Development of Medicines (Edexcel GCSE Combined Science: Biology): Flashcards

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  • Antibiotic

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  • Antibiotic

    A medicine, such as penicillin, that helps cure bacterial disease by killing infective bacteria inside the body.

  • What is the difference between medicines that treat the cause and those that treat the symptoms of a disease?

    Medicines that treat the cause kill the pathogen (e.g. antibiotics).

    Medicines that treat the symptoms relieve discomfort (e.g. painkillers).

  • How do antibiotics work?

    They inhibit processes inside bacterial cells, such as the production of the cell wall.

  • Why are antibiotics not harmful to the host's cells?

    They affect processes that usually only occur in bacteria, not in the host's cells.

  • Why do antibiotics not work against viruses?

    Viruses reproduce inside the host's cells, so it is difficult to kill them without also damaging the host's tissues.

  • Why does a doctor prescribe different antibiotics for different infections?

    Because only certain antibiotics work on certain bacteria, so specific bacteria must be treated with antibiotics known to work against them.

  • What has been the impact of antibiotics on deaths from infections?

    Their use has greatly reduced deaths from infections over the last century.

  • What is a major problem with the use of antibiotics such as penicillin?

    Bacterial resistance to the antibiotic.

  • Antibiotics treat the of a bacterial disease, whereas painkillers only treat the .

    cause / symptoms

  • Antibiotics will work against viruses, because viruses reproduce inside cells.

    not

  • Placebo

    A substance given in a clinical trial that contains no active drug, used for comparison with the real drug.

  • Where were drugs traditionally extracted from?

    From plants and microorganisms.

  • What are the original plant sources of the drugs digitalis and aspirin?

    The heart drug digitalis comes from foxgloves.

    The painkiller aspirin comes from willow.

  • Who discovered penicillin, and what was it extracted from?

    Alexander Fleming discovered it (in 1928) from the Penicillium mould, after noticing bacteria would not grow near the mould.

  • What three things are new drugs tested for before they can be used?

    Toxicity (harmful side effects), efficacy (does it work?) and dose (lowest effective amount).

  • What is done in the preclinical stage of drug testing?

    The drug is tested in the laboratory on cells, tissues and live animals.

  • Who is a new drug tested on during clinical trials?

    First healthy volunteers (at very low doses), then patients with the condition.

  • What is a double-blind trial?

    A trial where some patients are given a placebo, and neither the doctor nor the patient knows who is receiving the real drug.

  • Why are the results of drug testing peer-reviewed and published?

    Peer review checks the results are described accurately before they are published in journals.

  • Preclinical testing of a new drug is carried out in a laboratory using cells, tissues and live .

    animals

  • The painkiller aspirin originally came from , while the heart drug digitalis came from .

    willow / foxgloves

  • Risk factor

    Something that increases the chance of developing a (non-communicable) disease, e.g. smoking, poor diet or lack of exercise.

  • Non-communicable disease

    A disease that is not caused by a pathogen and cannot be passed between individuals, e.g. cardiovascular disease or cancer.

  • Give three examples of non-communicable diseases.

    Cardiovascular disease, cancer and lung or liver disease (also obesity and malnutrition).

  • Name the three categories of risk factor for non-communicable disease.

    Lifestyle choices (e.g. diet, alcohol).

    Environmental exposure (e.g. pollution, asbestos).

    Unavoidable factors (e.g. age, gender, genetics).

  • Why are risk factors usually described as not causative?

    They show a correlation with disease, but interactions between many different factors contribute to the overall likelihood of developing it.

  • What are the two key risk factors for both obesity and malnutrition?

    Exercise and diet.

  • What harmful effects do tar and nicotine in cigarette smoke cause?

    Tar causes lung cancer.

    Nicotine causes atherosclerosis and high blood pressure.

  • Name four risk factors associated with cardiovascular disease.

    Smoking, poor diet, lack of exercise and high alcohol consumption.

  • What is Body Mass Index (BMI) used for?

    It uses data on a person's weight and height to assess their health status (whether they are a healthy weight).

  • Besides individual health, what wider impacts can risk factors have?

    Costs to society (strain on medical resources), the economy (treatment costs and lost work) and international development.

  • In cigarette smoke, causes lung cancer and causes atherosclerosis.

    tar / nicotine

  • Eating more calories than we burn leads to weight gain, which can lead to .

    obesity

  • Atherosclerosis

    The build-up of fatty deposits (plaques) inside arteries, which narrows the lumen and reduces blood flow.

  • Stent

    A metal or plastic tube placed inside a coronary artery to hold it open and widen the lumen, increasing blood flow.

  • What is cardiovascular disease (CVD)?

    Any long-term condition of the heart or blood vessels, usually caused by high cholesterol and atherosclerosis.

  • What are the two sources of cholesterol in the body?

    Dietary cholesterol (from animal products eaten).

    Cholesterol synthesised by the liver.

  • What is the difference between angina and a heart attack?

    Angina is severe chest pain from a partial blockage of the coronary arteries.

    A heart attack results from a complete blockage, stopping aerobic respiration in that part of the heart.

  • How do statins reduce the risk of coronary heart disease?

    They block an enzyme in the liver needed to make cholesterol, slowing the build-up of fatty deposits in the blood.

  • How does low-dose aspirin help reduce cardiovascular disease?

    It blocks chemicals required for the formation of blood clots and inhibits an enzyme linked to inflammation.

  • How does a stent treat a blocked coronary artery?

    A tiny balloon is inflated to push the stent against the artery wall, widening the lumen to increase blood flow. The balloon is then removed.

  • What does coronary bypass surgery involve?

    Replacing damaged blood vessels with healthy vessels from elsewhere in the body, so blocked sections are bypassed.

  • Give three lifestyle changes that reduce the risk of CVD.

    Stop smoking, eat a balanced diet (low cholesterol, low salt, controlled calories) and increase exercise.

  • are drugs that block an enzyme in the liver to reduce the level of cholesterol in the blood.

    Statins

  • A blockage of a coronary artery prevents aerobic respiration in that area of the heart, leading to a heart attack.

    complete

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