Nichols Monday Flashcards

1
Q

Why does lead create basophilic stippling in RBCs?

A

inhibition of pyrimidine 5’ nucleotidase

the stippling is leftover rRNA that should have been cleared before RBC entered the bloodstream

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2
Q

Why does lead cause neurotoxicity?

A

divalent competition w/ Calcium

thought to compete w/ calcium in mitochondrial respiration and various nerve functions (and including activation of protein kinase C)

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3
Q

What cytokines are released by smoking that recruit neutrophils into the lungs?

A

LTB4, IL-8, TNF

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4
Q

How does smoking predispose to coronary artery disease?

A

1) injury of endothelial cells (increased permeability of lipid into arteries)
2) induce procoagulant state
3) increase HR, BP, contractility
4) decrease blood oxygen carrying capacity (due to CO in cigarettes)

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5
Q

Smoking is implicated in how many heart attacks?

A

1/3

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