Toxicology midterm Flashcards
Deithylstilbestrol (DES) exposure:
Increases the risk of clear cell adenocarcinoma of the vagina
Early (prenatal) exposure to which of the following teratogens is most often characterized by craniofacial dysmorphism?
Ethanol
The nervous system is derived from which of the following germ layers?
Ectoderm
Toxin exposure during which of the following periods is likely to have the LEAST toxic effect on the developing fetus?
a. gastrulation.
b. organogenesis.
c. preimplantation.
d. third trimester.
e. first trimester.
c. Preimplantation
Regarding prenatal teratogen exposure, which of the following statements is FALSE?
a. Major effects include growth retardation and malformations.
b. Exposure to teratogens during critical developmental periods will have more severe effects on the fetus.
c. There is considered to be a toxin level threshold below which the fetus is capable of repairing itself.
d. The immune system of the fetus is primitive, so the fetus has little to no ability to fight off chemicals and repair itself.
e. Embryo lethality becomes more likely as the toxic dose is increased.
d. The immune system of the fetus is primitive, so the fetus has little to no ability to fight off chemicals and repair itself
Which of the following stages of the cell cycle are important in monitoring DNA damage and inhibiting progression of the cell cycle?
G1-S, S, G2-M
Which of the following molecules is NOT important in determining the ultimate outcome of embryonal DNA damage?
a. p53.
b. Bax.
c. Bcl-2.
d. c-Myc.
e. NF- κB.
e. NF- κB
Which of the following is NOT a physiologic response to pregnancy?
a. increased cardiac output.
b. increased blood volume.
c. increased peripheral vascular resistance.
d. decreased plasma proteins.
e. increased extracellular space.
c. Increased peripheral vascular resistance
All of the following statements are true EXCEPT:
a. Offspring of white mothers have a higher incidence of cleft lip or palate than do black mothers, after adjusting for paternal race.
b. Cytomegalovirus (CMV) is a common viral cause of birth defects.
c. Folate supplementation during pregnancy decreases the risk of neural tube defects.
d. Cigarette smoke and ethanol are both toxic to the placenta.
e. In humans, there is a negative correlation between stress and low birth weight.
e. In humans, there is a negative correlation between stress and low birth weight
Which of the following is NOT a mechanism involving the endocrine system by which chemicals induce developmental toxicity?
a. acting as steroid hormone receptor ligands.
b. disrupting normal function of steroid hormone metabolizing enzymes
c. disturbing the release of hormones from the hypothalamus.
d. disturbing the release of hormones from the pituitary gland.
e. elimination of natural hormones.
e. Elimination of natural hormones
Which of the following cell types secretes anti-Müllerian hormone (AMH)?
Sertoli cell
Penile erections are dependent on
Corpora cavernosa smooth muscle relaxation
The corpus luteum is responsible for the secretion of which of the following hormones during the first part of pregnancy?
- Progesterone
- Estradiol
All of the following statements regarding the hypothalamo-pituitary-gonadal axis are true EXCEPT:
a. FSH increases testosterone production by the Leydig cells.
b. FSH and LH are synthesized in the anterior pituitary.
c. Estradiol provides negative feedback on the hypothalamus and the anterior pituitary.
d. GnRH from the hypothalamus increases FSH and LH release from the anterior pituitary.
e. The LH spike during the menstrual cycle is responsible for ovulation.
a. FSH increases testosterone production by the Leydig cells.
Which of the following statements is FALSE regarding gametal DNA repair?
a. DNA repair in spermatogenic cells is dependent on the dose of chemical.
b. Spermiogenic cells are less able to repair damage from alkylating agents.
c. Female gametes have base excision repair capacity.
d. Meiotic maturation of the oocyte decreases its ability to repair DNA damage.
e. Mature oocytes and mature sperm no longer have the ability to repair DNA damage.
e. Mature oocytes and mature sperm no longer have the ability to repair DNA damage.
Reduction division takes place during the transition between which two cell types during spermatogenesis?
Primary spermatocyte and secondary spermatocyte
Which of the following cell types is properly paired with the substance it secretes?
a. ovarian granulosa cells - progesterone
b. Leydig cells – ABP.
c. ovarian thecal cells – estrogens.
d. Sertoli cells – testosterone.
e. gonadotroph – LH
e. Gonadotroph – LH
Which of the following statements regarding male reproductive capacity is FALSE?
a. Klinefelter’s syndrome male are sterile.
b. FSH levels are often measured in order to determine male reproductive toxicity of a particular toxin.
c. Divalent metal ions, such as AN, Hg, and Cu, act as androgen receptor antagonists and affect male reproduction.
d. The number of sperms produced per day is approximately the same in all males.
e. ABP is an important biochemical marker for testicular injury.
d. The number of sperms produced per day is approximately the same in all males
Reduction of sperm production can be caused by all of the following diseases EXCEPT:
a. hypothyroidism.
b. measles.
c. Crohn’s disease.
d. renal failure.
e. mumps.
b. Measles
Of the following, which is LEAST likely to be affected by estrogen?
a. nervous system.
b. musculoskeletal system.
c. digestive system.
d. cardiovascular system.
e. urinary system.
c. Digestive system
There is evidence that certain dietary components are carcinogenic. Which of the following is NOT tabbed as a dietary carcinogen?
a. excessive caloric intake
b. excessive alcohol consumption
c. aflatoxin B1 (food consumption)
d. insufficient caloric intake
e. nitrites (found in some lunchmeats)
Insufficient caloric intake
Which of the following statements regarding mechanisms of chemical carcinogenesis is FALSE?
a. Procarcinogens require metabolism in order to exert their carcinogenic effect.
b. Free radicals are highly reactive molecules that have a single, unpaired electron.
c. DNA adducts interfere with the DNA replication machinery.
d. Mutations in the DNA and failure to repair those mutations can be highly carcinogenic.
e. Biological reduction of molecular oxygen is the only way free radicals can be formed.
e. Biological reduction of molecular oxygen is the only way free radicals can be formed
In addition to being necessary for transcription to occur, which of the following transcription factors also plays a crucial role in nucleotide excision repair?
