Environmental Disorders Flashcards

1
Q

What is environmental pathology?

A

It refers to conditions caused by exposure to chemical or physical agents in various environments such as outdoor, indoor, occupational, and personal (e.g., tobacco, alcohol).

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2
Q

What is toxicology?

A

Toxicology is the science of poisons, where a substance’s toxicity depends on its dosage.

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3
Q

What are xenobiotics?

A

Xenobiotics are exogenous chemicals that can be toxic, depending on how they are metabolized in the body.

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4
Q

What are the common pollutants that affect human health?

A

Pollutants include air (ozone, nitrogen dioxide), water, soil contaminants, and metals like lead, mercury, arsenic, and cadmium.

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5
Q

How does lead act as a heavy metal pollutant?

A

Lead competes with calcium and zinc in cellular systems, inhibits hemoglobin synthesis, and increases red blood cell fragility, causing anemia and mental deterioration.

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6
Q

What are the main effects of cigarette smoking?

A

Smoking causes cardiovascular disease, cancers, chronic respiratory issues, and is the main cause of lung cancer. It also affects the heart by increasing oxygen demand and platelet aggregation.

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7
Q

How does alcohol affect the liver?

A

Alcohol is metabolized by alcohol dehydrogenase, which depletes NAD leading to fat accumulation and metabolic acidosis. Chronic use can result in alcoholic hepatitis, cirrhosis, and liver cancer.

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8
Q

What is protein-energy malnutrition (PEM)?

A

PEM is a type of malnutrition where a person’s weight falls to less than 80% of the normal standard for their height and age. It is common in children and causes growth failure and muscle wasting.

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9
Q

What is Kwashiorkor?

A

Kwashiorkor occurs due to severe protein deficiency, often seen in children. It leads to edema, hypoalbuminemia, and liver enlargement, with characteristic skin and hair changes.

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10
Q

What is marasmus?

A

Marasmus is a form of PEM where severe calorie deficiency leads to muscle wasting and loss of fat without edema. It is characterized by a thin, emaciated appearance.

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11
Q

How is obesity measured?

A

Obesity is measured using BMI (Body Mass Index). A BMI greater than 25 kg/m² indicates overweight, and a BMI over 30 kg/m² indicates obesity.

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12
Q

What are some health risks of central obesity?

A

Central obesity increases the risk of diabetes, hypertension, coronary artery disease, non-alcoholic fatty liver disease, and certain cancers.

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13
Q

What is anorexia nervosa?

A

Anorexia nervosa is a psychological eating disorder characterized by self-induced starvation, leading to severe weight loss and hormonal imbalances, including amenorrhea.

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14
Q

What is bulimia?

A

Bulimia is an eating disorder where patients binge on food and then induce vomiting. It leads to electrolyte imbalances, risk of cardiac arrhythmias, and esophageal rupture.

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15
Q

What are the fat-soluble vitamins?

A

The fat-soluble vitamins are A, D, E, and K. Deficiency can lead to conditions like night blindness (A), rickets (D), and clotting disorders (K).

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16
Q

What are the water-soluble vitamins?

A

Water-soluble vitamins include B-complex vitamins and vitamin C. Deficiencies may cause conditions like scurvy (vitamin C) and beriberi (vitamin B1).

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17
Q

What are the main effects of selenium deficiency?

A

Selenium deficiency can lead to myopathy, cardiomyopathy, and Keshan disease.

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18
Q

How does zinc deficiency manifest?

A

Zinc deficiency can cause growth retardation, impaired wound healing, and immune dysfunction, along with a rash called acrodermatitis enteropathica.

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19
Q

What is the role of iron in the body?

A

Iron is essential for hemoglobin production and oxygen transport. Its deficiency causes microcytic hypochromic anemia.

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20
Q

What is hyperthermia?

A

Hyperthermia refers to an excessive increase in body temperature, often due to environmental heat exposure, which can cause heat stroke or heat exhaustion.

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21
Q

What is hypothermia?

A

Hypothermia occurs when body temperature drops below normal due to cold exposure, leading to metabolic dysfunction and potential death.

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22
Q

What are the different types of burn injuries?

A

Burns are classified into full-thickness (third and fourth-degree burns) and partial-thickness burns (first and second-degree burns), with varying degrees of skin and tissue damage.

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23
Q

How does radiation cause injury?

A

Ionizing radiation causes direct DNA damage or creates free radicals, leading to cellular injury. It affects tissues with high cell turnover, like bone marrow and the GI tract.

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24
Q

What are the complications of long-term smoking?

A

Complications include lung cancer, chronic bronchitis, emphysema, cardiovascular diseases like atherosclerosis, and increased mortality from respiratory diseases.

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25
Q

What is fetal alcohol syndrome?

A

Fetal alcohol syndrome results from alcohol exposure during pregnancy, leading to microcephaly, growth retardation, and intellectual disabilities in the child.

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26
Q

What is environmental pathology?

A

It refers to conditions caused by exposure to chemical or physical agents in various environments such as outdoor, indoor, occupational, and personal (e.g., tobacco, alcohol).

