liver Flashcards

1
Q

liver serves as a gatekeeper between the

A

circulation and absorbed substances

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2
Q

the liver has a dual blood supply

A
  1. portal vein

2. hepatic artery

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3
Q

what happens if the pressure in the sinusoids increases much above the normal?

A

ascites fluid

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4
Q

bilirubin is produced by the liver

A

nope

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5
Q

body prefers proteins or fat?

A

proteins&raquo_space;» fats

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6
Q

storage of glucose as glycogen in liver and muscle

A

glycogenesis- night before the marathon pasta dinner

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7
Q

liver breaks down stored glycogen to maintain blood glucose levels

A

glycogenolysis- race starts, glucose levels fall

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8
Q

liver synthesizes glucose from proteins and fats to maintain blood glucose levels

A

gluconeogenesis- deep into the race and glycogen stores depleted

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9
Q

liver can synthesize ___ of 20 amino acids

A

11

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10
Q

liver produces most of the circulating plasma proteins

A

yep

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11
Q

most abundant protein in plasma

A

albumin

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12
Q

iron absorption in the

A

duodenum and upper jejunum

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13
Q

liver has a central control of the _____ metabolism

A

lipid

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14
Q

liver secretes _____ and _______ into the intestine. it is major importance in body lipid metabolism

A

cholesterol and phospholipids

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15
Q

liver is also the major site of clearance of

A

circulating lipoproteins

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16
Q

elevated levels of circulating ______ can result in serious consequences to the central nervous system and even death

A

ammonia

17
Q

only organ in which the complete urea cycle is found. what is the importance of this?

A

liver

it is the only organ that can metabolize NH3 to non-toxic urea

18
Q

why is liver important when it comes to drugs, hormones and toxins ?

A

liver monitors the contents of the blood and metabolize many of these toxins such as alcohol and drugs into their inactive metabolites

liver breaks them down or transforms these substances into less harmful compounds and they are excreted into the bile or circulation and removed from the body in stool (bile) or urine (kidneys)

19
Q

term used for the hepatic metabolism of a pharm agent when it is absorbed from the gut and delivered to the liver via the portal circulation

A

first pass effects

20
Q

drugs are usually ________ substances so they can pass plasma membranes of cells and reach the site of action

A

lipophilic

21
Q

drug metabolism introduces ______ functionalities onto the drug molecule to make them less lipophilic and facilitates their excretion from the body

A

hydrophilic

22
Q

Phase 1

A

introduces a functional group to either activate or inactivate the drug

23
Q

Phase 2

A

conjugates the drug to inactivate and more susceptible for excretion

24
Q

all digestive materials including food, drugs and toxins absorbed by the GI tract and enter the portal circulation and are processed by the liver

A

yep