Antihyperlipidemic Flashcards

1
Q

What are the major lipids found in the bloodstream

A
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2
Q

High lipid levels can do what

A

Speed up a process called atherosclerosis, or hardening of the blood vessels

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3
Q

What is hyperlipoproteinemia

A
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4
Q

hyperlipoproteinemia has been strongly associated with what

A
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5
Q

What is the cause of hyperlipoproteinemia

A
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6
Q

What is dyslipidemia

A
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7
Q

What are the sources of cholesterol

A
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8
Q

What is the rate limiting step of cholesterol biosynthesis

A
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9
Q

What is the importance of HMG CoA Reductase

A

It is the target for drugs and if inhibited it will stop the whole synthesis of cholesterol

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10
Q

Explain cholesterol

A
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11
Q

Is cholesterol bad

A
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12
Q

Explain cholesterol ester

A
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13
Q

Triglycerides are formed from what

A
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14
Q

Where does the pancreatic lipase acts

A
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15
Q

Can lipids be absorbed ?

A

In triglyceride form, lipids can’t be absorbed by the duodenum, it should be hydrolyzed in the GIT to be absorbed
Monoglycerides and diglycerides are absorbed by the duodenum

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16
Q

Explain lipoproteins and their function

A
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17
Q

How are triglycerides and cholesterol esters are carried

A
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18
Q

What are the different types of lipoproteins

A
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19
Q

How does bile acid help in lipoprotein metabolism

A

Bile acid facilitates the absorption to the bloodstream

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20
Q

Explain the normal metabolism of lipoproteins

A

LDL is being reuptaken by LDL receptor in the liver

21
Q

What will happen if LDL receptor is not working

22
Q

Why do healthy people have high amounts of HDL

A

It will make the cholesterol be taken back to liver, to be used in synthesis
Preventing atherosclerosis - acts as protective mechanism

23
Q

What are the drug targets to treat hyperlipidemia

24
Q

Explain low density lipoproteins

25
Q

Explain high density lipoproteins

26
Q

How is diagnosis of lipoproteins made

28
Q

List the antihyperlipidemic agents

29
Q

Why is nicotinic acid not preferred

30
Q

What does nicotinic acid do

31
Q

What is the first drug choice for patients with elevated LDL

A

HMG-CoA reductase inhibitors

32
Q

What is the mechanism of HMG-CoA reductase inhibitors

33
Q

The inhibition of HMG-CoA reductase results in what

34
Q

What are the 2 main classes of HMG-CoA reductase inhibitors

35
Q

What is statins mechanism of action

36
Q

What type of inhibitor is statin

A

Competitive as it has similar structure to the substrate

38
Q

Explain the SAR of statins

39
Q

Explain the physiochemical properties of statins

40
Q

Explain the side effects of all statins

41
Q

Explain fibrates

42
Q

Explain the main effect of fibrates

43
Q

Fibrates facilitate lipid metabolism resulting in what

44
Q

Explain ezetimibe

45
Q

How does ezetimibe work

46
Q

How are ezetimibe used

47
Q

Explain bile acid sequestrants

48
Q

Explain the mechanism of bile acid sequestrants