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Toxicology Exam 1
toxicokinetics, household toxicants, food/plants
101
Veterinary Medicine
Graduate
02/14/2011

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Term
Anionic Detergents
Definition
negatively charged, contain sulfated compounds, cause GI irritation but low mortality/toxicosis
Term
Cationic Detergents
Definition
positively charged, contain quaternary ammonium compounds, corrosive, mucosal ulceration, high toxicity, potentially lethal
Term
Non-ionic Detergents
Definition
generally non-toxic
Term
Amphoteric Detergents
Definition
can be anionic (negative, low toxicity) or cationic (positive, CORROSIVE) depending upon environmental pH
Term
Corrosive Bases (alkalis)
Definition
liquefactive necrosis, severe ulceration
Term
Corrosive acids
Definition
coagulation necrosis, severe burns (immediate irritant action limits intake)
Term
treatment for ingestion of corrosive agents
Definition
Establish airway +- careful esophagoscopy to determine quantity ingested, dilute with milk(demulcent, mucusal protectant) or water, analgesics, GI protectants (sucralfate)
Term
What treatment is contraindicated following the diagnosis of ingestion of corrosive agents?
Definition
Induction of emesis, gastric lavage, charcoal, neutralizing agents (can result in exothermic chemical reaction)
Term
What are the clinical signs associated with liquid potpourri toxicity in cats?
Definition
local corrosive action and CNS depression (cationic detergents + volatile oils)
Term
What are the toxic compounds associated with oil based disinfectant cleaners like Pine Sol?
Definition
unsaturated cyclic hydrocarbons
Term
What are the clinical signs associated with ingestion of disinfectant cleaners (unsaturated cyclic hydrocarbons)?
Definition
Dermal and ocular irritation, tachycardia, CNS depression, nephritis, risk of aspiration pneumonia
Term
How are disinfectant cleaners biotransformed and excreted?
Definition
CYP450 oxidation and glucuronidation in the liver, excreted in the urine
Term
What component of batteries is responsible for the greatest negative impact when ingested?
Definition
electrical discharge is corrosive to GI mucosa
Term
What is the major clinical syndrome associated with ingestion of low viscosity, high volatility petroleum products like gasoline or kerosene?
Definition
Aspiration, into lungs (pnumonia/pleuritis) or rumen
Term
What compounds are associated with toxicity following ingestion of petroleum products?
Definition
aromatic hydrocarbons
Term
What clinical signs are associated with ingestion of high viscosity petroleum products like crude oil?
Definition
GI irritation and destruction of resident ruminal microflora can result in rumen stasis (-->bloat) and reduced VFA production (-->chronic wasting)
Term
What treatment can be used to decontaminate ingested petroleum products (hydrocarbons)?
Definition
activated charcoal (care with emetics due to risk of aspiration)
Term
How does carbon monoxide interact with RBC once inhaled?
Definition
CO binds to hemoglobin with over 200 times the affinity of oxygen, when CO binds to hemoglobin it forms carboxyHb which releases oxygen more slowly into tissues resulting in hypoxia
Term
Place species in order of greatest to least sensativity to carbon monoxida:
Dog, Rabbit, Canary, Cat
Definition
Canary > cat > dog > rabbit
Term
What are clinical signs associated with chronic carbon monoxide toxicosis?
Definition
locomotor impairment, exercise intolerance, and EKG abnormalities
Term
What compounds are associated with toxicity following ingestion of alliaceous plants (garlic, onion)?
Definition
organosulfur compounds (thiosulfinates, n-propyl disulfides)
production of free radicals
Term
What laboratory findings are associated with onion toxicosis?
Definition
heinz body anemia and intravascular hemolysis
Term
What dogs breeds have genetically increased susceptibility to onion toxicity?
Definition
Japanese breeds (akita, shiba inu)
Term
How would you treat a case of onion toxicity?
Definition
emesis, activated charcoal, blood transfusion and oxygen therapy
monitor RBC indices as anemia may slowly progress
Term
Bread dough toxicosis could also be called _____ toxicosis.
Definition
ethanol
Term
What are some clinical signs associated with bread dough toxicity?
Definition
ataxia, CNS depression, hypothermia, hypoglycemia, metabolic acidosis
+- bloat, foreign body obstruction
Term
How would you treat a case of bread dough toxicity?
Definition
emesis if CNS depression is not profound, cold water lavage (to arrest fermentation process in the bread dough), charcoal, and saline cathartic
Term
What compound is responsible for chocolate toxicosis in dogs?
Definition
Theobromine
Term
Why does theobromine have a long half life?
Definition
it undergoes enterohepatic recycling
Term
What are some clinical signs associated with severe chocolate toxicity in dogs?
Definition
Tachycardia, arrhythmias, seizures, hyperthermia, polyuria
Term
What two drugs could be used to address cardiac arrhythmias arising from chocolate toxicosis?
Definition
Beta-AR blockers (sinus tachyarrhythmias)
Lidocaine (ventricular tachyarrythmias)
Term
What clinical syndrome is associated with ingestion of grapes/raisins?
Definition
acute renal failure (oliguric to anuric)
Term
What would be a good treatment plan for a dog that ingested grapes?
Definition
emesis and charcoal, monitor serum chemistry for at least 72 hours, IV fluids, mannitol and loop diuretics to address ARF
Term
What are the two toxic effects of xylitol ingestion in dogs?
Definition
hypoglycemia and hepatocellular necrosis
Term
What compound is responsible for toxicity following ingestion of avocado and what organ is affected?
Definition
persin ---> myocardial necrosis
Term
What clinical signs are associated with ingestion of macadamia nuts and what is the prognosis?
Definition
ataxia, hyperthermia, hind limb paresis, tremors
self limiting, good prognosis with supportive care
Term
What compound is responsible for toxicity following ingestion of Japanese yew?
What organ system is affected?
Definition
taxine

