Trace elements Flashcards

(53 cards)

1
Q

chronic iron intoxication is called

A

hemochromatosis

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2
Q

iron is absorbed mainly in the

A

small intestine

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3
Q

the amount of light absorbed is proportional to the concentration of absorbing atoms in

A

Atomic absorption spectroscopy (AAS)

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4
Q

What does a flame atomizer do?

A

Aspirate a liquid sample from elements into atoms

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5
Q

Disadvantages to AAS

A

one element at a time
not suitable for all elements
sensitivity limitation

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6
Q

ICP-MS separates ions based on

A

mass-to-charge ratio

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7
Q

most commonly used ICP-MS

A

the quadrupole ICP-MS

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8
Q

the better ICP-MS

A

Magnetic sector ICP-MS

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9
Q

total iron content of the adult body

A

4g

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10
Q

acquired hemochromatosis can occur as a result of

A

multiple blood transfusions

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11
Q

hereditary hemochromatosis can occur as a result of

A

gene mutation in HFE causing increased intestinal iron absorption

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12
Q

Lab testing for iron deficiency

A

CBC
Serum ferritin
Zinc protoporphyrin (ZPP)

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13
Q

Lab testing for iron overload

A

Acute poisoning: serum iron levels

Hemochromatosis: serum ferritin, transferrin saturation, genetic testing, liver biopsy

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14
Q

total Zn content in the adult body

A

2.5g

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15
Q

Zn is present in…

A

more than 200 metalloenzymes as a cofactor regulating cell growth and immune function

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16
Q

Zn is absorbed in

A

small intestine

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17
Q

80% of Zn is in

A

red blood cells

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18
Q

20% of zin is in

A

plasma, bound to albumin

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19
Q

impaired taste and smell, hair loss, frequent infections, skin lesions, impaired wound healing

A

symptoms of Zn deficiency

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20
Q

ceruloplasmin is

A

the protein that binds copper

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21
Q

copper function

A

RBC formation and maintenance of normal brain function

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22
Q

detecting Cu toxicity

23
Q

disease of Cu toxicity

A

Wilson’s disease

24
Q

Diagnostic golden-brown ring around the edge of the cornea

A

Kayser-Fleicher ring = copper toxicity

25
Menkes disease
genetic disease of Cu deficiency caused by a mutation of the transport protein mediating Cu uptake from the intestine
26
Copper deficiency affects
the nervous system and can cause neurological abnormalities
27
Where Cu is incorporated into ceruloplasmin
the liver
28
most toxic form of arsenic
Inorganic As, trivalent is more toxic than pentivalent
29
absorption pathway of As
blood to lungs, liver, kidney, and spleen
30
Inorganic arsenic affects which organs
GI tract, heart, kidney, peripheral and central nervous systems
31
As3+ inhibits wht enzyme
pyruvate dehydrogenase
32
As5+ inhibits what process
oxidative phosphorylation
33
transverse white lines on nails
Mees lines
34
Lab testing
urine
35
Treatment
Chelation therapy using Dimercaprol
36
half life of cadmium
10-20 years
37
about what percentage of blood Cd is bound to RBC
90%
38
Cd is bound to what protein in the liver that reduces its toxicityq
metallothionein
39
Three forms of mercury
Organic >> inorganic> elemental
40
source of organic mercury
methyl mercury in contaminated fish
41
sites of deposition of mercury
kidney and brain
42
half life of mercury
60-90 days
43
which type of mercury is lipid soluble
organic
44
preferred test for elemental/inorganic mercury
blood or urine
45
preferred test for organic mercury
hair and nails
46
two methods for lead absorption
Ingestion/inhalation** | Transdermal
47
Deficiencies in what elements increase the GI absorption of Pb
Fe and Ca
48
morem than 90% of Pb is deposited in
bone
49
excreted mostly in
urine
50
toxicity extends to which organs
nervous system, hemopoeitic system, kidneys
51
toxic effect
inhibits enzymes responsible for heme synthesis --> anemia
52
lab testing
CBC with blood smear
53
reference interval for blood lead level (BLL) in achildren
0.24 umol/L