TFIIH
Which of the following statements regarding DNA repair is TRUE?
a. Base excision repair requires the removal of a longer piece of DNA in comparison with nucleotide excision repair.
b. The repair of double-stranded DNA breaks is more prone to error than is base excision repair.
c. Dimerization of pyrimidines is required via base excision repair.
d. Mismatch repair can only recognize normal nucleotides that are paired with a noncomplementary nucleotide.
e. Nucleotide excision and base excision are tolerance mechanisms used to respond to DNA damage.
b. The repair of double-stranded DNA breaks is more prone to error than is base excision repair
Which of the following statements is a characteristic of the initiation stage of carcinogenesis?
a. Initiation is reversible in viable cells.
b. The dose-response exhibits an easily measureable threshold.
c. Cell division is required for the fixation of the process.
d. All initiated cells survive over the lifespan of the organism.
e. Spontaneous initiation of cell is a rare occurrence.
c. Cell division is required for the fixation of the process
Tumor suppressor genes are mutated in a majority of cancers. Which of the following is NOT a characteristic of a tumor suppressor gene?
a. A mutation in a tumor suppressor gene is dominant.
b. Germ line inheritance of a mutated tumor suppressor gene is often involved with cancer development.
c. There is considerable tissue specificity for cancer development.
d. The p53 gene is a tumor suppressor gene that also acts as a transcription factor.
e. Mutations in tumor suppressor genes can result in loss of cell cycle control.
a. A mutation in a tumor suppressor gene is dominant
Which of the following molecules does NOT play an important role in cell cycle regulation?
a. p53
b. cyclin-D
c. MAPK
d. MHC
e. E2F
d. MHC
Which of the following environmental factors is proportionally responsible for the LEAST amount of cancer deaths?
a. tobacco
b. infection
c. diet
d. sexual behavior
e. alcohol
d. Sexual behavior
The evidence of the carcinogenicity of dietary intake is sufficient to include one’s diet as associated with neoplasms of all of the following EXCEPT:
a. colon
b. breast
c. pancreas
d. endometrium
e. gallbladder
c. Pancreas
Which of the following is the correct definition of a complete carcinogen?
A chemical possessing the ability of inducing cancer from normal cells, usually possessing properties of initiating, promoting, and progression agents
Five identical experimental animals are treated with 1 mg of one of the following toxins. The animal treated with which toxin is most likely to die?
a. ethyl alcohol (LD50 = 10,000 mg/kg)
b. botulinum toxin (LD50 = 0.00001 mg/kg)
c. nicotine (LD50 = 1 mg/kg)
d. ferrous sulfate (LD50 = 1500 mg/kg)
e. picrotoxin (LD50 = 5 mg/kg)
b. Botulinum toxin (LD50 = 0.00001 mg/kg)
Place the following mechanisms of toxin delivery in order from most effective to least effective:
1: intravenous
2: subcutaneous
3: oral
4: inhalation
5: dermal
a. 1, 5, 2, 4, 3
b. 4, 1, 2, 3, 5
c. 1, 4, 2, 3, 5
d. 4, 2, 1, 5, 3
e. 1, 4, 3, 2, 5
c. 1, 4, 2, 3, 5
-Intravenous
-Inhalation
-Subcutaneous
-Oral
-Dermal
A toxin with a half-life of 12 h is administered every 12 h. Which of the following is true?
a. The chemical is eliminated from the body before the next dose is administered.
b. The concentration of the chemical in the body will slowly increase until the toxic concentration is attained.
c. A toxic level will not be reached, regardless of how many doses are administered.
d. Acute exposure to the chemical will produce immediate toxic effects.
e. The elimination rate of the toxin is much shorter than the dosing interval.
b. The concentration of the chemical in the body will slowly increase until the toxic concentration is attained
Urushiol is the toxin found in poison ivy. It must first react and combine with proteins in the skin in order for the immune system to recognize and mount a response against it. Urushiol is an example of which of the following?
Hapten
Toxic chemicals are most likely to be transformed in which of the following organs?
Liver
When chemicals A and B are administered simultaneously, their combined effects are far greater than the sum of their effects when given alone. The chemical interaction between chemicals A and B can be described as which of the following?
Synergistic
With respect to dose-response relationships, which of the following is true?
a. Graded dose-response relationships are often referred to as “all or nothing” responses.
b. Quantal dose-response relationships allow for the analysis of a population’s response to varying dosage.
c. Quantal relationships characterize the response of an individual to varying dosages.
d. A quantal dose-response describes the response of an individual organism to varying doses of a chemical.
e. The dose-response always increases as the dosage is increased.
b. Quantal dose-response relationships allow for the analysis of a population’s response to varying dosage