Alcohol Related Physiology Flashcards

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

A

excitatory

17
Q

is the gama neurotransmitter excitatory or inhibitory

A

inhibitory

18
Q

what is the effect of ethanol on glutamate

A

antagonises

19
Q

what is the effect of ethanol on gama

A

agonists

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
Q

is serum osmolarity raised in acute or chronic alcohol excess

A

acute

26
Q

is serum albumin affected in acute or chronic alcohol excess

A

acute?

27
Q

is prothrombin time raised in acute or chronic alcohol excess

A

acute

28
Q

is ALT raised in acute or chronic alcohol excess

A

chronic

29
Q

is mean cell volume affected in acute or chronic alcohol excess

A

chronic

30
Q

is blood glucose affected in acute or chronic alcohol excess

A

acute

31
Q

is triglycerides raised in acute or chronic alcohol excess

A

chronic

32
Q

what does AST stand for

A

aspartate aminotransferase

33
Q

what does ALT stand for

A

alanine aminotransferase

34
Q

where is ALP produced

A

liver, bile canaliculi, bone, small intestine, kidneys, placenta

35
Q

what is the most likely cause of elevated ALP but no other liver markers

A

bone pathology

36
Q

what is osmolal gap

A

diff between measured & calculated osmolarity

37
Q

what does ALT reflect

A

liver damage not liver funtion

38
Q

what is bilirubin formed from

A

bilverdin