathways: mesocortical, mesolimbic, and nigro-striatal systems
58
What is the role of a pathologist in toxicology?
To perform medico-legal autopsies, estimate time of death, and remove specimens for analysis