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1
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2
3
4
5
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27
Q

What is toxicology?

A

Toxicology is the science of poisons, where a substance’s toxicity depends on its dosage.

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28
Q

What are xenobiotics?

A

Xenobiotics are exogenous chemicals that can be toxic, depending on how they are metabolized in the body.

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5
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29
Q

What are the common pollutants that affect human health?

A

Pollutants include air (ozone, nitrogen dioxide), water, soil contaminants, and metals like lead, mercury, arsenic, and cadmium.

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1
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3
4
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30
Q

How does lead act as a heavy metal pollutant?

A

Lead competes with calcium and zinc in cellular systems, inhibits hemoglobin synthesis, and increases red blood cell fragility, causing anemia and mental deterioration.

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1
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2
3
4
5
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31
Q

What are the main effects of cigarette smoking?

A

Smoking causes cardiovascular disease, cancers, chronic respiratory issues, and is the main cause of lung cancer. It also affects the heart by increasing oxygen demand and platelet aggregation.

32
Q

How does alcohol affect the liver?

A

Alcohol is metabolized by alcohol dehydrogenase, which depletes NAD leading to fat accumulation and metabolic acidosis. Chronic use can result in alcoholic hepatitis, cirrhosis, and liver cancer.

33
Q

What is protein-energy malnutrition (PEM)?

A

PEM is a type of malnutrition where a person’s weight falls to less than 80% of the normal standard for their height and age. It is common in children and causes growth failure and muscle wasting.

34
Q

What is Kwashiorkor?

A

Kwashiorkor occurs due to severe protein deficiency, often seen in children. It leads to edema, hypoalbuminemia, and liver enlargement, with characteristic skin and hair changes.

35
Q

What is marasmus?

A

Marasmus is a form of PEM where severe calorie deficiency leads to muscle wasting and loss of fat without edema. It is characterized by a thin, emaciated appearance.

36
Q

How is obesity measured?

A

Obesity is measured using BMI (Body Mass Index). A BMI greater than 25 kg/m² indicates overweight, and a BMI over 30 kg/m² indicates obesity.

37
Q

What are some health risks of central obesity?

A

Central obesity increases the risk of diabetes, hypertension, coronary artery disease, non-alcoholic fatty liver disease, and certain cancers.

38
Q

What is anorexia nervosa?

A

Anorexia nervosa is a psychological eating disorder characterized by self-induced starvation, leading to severe weight loss and hormonal imbalances, including amenorrhea.

39
Q

What is bulimia?

A

Bulimia is an eating disorder where patients binge on food and then induce vomiting. It leads to electrolyte imbalances, risk of cardiac arrhythmias, and esophageal rupture.

40
Q

What are the fat-soluble vitamins?

A

The fat-soluble vitamins are A, D, E, and K. Deficiency can lead to conditions like night blindness (A), rickets (D), and clotting disorders (K).

41
Q

What are the water-soluble vitamins?

A

Water-soluble vitamins include B-complex vitamins and vitamin C. Deficiencies may cause conditions like scurvy (vitamin C) and beriberi (vitamin B1).

42
Q

What are the main effects of selenium deficiency?

A

Selenium deficiency can lead to myopathy, cardiomyopathy, and Keshan disease.

43
Q

How does zinc deficiency manifest?

A

Zinc deficiency can cause growth retardation, impaired wound healing, and immune dysfunction, along with a rash called acrodermatitis enteropathica.

44
Q

What is the role of iron in the body?

A

Iron is essential for hemoglobin production and oxygen transport. Its deficiency causes microcytic hypochromic anemia.

45
Q

What is hyperthermia?

A

Hyperthermia refers to an excessive increase in body temperature, often due to environmental heat exposure, which can cause heat stroke or heat exhaustion.

46
Q

What is hypothermia?

A

Hypothermia occurs when body temperature drops below normal due to cold exposure, leading to metabolic dysfunction and potential death.

47
Q

What are the different types of burn injuries?

A

Burns are classified into full-thickness (third and fourth-degree burns) and partial-thickness burns (first and second-degree burns), with varying degrees of skin and tissue damage.

48
Q

How does radiation cause injury?

A

Ionizing radiation causes direct DNA damage or creates free radicals, leading to cellular injury. It affects tissues with high cell turnover, like bone marrow and the GI tract.

49
Q

What are the complications of long-term smoking?

A

Complications include lung cancer, chronic bronchitis, emphysema, cardiovascular diseases like atherosclerosis, and increased mortality from respiratory diseases.

50
Q

What is fetal alcohol syndrome?

A

Fetal alcohol syndrome results from alcohol exposure during pregnancy, leading to microcephaly, growth retardation, and intellectual disabilities in the child.

51
Q

Question

A

Answer

52
Q

What are the major sources of environmental pollution?

A

Major sources include industrial emissions, vehicle exhaust, agricultural chemicals, and waste management failures (e.g., improper disposal of hazardous materials).

53
Q

What are the health effects of chronic air pollution exposure?