cardiovascular
Term
What compound is associated with toxicity following ingestion of milkweed, rhododendron, oleander and foxglove?
What organ system is affected?
Definition
glycosides

cardiovascular
Term
What compound is associated with toxicity following ingestion of endophyte infected fescue?
What organ systems are affected?
Definition
ergoraline

cardiovascular (vasoconstriction --> dry gangrene in extremities)
reproductive (retained placenta, decreased lactation, irregular estrus cycle)
Term
What compound is associated with toxicity following ingestion of Jimsonweed and Poison hemlock?
What organ system is affected?
Definition
alkaloids

nervous system
Term
What compound is associated with toxicity following ingestion of Water hemlock by horses or pigs?
What organ system is affected?
Definition
cicutoxin (especially concentrated in the roots)

nervous system
Term
What two toxic plants grow in wet swampy areas?
Definition
Poison Hemlock and Water Hemlock
Term
What compound is responsible for toxicity following ingestion of weed seeds (corn cockle/mustard) and what clinical signs are associated?
Definition
mustard oils
colic and diarrhea
Term
What compound in Nightshade is responsible for toxicity? In what species? In what organ system?
Definition
solanine (especially in green unripened berries)
Pig, GI
Term
What compound is responsible for toxicity to green acorns? Organ system?
Definition
tannins, renal
Term
What species is susceptible to red maple toxicity, what clinical signs are expected?
Definition
horses (must ingest WILTED leaves), colic and reddish brown urine
Term
What compound in chokecherry is associated with toxicity? What organ system?
Definition
cyanide, respiratory
Term
What clinical signs are associated with black walnut and hoary alyssum toxicity in horses?
Definition
Stocking up, founder, laminitis
Term
What compound is responsible for toxicity following ingestion of white snakeroot? What is the layterm for this condition?
Definition
muscle tremors, stiff gait, brown urine
"trembles"
FYI: white snakeroot grows in SHADE
Term
What species is most affected by ingestion of common cocklebur seedlings? What organ system?
Definition
pigs, hematopoietic
Term
What organ system is affected by massive ingestion of bracken fern or field horsetail? What are expected clinical signs indicative of toxicosis?
Definition
hematopoietic,
seizures, fever, death
Term
What compound in wild parsnip is responsible for toxicosis? What disease develops following ingestion of toxic dose?
Definition
furanocoumarins
photosensitivity
Term
moldy red clover (trifolium sp.) is responsible for what syndrome in horses?
Definition
slobbers
Term
Moldy clover (melilotus and trifolium spp.) can damage what two organs?
Definition
dermal (photosensitivity) and liver
Term
what type of weather conditions favor the development of moldy clover?
Definition
warm temperatures, high humidity
Term
1 kg is equal to how many lbs?
Definition
2.2 lb
Term
how do you convert PPM (parts per million) to a percent?
Definition
move the decimal 4 places to the left
Term
What parts of plants accumulate the most cyanide?
Definition
young shoots/leaves, roots, seeds
Term
What induces cyanide production in plants?
Definition
frost, herbicides, insects
Term
what induces the release of cyanide in plants?
Definition
drought, wilting
Term
Why are ruminants more suceptible to cyanide toxicity than monogastrics?
Definition
The rumen contains microbes that produce enzymes which catalyze the hydrolysis of cyanogenic glycosides from ingested plant material to cyanide. These enzymes function best in an alkali environment (pH below 6)
Term
What color mucous membranes are characteristic following cyanide poisoning?
Definition
bright red
Term
What clinical signs are associated with nitrate poisoning?
Definition
brown mucous membranes and dark chocolate colored blood
Term
Field fungi
Definition
Fisarium
Usually die off during storage
Term
Storage fungi
Definition
Aspergillus and Penicillum
Term
What is a mycotoxin?
Definition
a toxic secondary metabolite produced by a fungus
Term
Ergot alkaloids cause what clinical signs in cattle?
Definition
acute: convulsions
chronic: gangrene, hyperthermia, AGALACTIA, reproductive dysfunction
Term
What biochemical mechanisms to aflatoxins affect?
Definition
interrupt the electron transport chain to inhibit cellular respiration and production of ATP
Term
What is the organ most affected by aflatoxin?
Definition
liver
also immunosuppression
Term
What species is most sensitive to trichothecenes?
Definition
swine
Term
What is the pathophysiologic mechanism of action of trichothecenes?
Definition
inhibition of cellular protein synthesis --> elevation of tryptophan levels in the blood --> elevation of serotonin in the brain
Term
What is the primary effect of zearalenone in swine and cattle?
Definition
estrogenic effects --> testicular atrophy and infertility in males,
--> decreased fertility and lactation, abnormal estrus cycles in females
Term
What primary disease is caused by ingestion of vomitoxin/deoxynivalenol in swine (possibly k9 as well)?
Definition
ANOREXIA
(+ pale friable liver with hemorrhage into the abdominal cavity)
Term
Fusarium metabolites are associated with what disease in horses?
Definition
equine leukoencephalomalacia
Term
What are the three most common sites of toxicant uptake?
Definition
GI tract, airways, skin
Term
What are barriers to systemic absorption of ingested toxins?
Definition
p-glycoprotein (prevents intracellular accumulation within epithelial cells)

