Revision Questions - week 3 Flashcards

1
Q

3 metabolism pathways of alcohol

A

ADH pathway – low to moderate intake 3-7drinks per week)
MEOS pathway – moderate to excessive intake (7-14 drinks per week)
Catalase pathway in peroxisomes - excessive intake (<14 drinks per week)

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2
Q

ADH pathway

A
  • occurs in gastric cells and mainly hepatocytes
  • converts ethanol to actaldehyde
  • NAD+ reduced to form NADH
  • acetaldehyde moves to mitcohondria and is metabolized by ALDH2 to acetate
  • acetate leaves mitochondria to extra hepatic tissue for further metabolism to actely coa
    acetyl coa can then be used for ketone body production or lipogenesis or CAC)
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3
Q

MEOS pathway

A
  • Occurs in hepatocytes
  • Activated when ADH cannot keep up
  • Requires oxidation of NADPH to NADP+ and consumes ATP
  • same outcome as ADH as well as free radicals
    assists in building a tolerance to alcohol over time
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4
Q

Catalase pathway in peroxisomes

A
  • In hepatocytes and other cells
  • Oxidation occurs in peroxisome via peroxisomal catalase
  • uses hydrogen peroxides to form acetaldehyde and H2O
  • same outcome as ADH
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5
Q

What is the reason for alcohol intolerance?

A

caused by a genetic condition in which the body can’t break down alcohol efficiently

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6
Q

What does 5% alcohol volumes mean?

A

0.05g of alcohol per 100ml

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7
Q

How much alcohol is in a standard drink? What is this based on?

A

10g alcohol assuming liver metabolises 10g of alcohol per hour

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8
Q

How is the concentration of alcohol in a beverage determined? 


A

Percentage of pure alcohol in a beverage

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9
Q

How many standard drinks are contained in 1L of bear at 4.5% alcohol volumes

A

1000 *0.045 *0.789=?

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10
Q

What is the J curve and what does it say?

A

refers to a dose response relationship
In alcohol context
- 0 exposure - no benefit
- optimal dose - optimal benefit (it is an association) e.g. cardiovascualr health - antioxidant high HDL, better endothial function
- high dose - no extra heatlh beneift and increase health risk e.g. liver failure

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11
Q

What are typical acute effects of alcohol abuse? 


A
  • Chronic liver disease
  • Wernicke-Korsakoff Syndrome
  • Fat soluble vitamin deficiencies: A,D, E and K
  • Decrease absorption of minerals
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12
Q

What are the typical outcomes of chronic alcoholism on the liver? 


A

Cirrhosis can be due to:

  • Increased concentration of acetaldehyde
  • Accumulation of fat in liver resulting in cellular inflammation and damage overtime
  • Production of free radicals from excessive alcohol metabolism, and reduced activity of antioxidant factors due to poor nutrition
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13
Q

What are the outcomes of chronic alcoholism on nutrition status? 


A

Protein and energy malnutrition and deficiencies of vitamins and minerals

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14
Q

What is Wernicke Korsakoff syndrome? Describe the reasons it develops and the outcomes. 


A

Thiamin deficiency because of chronic alcohol abuse (decrease thiamin intake and absorption and increased excretion in urine)

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15
Q

What is BAL? What does a BAL of 0.07 mean? How long does it take to return to a BAL of 0.00?

A
  • BAL is blood alcohol level
  • BAL 0.07 means 0.07g of alcohol in 100ml of blood
  • Takes an hour to break down 5-10grams
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16
Q

Describe the mechanisms by which the body increases water volume and thus increases blood pressure 


A

RAAS

17
Q

Describe the mechanisms by which the body decreases water volume and thus reduces blood pressure

A

ANF

18
Q

RAAS

A
  • Renin is an enzyme secreted by the kidney when sodium or blood volume are decreased, leading to decreased blood pressure (BP)
  • Renin converts Angiotensinogen (from liver) to Angiotensin I
  • Angiotensin I (is inactive), converted to angiotensin II (active) by angiotensin converting enzyme (ACE)
  • Angiotensin II causes restriction of small blood vessels resulting in increased BP
  • Angiotensin II also promotes release of aldosterone from the adrenal cortex
  • Aldosterone (secreted from adrenal cortex) stimulates Na+ reabsorption
  • Results in increased ECF osmolality
  • Promotes fluid retention (water follows Na+) • Increases BP by increasing the water volume
19
Q

ANF

A
  • released by atrial myocytes
    (heart) in response to raised blood pressure
  • acts to reduce water and sodium load in the circulation by promoting sodium excretion to return BP to normal
20
Q

How is body water compartmentalised? What are the various components?

A
  • 4L blood and lymph
  • 11L interstial fluid
  • 25L fluid found inside every type of cell
21
Q

What are electrolytes? Which electrolytes are found in the ECF and in the ICF?

A
  • Electrolytes are compounds that separate into ions in water and are able to conduct electrical current
  • ICF electrolytes – potassium, magnesium, phosphate and sulfate
  • ECF electrolytes – sodium, calcium, chloride and bicarbonate
22
Q

What are the effects of dehydration on the body?

A

ranges from thirst to death (e.g. tingling in arms, dizziness, increas weakeness, muscle cramps)

23
Q

What are the effects of hyper- hydration on the body?

A

– Concentration of electrolytes is diluted, especially sodium = hyponatremia
– Water from diluted blood is pulled into cells by osmosis
– Diluted blood and swollen cells can cause headache, blurred vision, muscle cramps

24
Q

What is the role of water in physiology?

A
  1. Blood volume, transport of nutrients and O2
  2. Precursor of body fluids: saliva, joint lubrication, bile etc
  3. Solvent to metabolic and biochemical processes
  4. Temperature regulation
    • High specific heat: rises slowly, resists temperature fluctuations
    • Sweat: 99% H2O. Heat energy from skin evaporates sweat
  5. Waste products removal: compounds are made water soluble (conjugated in enterocytes and hepatocytes) for clearance via urine
25
Q

What are the NRVs for water? 


A

NRV is the adequate intake
determined by looking at population studies
consumed as fluids

26
Q

water balance

A

– Sodium-potassium-ATPase pump (active transport)
• Used to move ions against their concentration gradient
- high concentration Na+ outside cell
- high concentration K inside cell
• Water follows Na+

27
Q

symptoms of dehydration at 4%

A
  • Dry mouth
  • Reduced blood volume and blood pressure (BP)
  • Impaired performance
  • Headache
  • Reduced urine
  • Fatigue
28
Q

symptoms of dehydration at 7-10%

A
Very dry mouth
Sunken dry eyes
Low urine volume
Dizziness and poor balance
Rapid heart beat Rapid and feeble pulse Exhaustion
Delirium and collapse
29
Q

Absopriton of alcohol

A

20% in stomach
80% SI

not digested