super medical system

Chapter 93 Want something bad!
"Snapped!"

The used chalk was thrown onto the podium by the middle-aged man, and broke in two in response.

Looking around at the stunned classmates below, the middle-aged man raised his chin, "I'll give you 2 minutes to think, after 2 minutes I'm going to get people up to answer the questions, but if someone doesn't answer correctly, you lose, now , start thinking!"

A silence.

The students below all grew their mouths and eyes wide, their faces full of disbelief.

There were a few who were still drowsy, but were woken up by the poking of the students next to them. After figuring out the situation, they looked at the line of white chalk on the blackboard with surprise on their faces.

No one turned the pages of the book or checked the mobile phone, because there was no way to check this question!

Everyone was strangely silent, 2 minutes seemed so long at this moment, everyone looked at each other in blank dismay, the students in the adjacent seats raised their eyebrows at each other, everyone thought the same.

The chalk writing on the podium reads: "Glucose injection or oral glucose, which method is more likely to cause insulin secretion? In other words, which situation secretes more insulin?"

This question does not need to be checked at first glance, anyway, it is the same whether it is checked or not, it is really... too simple!

Doesn't the answer come out at a glance!Where does it take 2 minutes to think about it?

If you insist on what knowledge points are involved in this question, apart from the role of insulin, it is probably the difference between oral administration and injection.

In pharmacology, the way drugs are absorbed by the body also includes oral administration and injection.

Oral administration, as the name suggests, is to take medicine through the mouth, and most of the medicines that people usually take are in this form.

Oral administration has an advantage, that is, it is convenient and fast. Usually, some medicines such as tablets or capsules are prepared at home, and can be taken with warm water when needed.

Oral administration also has a disadvantage, which is the "first-pass effect."

The first-pass effect, also known as the first checkpoint effect, refers to the fact that when some drugs pass through the gastrointestinal tract, before they have time to be absorbed into the blood circulation, they are metabolized for various reasons, reducing the amount of drugs entering the whole body. The phenomenon.

The first-pass effect enhances drug metabolism, reduces absorption, and reduces therapeutic effect. If you want to avoid or reduce the first-pass effect, you can use injection, subcutaneous, and sublingual administration.

Injection, as the name suggests, is to directly inject drugs into the blood circulation of the whole body through intravenous injection, which can not only avoid the first-pass effect, but also make the drug dose in the whole body reach a peak in an instant, without the need to wait like oral administration. The drug is released slowly.

There is a small detail in daily life that many people do not notice. When we take medicine orally, we often take more medicine, such as two or three tablets at a time, three or four times a day.

But when we go for infusions, if we pay special attention to the nurses' distribution of liquids, we may find that most of the liquids we infuse are normal saline, and the really useful medicine is actually only in a glass bottle smaller than the little finger. Just a little bit of liquid.

This is related to the first-pass effect. Because the first-pass effect produced by oral administration will reduce the efficacy of the drug and reduce the absorption of the drug, it is necessary to give a larger amount of the drug.

The difference between oral administration and injection is only the presence or absence of the first-pass effect and the time to produce a curative effect. In this question, the intuitive performance is——

If the glucose solution is injected into the body through injection, the blood sugar will rise instantly, which will immediately stimulate the corresponding response mechanism to promote the production of insulin by the pancreatic islets to lower blood sugar;
And if it is taken orally, the glucose swallowed into the stomach has to wait to be absorbed, and wait until the blood sugar rises slowly, and then the body responds to lower blood sugar.

So, the moment the middle-aged man finished writing the question, oh no, maybe in the process of writing the question, many people already had the answer without thinking.

As for why he deliberately waited for someone for 2 minutes?

Everyone looked around and saw a few sleepy-eyed and dazed-eyed ones, and finally understood the reason - the teacher wanted them to wake up those students who were not listening well in class!
Suddenly realizing it, everyone in unison carefully instructed their companions who had just woken up from the dream.

Soon, the guesses of the students were verified.

The middle-aged man said that it was time, and decisively began to ask questions, "Come on, monitor, tell me."

Jiang Yuan got up, "Glucose insulin is secreted more."

"Okay." The middle-aged man nodded, "Sit down."

"The first row, the third student from the left, please answer."

Some confused boys stood up, and his companion desperately hinted at him. He scratched his head, "Injection?"

"Okay." The middle-aged man nodded again, the expression on his face remained unchanged, and he called for the next one.

"The student in the yellow clothes in the middle of the fourth row is you, please answer."

……

Except for Jiang Yuan, who was the first to ask, the rest were all students who were drowsy in class just now, or who were playing with their phones with their heads down!

According to the order from left to right, front to back, the middle-aged man is not left behind, his memory is terrifying, and his ability to hold vengeance is also terrifying...

When the guess was verified, everyone subconsciously breathed a sigh of relief, and at the same time reminded themselves that those students who were "focused on" must give the correct answer.

The students have already figured out at this time that the purpose of the teacher's bet with everyone is probably to beat those who do not pay attention to the class. As for the so-called bet, what is the reason for leaving get out of class early? That's all.

But there is another condition, in case someone answers such a simple question wrong, he may really procrastinate!
Although it is impossible to procrastinate endlessly, even if it is only half an hour, it is scary enough for the students who thought his class was tormenting!

This is a glorious and great mission, this is the decisive moment concerning the collective destiny, and this is the common expectation and vision of all people!

At this moment, this group is working together like never before, working together for the same goal - no procrastination!

"Ninth row, the one in red on the far right, yes, you can answer it too."

The questioning was still going on step by step. As the middle-aged man called up each classmate, everyone finally understood the reason for his sudden outburst - there were too many people who deserted in class!

So many that they are ashamed!

"No.11 row, the boy on the far right, get up."

Finally, Yang Tian was called. For some reason, everyone felt that the tone of the middle-aged man seemed much darker.

Not good, want bad things!

Everyone involuntarily focused their attention on the No.11 row——

Yang Tian has already stood up.

The little fat man had already called him out from the study of the system space just now, and he knew the current situation.

"You come to answer this question."

The middle-aged man pointed to the chalk writing on the podium.

"Yeah." Yang Tian nodded, "Orally."

"Okay, sit down." The middle-aged man waved his hand, but the next moment his eyes suddenly widened, "Wait a minute, what did you say?"

"I said." Yang Tian paused every word, "I think that taking glucose orally will secrete more insulin."

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It's the same as yesterday. It's still a freshly released chapter
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(End of this chapter)