Disposition of Toxicants Flashcards

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1
Q

Biotransformation is vital in removing toxicants from the circulation. All of the following statements regarding biotransformation are true

A
  • The liver is the most active organ in the biotransformation of toxicants.
  • Water solubility is required in order for many toxicants to be excreted by the kidney.
  • The kidney plays a major role in eliminating toxicants from the body.
  • The lungs play a minor role in ridding the body of certain types of toxicants.
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2
Q

Active transport across cell membranes is

A
  • Unlike simple or facilitated diffusion, active transport pumps chemicals against an electrochemical or concentration gradient.
  • Unlike simple diffusion, there is a rate at which active transport becomes saturated and cannot move chemicals any faster.
  • Active transport requires the expenditure of ATP in order to move chemicals against electrochemical or concentration gradients.
  • Active transport exhibits a high level of specificity for the compounds that are being moved.
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3
Q

Might increase the toxicity of a toxicants administered orally?

A

increased dilution of the toxin dose.

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4
Q

most correctly describes the first-pass effect?

A

Orally administered toxicants are partially removed by the GI tract before they reach the systemic circulation.

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5
Q

important mechanism of removing particulate matter from the alveoli?

A

absorption into the bloodstream, followed by excretion via the kidneys.

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6
Q

For a toxicant to be absorbed through the skin, it must pass through multiple layers in order to reach the systemic circulation. Which of the following layers is the most important in slowing the rate of toxicant absorption through the skin?

A

stratum corneum

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7
Q

NOT an important site of toxicant storage in the body?

A

Muscle

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8
Q

The blood–brain barrier

A

The degree of lipid solubility is a primary determinant in whether or not a substance can cross the blood–brain barrier

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9
Q

Which of the following will result in DECREASED excretion of toxic compounds by the kidneys?

A

increased activity of the organic cation transporter.

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10
Q

Regarding the two-compartment model of classic toxicokinetics, what is true?

A

There is more than one dispositional phase.

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11
Q

Volume of distribution (Vd)

A
  • Vd relates the total amount of chemical in the body to the concentration of chemical in the plasma.
  • Vd is the apparent space into which an amount of chemical is distributed in the body to result in a given plasma concentration.
  • A chemical that usually remains in the plasma has a low Vd.
  • Vd can be used to estimate the
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12
Q

Chemical clearance

A
  • In pharmacology, clearance is a pharmacokinetic measurement of the volume of plasma from which a substance is completely removed per unit time. Usually, clearance is measured in L/h or mL/min. The quantity reflects the rate of drug elimination divided by plasma concentration.
    *is performed by multiple organs.
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13
Q

First-order elimination

A

*The rate of elimination is directly proportional to the amount of the chemical in the body.
* A semilogarithmic plot of plasma concentration versus time shows a linear relationship.
*Clearance is dosage independent.
*The plasma concentration and tissue concentration decrease similarly with respect to the elimination rate constant.

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14
Q

The toxicity of a chemical is dependent on the amount of chemical reaching the systemic circulation. Which of the following does influence systemic availability?

A
  • Absorption after oral dosing
  • hepatic first-pass effect.
  • intestinal first-pass effect.
  • incorporation into micelles
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15
Q

Advantage of a physiologically based toxicokinetic model?

A
  • Complex dosing regimens are easily accommodated.
  • The time course of distribution of chemicals to any organ is obtainable.
  • The effects of changing physiologic parameters on tissue concentrations can be estimated.
  • The same model can predict toxicokinetics of chemicals across species.
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16
Q

Help to increase the flux of a xenobiotic across a biological membrane?

A

*Decreased size.
*Increased concentration gradient
*Increased surface area
*Decreased membrane thickness

17
Q

Diffusion-limited compartments

A

Increased membrane thickness can cause diffusion-limited xenobiotic uptake.

18
Q

Xenobiotic biotransformation is performed by multiple enzymes in multiple subcellular locations. Where would one of these enzymes most likely NOT be located?

A

Golgi apparatus

19
Q

All of the following statements regarding hydrolysis, reduction, and oxidation biotransformations are true EXCEPT:

A

There is a large increase in hydrophilicity.

20
Q

Which of the following is often conjugated to xenobiotics during phase II biotransformations

A

Sulfate

21
Q

Which of the following is a true statement about the biotransformation of ethanol?

A

Acetaldehyde is oxidized to acetic acid in the mitochondria by aldehyde dehydrogenase.

22
Q

Which of the following enzymes is responsible for the biotransformation and elimination of serotonin?

A

Monoamine oxidase. Monoamine oxidase, spermine oxidase (SMOX), and polyamine oxidase (PAO) are involved in the oxidative deamination of primary, secondary, and tertiary amines including serotonin (5-hydroxytryptamine), monoacetylated derivatives of spermine and spermidine, and a number of xenobiotics.

23
Q

Which of the following reactions would likely NOT be catalyzed by cytochrome P450?

A

Ester cleavage

24
Q

All of the following statements regarding cytochrome P450 are true EXCEPT:

A

Increased activity of cytochrome P450 always slows the rate of xenobiotic activation.

25
Q

Which of the following statements regarding phase II bio-transformation (conjugation) reactions is true?

A

Phase II reactions greatly increase the hydrophilicity of the xenobiotic.

26
Q

Where do most phase II biotransformations take place?

A

Cytoplasm

27
Q

Which of the following is not an important cosubstrate for phase II biotransformation reactions?

A

N-nitrosodiethylamine.