تجربة 1 Flashcards
What is the name of the phase where the uterine lining becomes thicker in preparation for possible pregnancy?
Proliferative phase or follicular phase.
What hormone exerts negative feedback on LH and FSH production during the follicular phase?
Estrogen and inhibin.
What triggers the mature follicle to rupture and release the egg into the fallopian tube?
Peak levels of LH around day 14.
What structure does the follicle develop into after ovulation?
Corpus luteum.
What hormone does the corpus luteum predominantly produce after ovulation?
Progesterone.
What is the phase of the uterine cycle where the uterine lining thickens and becomes more vascular due to progesterone?
Secretory phase or luteal phase.
What event marks the end of the follicular phase and the beginning of the luteal phase?
Ovulation.
What causes the uterine lining to break down leading to menstrual bleeding if fertilization doesn’t occur?
Sudden decline in progesterone and estrogen levels.
What do elevated levels of circulating estrogen, progesterone, and inhibin inhibit during the menstrual cycle?
Secretion of GNRH, FSH, and LH.
What are the two types of hormonal contraceptives?
Combined method (estrogen and progesterone) and progestin-only method (progestin).
Which form of hormonal contraceptives is most widely used?
Oral tablet or birth control pill.
What is the term for birth control pills that deliver synthetic forms of both estrogen and progesterone?
Combination or combined birth control pills.
What is the term for birth control pills that contain synthetic progestin, a version of progesterone?
Progestin-only birth control pills.
What phase of the uterine cycle is known for secreting fluids necessary for embryo nutrition and closing off the uterine opening?
Secretory or luteal phase.
What is the major sterol found in fungal plasma membrane?
Ergosterol
What is the function of ergosterol in fungal cells?
Maintain membrane integrity
What enzymes are responsible for fungal cell wall construction in the plasma membrane?
Multi-subunit enzymes
How do antifungal drugs targeting ergosterol work?
By binding to cholesterol in ergosterol and forming pores
What is the major adverse effect of antifungal drugs causing membrane permeability?
Rapid leakage of intracellular ions
Which antifungal drug is used only for severe systemic infections that require a rapid response?
Amphotericin B
Why is Nystatin not used systematically like Amphotericin B?
It is more toxic
What is the target of Ergosterol Biosynthesis Enzymes Inhibitors Antifungal Drugs?
Squalene epoxidase and P450 enzyme
How do squalene epoxidase and P450 enzyme inhibitors cause fungal cell death?
By depleting cell membrane ergosterol
What is the main advantage of Echinocandins antifungal drugs relative to others?
Low potential for toxicity or serious drug interaction
What is cancer characterized by uncontrolled cell division and ability to invade other tissues?
Carcinoma
What is the term for the spread of cancer cells to other parts of the body?
Metastasis
Which cancer type is related to tissues that line or cover internal organs?
Carcinoma
Which cancer type affects bone, cartilage, muscle, etc.?
Sarcoma
What type of cells are affected by Leukemia?
White blood cells
What is the essential component of thyroid hormones?
Iodine (59% and 65%)
Which protein primarily binds to circulating thyroid hormones?
Thyroxin-binding globulin (TBG)
Which thyroid hormone is more potent in activity, T4, or T3?
T3 (T3 is four times more potent in activity)
Where is T4 converted into T3 in the body?
In the tissues, especially in the liver
Which part of the gastrointestinal tract absorbs T4 best?
Duodenum and ileum
What factor can modify the absorption of T4?
Intraluminal factors such as food, drugs, gastric acidity, and intestinal flora
How much of T3 is almost completely absorbed?
95%
What happens to metabolic clearances of T4 and T3 in hyperthyroidism?
They are increased, and the half-lives are decreased
What effects do thyroid hormones have on growth and development?
Critical for developing nervous, skeletal, and reproductive tissues
How do thyroid hormones affect the metabolism of carbohydrates, fats, and proteins?
They produce a general increase in metabolism
Which organs are unresponsive to the calorigenic effects of thyroid hormone?
Brain, gonads, and spleen
How is hypothyroidism diagnosed?
By elevated thyroid-stimulating hormone (TSH)
What is the treatment for hypothyroidism?
Administering thyroid hormones as replacement therapy
What is used to treat drug-induced hypothyroidism?
Simply removing the depressant agent
Name two thyroid preparations used in replacement therapy.
Levothyroxine (T4) and Liothyronine (T3)
What adverse effects are associated with chronic overtreatment with T4?
Increased risk of atrial fibrillation and accelerated osteoporosis
What are the primary drugs used to decrease thyroid hormone production?
Thionamides
What is the goal of treatment in inhibiting thyroid hormone synthesis?
Inhibit hormone synthesis and block its release from the follicle
How do thionamides affect thyroid hormone synthesis?
They inhibit organification of iodine and coupling of iodotyrosines
What is a potential adverse effect of thionamides?
Agranulocytosis (rare)
What category of drugs are primarily used to decrease thyroid hormone production?
Thionamides
How should tetracycline be taken in relation to antacids, calcium supplements, and magnesium-containing laxatives?
One hour before or two hours after.
What is the role of folate in DNA and RNA synthesis?
Folate is required for the synthesis of DNA and RNA precursors.
How do sulfonamides inhibit folic acid metabolism?
Sulfonamides act as competitive inhibitors by mimicking PABA.
What is the target enzyme of sulfonamides in folic acid synthesis?
Dihydropteroate synthase.
What is the host range of a virus?
The spectrum of host cells in which a virus can multiply.
Explain the attachment and penetration stage in the virus life cycle.
Virus attaches to a host cell and injects genetic material.
What happens during the replication stage of the virus life cycle?
Viral DNA or RNA incorporates into the host cell’s genetic material.
Describe the release stage in the virus life cycle.
Host cell releases newly created viruses.
How do anti-viral drugs differ from most antibiotics?
Anti-viral drugs inhibit virus development, not destroy pathogens.
What makes designing safe and effective anti-viral drugs difficult?
Viruses use host cells to replicate.
Name some categories of anti-viral drugs.
Anti-Influenza, Anti-HIV, Anti-Hepatitis, Anti-Herpes.
What viral proteins are translated from pregenomic RNAs in hepatitis B virus?
Core and polymerase proteins.
How is the negative DNA strand of the viral genome generated in hepatitis B virus?
Through reverse transcription using RNA as a template.
What are the functions of nucleoside and nucleotide analogues in hepatitis B virus treatment?
Inhibit multiple functions of the virus polymerase by competing with natural substrates.
How does hepatitis C virus enter hepatocytes?
Via receptor-mediated endocytosis.
What viral RNA is used as a template for polyprotein synthesis in hepatitis C virus?
Positive single-stranded viral RNA.
What enzymes process the viral polyprotein to generate mature proteins in hepatitis C virus?
Proteases like NS3-4A serine protease.
What role does NS5A play in hepatitis C viral replication?
Regulates the replication of viral RNA.
What does the RNA-dependent RNA polymerase NS5B do in hepatitis C virus?
Produces negative-sense RNA intermediates for replication.
How is the newly replicated viral RNA released from infected cells in hepatitis C virus?
Released by exocytosis after being encased between membranes.
What is the mechanism of action of anti-Herpes drugs on DNA polymerase?
Compete with natural nucleotides or lead to chain termination.
Name two types of deep/systemic fungal infections affecting internal organs.
Blastomyces and Coccidiodes.