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57 Cards in this Set

  • Front
  • Back

What is the MOA of Reserpine

decreased synthesis and storage of norepinephrine

What is the MOA of Guanethidine

Blocks release of norepinephrine

What is the MOA of Phenoxybenzamine and Phentolamine

alpha blocker (non selective)



What is the MOA of Prazosin

alpha 1 blocker

What is the MOA of propanolol

B1 and B2 blocker



What is the MOA of metopropolol

B1 blocker

What is the MOA of Pilocarpine, Methacholine

Parasympathomimetic (muscarinic and nicotinic rec)

What is the MOA of neostigmine, pyridostigmine, abenonium

acetylcholinesterase inhibitor

What is the MOA of atropine

blocks acetylcholine on muscarinic receptors (prevents rapid destruction)

What is the MOA of nicotine

stimulates nicotinic receptors

Which electrolytes/substances are higher or lower in the CSF (vs the plasma)




Osmotic Pressure


Na


Cl


K


Gluc

Equal Osmotic pressure


Equal Sodium


Higher Cl


Lower K


Lower Glucose

What are class I neurotransmitters?

Acetylcholine (+)

What are class II neurotransmitters?

Amines


-Norepinephrine (+)


-Epinephrine (+)


-Dopamine (-)


-Histamine


Serotonin

What are class III neurotransmitters?

Amino Acids


-Glutamate (+)


GABA (-)


Glycine (-)


Aspartate

What are class IV neurotransmitters?

NO

What are class V neurotransmitters?

Slow acting neuropeptides

Which are excitatory neurotransmitters?

Epinephrine (II)


Norepinephrine (II) - reuptake


Acetylcholine (I)


Glutamate (III) - reuptake

Which are inhibitory neurotransmitters?

Dopamine (II)


Serotonin (II) - reuptake


GABA (III) - reuptake


Glycine (III)

What is the MOA of Strychnine?

Decrease action of inhibitory neuropeptides (Glycine)


- stiff paralysis

What is the MOA of Botulism ?

Decrease release of excitatory neurotransmitters (Acetylcholine)


- flaccid paralysis

What is the MOA of Tetanus?

Blocks Gaba and Glycine (inhibitory)


--too many stimulatory neurotransmitters


- stiff paralysis

What is decerebrate rigidity?

Extension all four limbs


Opisthotnus


Stuporous/Comatose


*Rostral brainstrem lesion

What is decerebellate rigidity?

Forelimbs extended, Hips flexed


Opisthotnos


Normal mentation


*Acute cerebellar lesion

What cranial nerves can be involved in peripheral vestibular disease?

7 (facial)


8 (vestibulocochlear)



What cranial nerves can be involved in central vestibular disease?

5 (trigeminal)


6 (abducens)


7 (facial)


8 (vestibulocochlear)


9 (glossopharyngeal)


10 (vagus)


11 (accessory)


12 (hypoglossal)

Which cranial nerves are sensory only?

1 (olfactory)


2 (optic)


8 (vestibulocochlear)

What cranial nerves are motor only?

3 (oculomotor)


4 (trochlear)


6 (abducens)


11 (acessory)


12 (hypoglossal)

Which cranial nerves are autonomic nervous system?

3 (oculomotor)


7 (facial)


9 (glossopharyngeal)


10 (vagus)

What is the MOA of Bethanacol

Parasympathomimetic


Dopaminergic (increased acetylcholine sensitivity)


- use for hypocontractile bladder

What is the MOA of Cisapride?

Enhance release of acetylcholine


- use for hypocontractile bladder

What is the MOA of propantheline

anticholinergic


- use for hypercontractile bladder

What is the MOA of oxybutynin

anticholinergic, analgesic, smooth mm relaxant


- use for hypercontractile bladder

What is the MOA of flavoxale

amooth muscle relaxant, weak anticholinergic, analgesia


- use for hypercontractile bladder



What is the MOA of phenylpropanalamine

alpha agonist (indirect)


- hypotonic urethra

What is the MOA of imipramine

alpha agonist, anticholinergic


- hypotonic urethra

What is the MOA of estrogen and testosterone

sensitizes to effects of catecholamines


- hypotonic urethra

What is the MOA of phenoxybenzamine

alpha blocker (non selective)


- hypertonic urethra

What is the MOA of prazosin

alpha 1 blocker


- hypertonic urethra

What is the MOA of dantrolene

calcium channel blocker - decreases external urethral tone


- hypertonic urethra

What is the MOA of diazepam

skeletal muscle relaxant


- hypertonic urethra

What nerve innervates the bladder body

Pelvic n - parasympathetic


stimulation = voiding



What innervates the external urethral sphincter

Pudendal n. - somatic


stimulation = tightened sphincter

What innervates the internal urethral sphincter and body of the bladder?

Hypogastric n - symmpathetic


B2 to bladder - relaxation


a to internal sphincter - contraction

What is reflex dyssenergia?

lack of inhibition to somatics


causes urethral contraction during bladder contraction


Tx: bethanacol

What is the MOA of felbamate

blocks Na and Ca channels


blocks NMDA


potentiates GABA

What are the SE of felbamate?

hepatic dysfunction


KCS


Blood dyscrasias

What is the MOA of gabapentin

GABA analogue - blocks Ca channels



What are the SE of gabapentin?

sedation

What is the MOA of Keppra

Binds SV2A - blocks presynaptic Ca channels

What are the SE of Keppra

sedation

What is the MOA of Zonisamide

Sulfonamide

What is the MOA of phenobarbital

GABA agonist


Ca channel blocker

What are the side effects of phenobarbital?

sedation, PU/PD (inhibits ADH)


Blood dyscrasias


Hepatotoxicity


Decr T4/Incr TSH not associated with clinical dz

What is the MOA of bromide?

potentiates GABA by competing with Cl transport (stabilizes neuronal cell membrane)

What are the SE of bromide

pneumonitis in cats


pancreatitis, sedation, PU/PD in dogs

What is the MOA of Dizepam

potentiates GABA - increases Cl intracellularly hyperpolarized

What are the side effects of diazpema

cats - oral form can cause acute hepatic necrosis