Lecture 19 - Toxicology Flashcards

1
Q

What is drug absorption?

A

The passage of drugs through a tissue barrier by diffusion to the bloodstream

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2
Q

What is drug distribution?

A

The movement of a drug to the tissues and organs

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3
Q

What is drug metabolism?

A

The process where a drug is removed from the body through urination, respiration and perspiration

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4
Q

What is the difference between a agonist and antagonist drug?

A

An agonist drug binds to a receptor and causes it to exert its function on the cell. An antagonist drug binds to a receptor and blocks the action of an agonist drug

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5
Q

What does synergism say about the effect of a combination of drugs?

A

The combination effect is greater than the sum of the individual drugs alone

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6
Q

How are drugs extracted from liquid samples in blood?

A

The pH of the blood is altered to reduce the solubility of the drug. The insoluble drug layer is then centrifuged

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7
Q

How are drugs extracted using solid phase extraction?

A

The sample is passed through a column of silica particles where the drugs bind

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8
Q

What is an immunoassay screening test?

A

It relies on the reaction between antigens and antibodies to detect small quanitities

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9
Q

What is an enzyme multiplied immunoassay screening test?

A

Involves injecting a rabbit with the questioned drug and extracting the antibodies produced. These antibodies are added to the human sample and if the drug is present, it will bind to the antibody

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10
Q

What is the difference between a pharmacologist and an analytical toxicologist?

A

Pharmacologist offers opinions on drug effects and interactions while an analytical toxicologist offers a general drug interpretation

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11
Q

What analytical tools are used to confirm the presence of drugs?

A

Liquid or gas chromatography with mass spectrometry

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12
Q

What factors may alter the concentration of drugs postmortem?

A

Post mortem drug redistribution, bacterial and chemical degradation, drug-drug interaction and prior drug use history

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13
Q

What does alcohol breath testing measure?

A

Number of grams of alcohol in 210L of alveolar air

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14
Q

What does alcohol blood testing measure?

A

Number of grams of alcohol in 100ml of blood

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15
Q

What alters the absorption of alcohol?

A

Drink concentration, speed of consumption and how much food is in the stomach

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16
Q

What enzyme is responsible for the metabolism of alcohol?

A

Alcohol dehydrogenase which converts alcohol to acetaldehyde then to acetic acid which is used for energy

17
Q

What is the Widmark curve?

A

Blood alcohol concentration plotted against elapsed time

18
Q

What is used to measure blood alcohol levels?

A

Gas chromatography and enzymatic methods

19
Q

What is used to measure breath alcohol levels?

A

Principles of chemical oxidation and fuel cell technology. Infrared spectroscopy