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
Explain high density lipoproteins
26
How is diagnosis of lipoproteins made
27
28
List the antihyperlipidemic agents
29
Why is nicotinic acid not preferred
30
What does nicotinic acid do
31
What is the first drug choice for patients with elevated LDL
HMG-CoA reductase inhibitors
32
What is the mechanism of HMG-CoA reductase inhibitors
33
The inhibition of HMG-CoA reductase results in what
34
What are the 2 main classes of HMG-CoA reductase inhibitors
35
What is statins mechanism of action
36
What type of inhibitor is statin
Competitive as it has similar structure to the substrate
37
38
Explain the SAR of statins
39
Explain the physiochemical properties of statins
40
Explain the side effects of all statins
41
Explain fibrates
42
Explain the main effect of fibrates
43
Fibrates facilitate lipid metabolism resulting in what
44
Explain ezetimibe
45
How does ezetimibe work
46
How are ezetimibe used
47
Explain bile acid sequestrants
48
Explain the mechanism of bile acid sequestrants