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45 Cards in this Set

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1. Source and effect of:



Ozone

source = smog = formed when UV hits NO



effect = respiratory irritant

1. Source and effect of:



Carbon Monoxide


source = fossil fuel burning



effect = insidious CNS depressent

1. Source and effect of:



Particulates

source = mineral dusts and combustion products = diesel fuel = sulfur and nitrogen dioxide



effect = pulm. inflammation, fibrosis, heart abnormalities

1. Pathologic risk of ultrafine particulates?

can reach terminal respiratory units and cross the epithelial lining to trigger inflammation and arrhythmias.




1. pathologic mechanism of ultrafine particulates?

Mechanism involves release of cytokines which mediate lung inflammation and can adversely affect heart rate; cytokines also have procoagulant effects that may lead to thrombi and the risk of cardiac arrest.

1. Source and effect of:



Formaldehyde

source = foam insulation, glues, wood products



effect = asthma, contact dermatitis

1. Source and effect of:



Asbestos fibers

source =insulation, floor and ceiling tiles <1970s



effect = mesothelioma, lung fibrosis, cancer

1. Source and effect of:



radon

source = ground



effect = lung cancer

1. ______ is by far the greatest single source of radiation exposure to the general public.

Radon is by far the greatest single source of radiation exposure to the general public.

2. Examples of volatile organic chemicals

Carbon tetrachloride, methylene chloride, gasoline

2. Main route of exposure for volatile organic chemicals?

lung absorption

2. Effect of volatile organic chemical exposure?

headache, dizziness, liver and kidney toxicity

2. Examples of organic compounds

vinyl chloride, phthalate esters,
bisphenol-A, polychlorinated biphenyls (PCBs)

2. Route of exposure for organic compounds

lung, skin, GI absorption

2. Product and toxic effects of:



vinyl chloride

product = PVC products



toxic effects = liver angiosarcoma

2. Product and toxic effects of:



phalate esters

product = flexible plastics/shower curtains



toxic effects = mimic estrogens, reproductive toxin in animals

2. Product and toxic effects of:



Bisphenol A

product = polycarbonate bottles, food cans



toxic effects = VERY important estrogen mimic = proliferative effects = cancer

2. Product and toxic effects of:



PCBs

product = capacitors, transformers, vacuum pump oils, hydraulic fluids



toxic effects = Chloracne, rashes, liver damage,


endocrine disrupter, probable carcinogen

An acne-like eruption from exposure to chlorinated organic compounds that cause ____________ of sebaceous glands is known as ________

An acne-like eruption from exposure to chlorinated organic compounds that cause squamous metaplasia of sebaceous glands is known as chloracne

3. Pathologic mechanism of mercury poisoning?

cell membrane damage by binding of mercury to sulfhydryl groups in proteins

3. Health effects of high dose mercury poisoning

kidney dysfunction, cognitive impairment, mental retardation, death

3. Ingested lead absorption by adults and children?

eadily absorbed by children (50%)



poorly absorbed by adults (10%)

3. Presentation of lead poisoning in adults?

abdominal pain


headache
memory loss

3. Presentation of lead poisoning in children?


fatigue



mental deterioration - poor performance on intelligence tests


3. Mechanism of lead poisoning?

binds to sulfhydryl groups, causing altered tertiary structure/function of proteins

3. Lead interferes with what notable enzyme

ferrochelatase, a key enzyme in heme synthesis --> anemia

3. Lead can be stored in what tissue?

Bone e.g. radiodense deposits in epiphyseal growth plates

3. Routes of exposure for insecticides

Dermal
Ingestion


Inhalation

3. Action of organophosphates? Effects? Lab Test?

Action = Irreversible inhibitors of cholinesterase



Effects = blurred vision, nausea, paralysis, unconsciousness



Lab test = cholinesterase activity in blood

3. Action of Carbamates? Effects? Lab Test?

Action = Reversible inhibitors of cholinesterase,



Effects = diarrhea, abdominal pain, respiratory difficulty



Lab test = Carbamate metabolites in urine

Why dont you test cholinesterase for carbamate poisoning?

blood cholinesterase activity may be normal depending on dose and time lag

4. Two critical imbalances in cigarette smoking?

1. Protease-antiprotease imbalance = elastase >>> alpha-1-antitrypsin



2. Oxidant-antioxidant imbalance = free radicals in smoke deplete anti-oxidants

4. Mechanism of harmful effects of ethanol?

1. Produces toxic acetaldehyde


2. NAD gets depleted oxidizing it to acetate


3. decreased NAD = fatty acid oxidation/excretion


4. increased NADH = increased fat storage

1B. Is velocity or mass more important for the effect of trauma?

velocity

1b. effect of surface area in trauma?

more surface area = less injury

2b. Mild hypothermia temps? signs?

32 – 35 C



Vigorous shivering to generate heat

2b. Moderate hypothermia temp? signs?

28-32C



Decreased oxygen consumption


CNS depression
No shivering/ Paradoxical disrobing

2b. Severe hypothermia temp? signs?

< 28 C



Ventricular fibrillation


Pulmonary edema


Coma/Death

Phases of cell cycle most susceptible to radiation

G2 and M phase

Radiosensitivity is directly proportional to _______ and inversely proportional to ________

Radiosensitivity is directly proportional to the degree of mitotic division and inversely proportional to their degree of specialization

Low dose Acute radiation syndrome:



Tissue effected =


Pathology =


Time to death =


Tissue effected = Bone marrow


Pathology = anemia, hemorrhage, infection


Time to death = 2-6 weeks

Moderate dose Acute radiation syndrome:



Tissue effected =


Pathology =


Time to death =

Tissue effected = GI tract


Pathology = sloughing of epithelium, infection


Time to death = 5-14 days

High dose Acute radiation syndrome:



Tissue effected =


Pathology =


Time to death =

Tissue effected = CNS


Pathology = Edema, necrosis


Time to death = 1-4hr

Delayed Effects of Total Body Radiation?

-Cataract formation
-Mental defects in children exposed in utero


-Cancer


-Mutations in germ cells which manifest as developmental abnormalities in the next generation

Type of UV radiation associated with skin cancer?

UV-B