gastric acid (inactivation)

first pass hepatic biotransformation and biliary elimination
Term
What happens to inspired particles/aerosols that are larger than 5 micrometers?
Definition
deposited on the mucosa of the nasopharynx and swallowed
Term
What happens to inspired particles that are between 2-5 micrometers in diameter?
Definition
deposit in the tracheobronchiolar region and are removed via mucociliary clearance
Term
What happens to inhaled particles that are less than 1 micrometer in diameter?
Definition
deposit in alveolar sacs and are phagocytized by alveolar macrophages in addition to lymphatic clearance
Term
What physical parameters affect the rate of absorption of vapors from the lungs into the blood?
Definition
blood solubility and partial pressure
Term
What variables affect the efficiency of dermal absorption of toxins?
Definition
body region and amount of fur, species differences in triglyceride and lipid composition of the stratum corneum
Term
If a toxin diffuses quickly through tissues what organs will accumulate the toxicant first?
Definition
organs with the highest blood flow (ie. tissue blood flow is rate-limiting when diffusion is rapid)
Term
If a toxin diffuses slowly through tissues what is rate limiting in terms of how the toxin will distribute to different organs?
Definition
permiability is rate limiting (ie. the physiochemical properties of the toxicant determine tissue penetration)
Term
How is distribution affected in the case of a toxin with a high affinity for plasma proteins?
Definition
distribution out of the vasculature is slowed (ie. the toxin is bound to plasma proteins and trapped in the vessels)
Term
Place species in order from greatest to least biliary excretion of low molecular weight xenobiotics: sheep, dogs, primates, cats, rabbits, rats
Definition
rats/dogs > cats > sheep > rabbits/primates
Term
What type of phase 2 metabolites are most likely to undergo biliary excretion?
Definition
glucuronide and glutathione conjugates
Term
At very high concentration toxin elimination is governed by ____ order kinetics
Definition
zero order
Term
What are three examples of phase 1 hepatic biotransformation reactions?
Definition
oxidation (CYP450)
hydrolysis (epoxide hydrolase)
reduction
Term
What are three examples of phase 2 hepatic biotransformation reactions?
Definition
Glucuronidation
Sulfation
Glutathione
Term
What biotrasformation enzyme is present at greatest concentrations in the periportal region (zone 1) of the hepatic acinus?
Definition
sulfation enzymes
Term
In what region of the hepatic acinus are the concentration of phase 1 and phase 2 (except sulfation)enzymes greatest?
Definition
Centrilobular (zone 3)
Term
How does cimetidine decrease the formation of toxic metabolites?
Definition
cimetidine inhibits phase 1 CYP450 oxidation ---> less bioactivation of chemically reactive (ie. toxic) compounds
Term
The enzymes involved in glucuronidation are associated with what organelle?
Definition
endoplasmic reticulum
Term
Arylamine is bioactivated by what phase 2 reaction to form arylnitrenium ions, which are tumorgenic and associated with bladder cancers?
Definition
glucuronidation
Term
What process is implicated in the bioactivation of NSAIDs and the development of toxic immune hepatitis?
Definition
glucuronidation of NSAIDs to form active products that bind to cellular proteins forming haptens that are recognized by the immune system as antigens
Term
Where in the hepatocyte do sulfate and glutathione conjugation occur?
Definition
in the cytoplasm
Term
What types of chemicals tend to undergo phase to sulfate conjugation?
Definition
toxicants that contain -OH groups
Term
What is the primary route of excretion for xenobiotic-sulfate conjugates?
Definition
urine
Term
What are two characteristics of xenobiotic substrates that undergo glutathione conjugation?
Definition
must be hydrophobic
must posses an electrophilic atom
(ie. positive partial charge)

ex: organophosphates, acetaminophen, naphthalene (moth balls)
Term
1ppm is equal to how many mg/kg?
Definition
1mg/kg
Term
1g of chemical/ton of feed is equal to how many ppm?
Definition
1.1 ppm
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