NURSING ANM AND GNM

NURSING EXAM QUESTIONS

TOXICOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Products of methanol breakdown in the liver:
A
water and carbon dioxide
B
water and carbon monoxide
C
formaldehyde and formic acid
D
formaldehyde and acetic acid
Explanation: 

Detailed explanation-1: -Methanol is converted to formaldehyde via alcohol dehydrogenase and formaldehyde is converted to formic acid (formate) via aldehyde dehydrogenase. The conversion to formate via ALDH proceeds completely, with no detectable formaldehyde remaining.

Detailed explanation-2: -Methanol is primarily metabolized in the liver via alcohol dehydrogenase into formaldehyde. Formaldehyde is subsequently metabolized via aldehyde dehydrogenase into formic acid, which ultimately is metabolized to folic acid, folinic acid, carbon dioxide, and water. A small portion is excreted unchanged by the lungs.

Detailed explanation-3: -Methanol is also metabolized by alcohol dehydrogenase and forms formaldehyde, which is then converted to formic acid.

Detailed explanation-4: -In the first step of degradation, methanol is transformed into formaldehyde via the enzyme alcohol dehydrogenase (ADH). This reaction is slower than the next step, the transformation of formaldehyde into formic acid via the enzyme aldehyde dehydrogenase.

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