Environmental and nutritional diseases Flashcards

1
Q

define a toxicant

A

a chemical or physical agent including dust, fibers, noises, and radiation

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2
Q

define toxicity:

A

the property of a toxicant describing effects on organisms

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3
Q

define xenobiotics

A

exogenous chemicals in environment that can be absorbed by inhalation, ingestion, or skin contact

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4
Q

the most important enzymes in Phase 1 reactions of xenobiotics is

A

cytochrome P-450 system

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5
Q

describe Phase 1 reactions of xenobiotics

A

xenobiotics converted to polar hydroxylated derivatives

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6
Q

describe phase 2 reactions of xenobiotics

A

derivatives are conjugated with glucuronic acid, sulfate or glutathione. they are more water solute and excreted in urine or bile

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7
Q

What byproduct is produced in phase 1 and 2

A

ROS which can cause cell injury

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8
Q

what can CO cause to the human body

A

systemic asphyxiation with CNS depression

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9
Q

what are the most common heavy metals

A

lead, mercury, arsenic, cadmium

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10
Q

lead poisoning effects

A

encephalopathy, nephropathy, and bone marrow, blood, GI and kidneys

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11
Q

major source of mercury and mercury poisoning effects

A

contaminated fish and dental amalgams
- cerebral palsy, deaf blind, CNS defects

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12
Q

major source of arsenic and arsenic poisoning effects

A

soil and water, herbicides
- interferes with mitochondria oxidative phosphoration, skin changes, sensimotor neuropathy, increase risk of cancer

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13
Q

major source of cadmium and cadmium poisoning effects

A

rechargeable batteries
- obstructive lung disease and kidney damage

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14
Q

adverse effects of tobacco smoking

A

cancer, myocardial infarction, atherosclerosis, chronic bronchitis, emphysema

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15
Q

risk factors of maternal smoking

A

abortion, premature birth, and growth redardation

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16
Q

main effects of chronic alcoholism

A

fatty liver, alcohol hepatitis, cirrhosis, increase risk of hepatocellular carcinoma

17
Q

factors that affect type of injury from mechanical trauma

A
  • type of object
  • amount of energy absorbed
  • tissue/organ affected at point of impact
  • patterns of injury
18
Q

define abrasion, contusion, incision, laceration, penetrating wound, puncture wound

A
  • scraping or rubbing away of skin
  • closed wound from blow (bruise)
  • open clean straight edges
  • open torn jagged edges
  • open skin is pierced
  • open made by sharp object
19
Q

factors that affect severity of any burn injury

A
  • type of burn
  • % of body surface area
  • depth and site of injury
  • presence of infection
  • complication
20
Q

classification of first degree burns

A

(superficial burn)
- hyperemia without epidermal damage
- confined to epidermis

21
Q

classification of second degree burns

A

blistering and destruction of epidermis
- damage to underlying dermis

22
Q

classification of third degree burns

A

damage to epidermis, dermis and dermal appendages
- requires skin grafting

23
Q

what is hyperthermia

A

elevation of body temperature

24
Q

what can hyperthermia cause

A

heat exhaustion, heat cramps, and heat stroke

25
what is hypothermia
decrease in body temperature
26
what can hypothermia cause
frostnip, frostbite and coma
27
what can electrical injury cause
cutaneous burns, arrhythmias, cardiac arrest, respiratory arrest, ventricular fibrillation
28
what are the effects of ionizing radiation on DNA and consequences
cell death, teratogenesis, carcinogenesis, fibrosis, and mutagensis
29
primary malnutrition is
due to inadequate or excess food intake
30
secondary malnutrition
cured by malabsorption, impaired utilization, XS losses
31
marasmus is a form of
severe PEM that results from negative energy balance - characterized by severe wasting (body weight less than 60%) - loss of fat - muscle wasting
32
kwashiorkor is a characterized by
protein deficiency - fluid retention (edema) - dry peeling skin - children 6 months to 3 years
33
what is anorexia nervosa
self induced starvation resulting in marked weight loss
34
what is the criteria for anorexia nervosa
- amenorrhea (absence of menstration) - distorted perception of weight, size and body - inability to maintain normal weight for age
35
what is bulimia
recurrent and compulsive overeating followed by vomiting or use of laxatives to avoid weight gain