6: Drugs And Physical Agents Flashcards

1
Q

Two major carcinogens in tobacco

A

Polycyclic hydrocarbons, nitrosamines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens to asbestos workers and uranium miners who also smoke?

A

10 fold increase in lung cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can happen with maternal tobacco use to the fetus?

A

Spontaneous abortions, preterm birth, intrauterine growth restriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Increase risk of lung cancer in second hand smokers

A

1.3x increased risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Legal driving limit of alcohol in US

A

80 mg/dL (about 3 drinks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ALDH*2 in Asian individuals

A

Asians tend to have low amount of ALDH2 -> difficult to breakdown alcohol -> nausea, flushing, tachycardia, hyperventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Positive effect of drinking about a glass of wine daily

A

Increases HDL, inhibits platelet aggregation, decreased fibrinogen protects against CAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do most drug-induced hypersensitivity reactions present?

A

Skin rashes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How are 50% of acetaminophen ODs unintentional?

A

Bc its also in cough meds so adults dont know theyre taking double

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Treatment for acetaminophen OD

A

N-acetylcysteine within 12 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Analgesic nephropathy

A

The active metabolite of aspirin, phenacetin, can cause renal papillary necrosis with long term use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Heat stroke

A

High temp and exertion -> thermoregulation mechanisms fail -> sweating stops and core body temp rises over 40C -> multi organ dysfunction that can be fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Three types of radiation units and what they mean

A
  1. Curie (Ci): radiation emitted
  2. Gray (Gy): energy absorbed
  3. Sievert (Sv): equivalent dose of Grays x relative biological effectiveness of the radiation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Common sources of ionizing radiation

A

X-rays, gamma-rays, high energy neutrons, alpha and beta particles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the most common source of ionizing radiation in the US?

A

Medical devices and imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Histology of cells undergoing ionizing radiation

A

Nuclear swelling, giant cells, pleomorphic nuclei

17
Q

ECM changes in tissue after ionizing radiation

A

Endothelial cell prolif, collagen prolif, thickening of intima in vessels

18
Q

What do cells resemble after ionizing radiation?

A

Cancer cells

19
Q

Three organs that are particularly susceptible to fibrosis after ionizing radiation?

A

Lungs, salivary glands, abdomen

20
Q

Major tissue consequence of ionizing radiation

A

Fibrosis