A

Chronic exposure can lead to respiratory diseases like asthma, chronic bronchitis, lung cancer, cardiovascular problems, and exacerbation of pre-existing conditions.

54
Q

What is the effect of ozone as an air pollutant?

A

Ozone can cause inflammation of the airways, decreased lung function, exacerbation of asthma, and increased susceptibility to respiratory infections.

55
Q

How does nitrogen dioxide (NO2) affect the respiratory system?

A

NO2 is a strong respiratory irritant that can reduce lung function and increase the risk of respiratory infections, particularly in children.

56
Q

What are the sources of cadmium poisoning?

A

Cadmium exposure occurs mainly through contaminated soil, batteries, and certain industrial processes. It affects the lungs, causing obstructive lung disease, and can lead to kidney damage.

57
Q

How is mercury poisoning caused?

A

Mercury poisoning is typically caused by consuming contaminated fish or occupational exposure. It affects the central nervous system, leading to cerebral palsy, deafness, blindness, and cognitive impairments.

58
Q

What are the mechanisms of tobacco-related carcinogenesis?

A

Tobacco smoke contains carcinogens like polycyclic aromatic hydrocarbons and nitrosamines, which can cause mutations in genes regulating cell growth, leading to cancer development.

59
Q

What are the long-term effects of alcohol abuse on the brain?

A

Chronic alcohol abuse can cause neurodegeneration, leading to memory impairments, cognitive decline, and conditions like Wernicke-Korsakoff syndrome due to thiamine deficiency.

60
Q

What is Wernicke-Korsakoff syndrome?

A

A neurological disorder caused by severe thiamine (vitamin B1) deficiency, often seen in chronic alcoholics, characterized by confusion, ataxia, and memory problems.

61
Q

What is fetal alcohol spectrum disorder (FASD)?

A

FASD encompasses a range of effects in children exposed to alcohol in utero, including developmental delays, intellectual disabilities, behavioral problems, and distinctive facial features.

62
Q

How does protein-energy malnutrition affect immunity?

A

PEM impairs T-cell-mediated immunity, increases susceptibility to infections, and can cause thymic and lymphoid atrophy, especially in kwashiorkor.

63
Q

What is cancer cachexia?

A

A syndrome seen in cancer patients characterized by weight loss, muscle atrophy, fatigue, and significant loss of appetite, often associated with secondary protein-energy malnutrition.

64
Q

What is the role of leptin in regulating body weight?

A

Leptin is secreted by adipocytes and signals the hypothalamus to reduce food intake and increase energy expenditure. Mutations in the leptin gene can lead to obesity.

65
Q

How does central obesity contribute to insulin resistance?

A

Visceral fat secretes inflammatory cytokines like TNF-alpha, which interfere with insulin signaling, leading to insulin resistance and increasing the risk of type 2 diabetes.

66
Q

What are the common complications of untreated obesity?

A

Complications include cardiovascular diseases, type 2 diabetes, hypertension, non-alcoholic fatty liver disease, osteoarthritis, and certain cancers (e.g., breast, endometrial).

67
Q

What is metabolic syndrome?

A

A cluster of conditions, including insulin resistance, high blood pressure, high triglycerides, low HDL cholesterol, and central obesity, that increase the risk of heart disease and type 2 diabetes.

68
Q

What are some long-term effects of childhood obesity?

A

Childhood obesity increases the risk of developing type 2 diabetes, cardiovascular diseases, early-onset hypertension, and can lead to psychological effects like low self-esteem.

69
Q

What is the significance of BMI in assessing obesity?

A

BMI (Body Mass Index) is used to categorize weight status in adults and children. A BMI of 25-29.9 is overweight, and 30+ is considered obese, with varying risks based on severity.

70
Q

What is the function of ghrelin in appetite regulation?

A

Ghrelin is a hormone secreted by the stomach that stimulates appetite, signaling the brain when it is time to eat. It increases food intake and promotes fat storage.

71
Q

What role does vitamin D play in bone health?

A

Vitamin D helps in the absorption of calcium and phosphate from the gut, maintaining proper bone mineralization and preventing rickets in children and osteomalacia in adults.

72
Q

What are the symptoms of scurvy?

A

Scurvy, caused by vitamin C deficiency, manifests as fatigue, gum disease, bleeding under the skin, and impaired wound healing.

73
Q

What is pellagra, and what causes it?

A

Pellagra is caused by a deficiency of niacin (vitamin B3) and is characterized by the ‘three Ds’: dermatitis, diarrhea, and dementia.

74
Q

What is the function of vitamin K?

A

Vitamin K is essential for the synthesis of clotting factors in the liver, and its deficiency can lead to bleeding disorders, particularly in newborns.

75
Q

What are some key features of anorexia nervosa?

A

Anorexia nervosa is marked by extreme fear of gaining weight, refusal to maintain a normal body weight, amenorrhea, bradycardia, hypotension, and significant psychological stress.

76
Q

What are the clinical signs of severe hypothermia?

A

Severe hypothermia leads to core body temperature dropping below 30°C, resulting in confusion, unconsciousness, slowed heart rate, and potential cardiac arrest.