Liver Metab Flashcards

1
Q

The lobules are

A

The functional unit of the liver

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2
Q

The functional unit of the liver is

A

Lobules

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3
Q

Kupffer cells??

A

The phagocytoses pathogens and degrade them

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4
Q

Heme of heamoglobin is broken down first to ————- by ————-

A

Biliverdin by heam oxygenase

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5
Q

Unconjugated bilirubin is produced by

A

Billieverdin ——————-> bilirubin
Billiverdin reductase

Billiverdin reduced to bilirubin by Billiverdin reductase

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6
Q

What do you understand by uncongugated bilirubin

A

Bilirubin which is insoluble in water but soluble in lipid

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7
Q

What receptor takes up bilirubin in the liver

A

Lingand Y

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8
Q

Bilirubin is conjugated at where in the hepatocyte

A

Smooth ER
endoplasmic reticulum

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9
Q

Bilirubin is conjugated by

A

Adding glucoronic acid to it

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10
Q

Conjugation of bilirubin is carried out by what enzyme

A

Uridine diphosphate transferase 1

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11
Q

Deficiency of Uridine diphosphate transferase 1 is called

A

Criggler najjar syndrome

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12
Q

Criggler najjar syndrome is

A

Deficiency of Uridine diphosphate transferase 1

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13
Q

Urobillinogen???

A

Bilirubin is converted to urobillinogen by GIT flora

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14
Q

Bilirubin in stool is called

A

Stecobillinogen

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15
Q

What causes the browness of stool

A

Stercobillin

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16
Q

Jaundice is

A

Increased level of bilirubin in the body > 50

17
Q

Dubin Johnson syndrome is

A

Defect in the excretion of conjugated bilirubin into the bile canaculli

18
Q

What stain is used to differentiate Criggler syndrome and dubin johnson syndrome

A

Lipofusin

19
Q

Gallstones is majorly made up of

A

Cholesterol bilirubin calcium and mucoproteins

20
Q

What stone appears mulberry like

A

Cholesterol stone

21
Q

What stone is radio opaque and why

A

Mixed stone
Cause it has enough calcium in it

22
Q

Cholecystectomy is

A

Surgical removal of gallbladder