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55 Cards in this Set
- Front
- Back
Name two types of acetylcholine receptors
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1.nicotinic
muscarinic |
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Where do you see the nicotinic receptors?
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found in all skeletal muscle fibers
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Where do you find the Muscuranic receptors?
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They are found in the cardiac and smooth muscles
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What is nicotinic receptor agonist?
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Nicotine
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What is nicotinic receptor antagonist?
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Snake venom bungarotoxin
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What is Muscuranic receptor agonist?
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Mushroom poison Muscarine
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What is Muscuranic receptor antagonist?
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Atropine, scopolamine
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Why the Muscuranic receptor action is slow and sustained?
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They are metabotropic and take a long time to develop
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Name the locations where the cholinergic neurons are located?
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1.Motor neurons
2.Preganglionic autonomic neurons 3.Postganglionic parasympathetic neurons 4.Basal nucleus of Meynert Dorsal Tegmentum of pons |
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What type of neurons is present in the basal nucleus of Meynert and it is implicated in which clinical condition?
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Cholinergic, Alzheimer’s
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Which enzyme helps in the degradation of acetylcholine?
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Acetylcholineesterase
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What happens to the receptors when the acetylcholine is not degraded?
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Receptors are desnsitized and fibers are in absolute refractory period
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Antibodies to which channels are developed in Lambart Eaton syndrome?
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Calcium channels
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Why small cell carcinoma of lung also results in Lambart Eaton syndrome?
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erived from primitive neuroendocrine precursor cells expressing voltage gated calcium channels.
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What are the two important signs of Lambart Eaton syndrome?
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These symptoms include dry mouth, constipation, reduced sweating, orthostatic hypotension (dizziness while standing or walking) and impotence.
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What antibodies you see in myasthenia gravis?
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antibodies against the acetylcholine receptors
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What is tensilon test?
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Tensilon (edrophonium) is an acetylcholinesterase inhibitor. This immediately improves the strength of the muscle and relief from symptoms
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What are the signs of myasthenia gravis?
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There is muscle weakness that worsens with sustained contraction but improves after rest. This affects most often extraocular muscles
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Which one is the precursor amino acid of all catecholamines?
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Tyrosine
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Which enzyme converts tyrosine into L dopa?
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Tyrosine Hydroxylase
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Which enzyme converts L dopa into Dopamine?
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DOPA decarboxylase
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Which enzyme converts Dopamine into Norepinephrine?
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Dopamine Beta Hydroxylase
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Which enzyme converts Norepinephrine into epinephrine and where is it present?
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Phenylsomething N Methyltransferase
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Which one is the precursor amino acid of tyrosine?
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Phenylalanine
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Which enzyme is deficit in phenylketonuria?
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Phenylalanine dehydroxylase
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What are the three symptoms of phenylketonuria?
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marked irritability, severe vomiting, seizures, musty odor and eventual mental retardation
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Why dopamine is not used to treat Parkinsonism?
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Can't cross blood brain barrier
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Which nucleus has depletion of neurons in Parkinsonism?
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Substantia nigra
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Which pathway is implicated in reward and addiction?
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Mesolimbic
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Which pathway is involved in psychotic disturbance?
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Mesocortical
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Which pathway is depressed when mesocortical pathway is stimulated?
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mesolimbic
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What happens when the mesocortical pathway is inhibited?
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mesolimbic pathway has increased activity and that is one of the pathways responsible for the development of schizophrenia.
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What happens when the mesolimbic pathway is excessively stimulated?
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mesolimbic pathway has increased activity and that is one of the pathways responsible for the development of schizophrenia.
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Which neurotransmitter is released in the arcuate nucleus of hypothalamus?
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dopamine
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Which drug is used to treat Prolactinoma?
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Bromocryptine
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Why MAO inhibitor is used to treat Parkinsonism?
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MAO-B inhibitor (selegiline) which prevents the metabolism of dopamine in the presynaptic bouton and is more dopamine is available for further release.
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Name two drugs used to treat Parkinsonism?
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MAO-B inhibitor (selegiline), LDOPA
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What type of receptors are the dopamine receptors and how many types are there?
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There are five types of receptors D1 to D5. All of these are G protein mediated metabotropic receptors.
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How cocaine does increases the level of dopamine in the synaptic cleft?
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Cocaine blocks the reuptake of dopamine through its transporter. This results in the increase in the level of dopamine which is responsible for the euphoric effect of cocaine.
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Where does cocaine act to express its anesthetic effect?
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Its anesthetic effect comes from its action to block the voltage gated sodium channels.
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Name the enzyme responsible for the conversion of dopamine into Norepinephrine and where is it present?
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The norepinephrine secreting neurons contain an enzyme, dopamine beta hydroxylase (DBH) which converts dopamine into norepinephrine
The synthesis of norepinephrine takes place inside storage vesicles because DBH lies within the vesicles. |
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Name the location in the pons where norephinephric neurons are situated?
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locus ceruleus
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Name two drugs which inhibit the reuptake of Norepinephrine?
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Imipramine and Amitriptyline – inhibits reuptake of norephinephrine and
5-HT |
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Which drug will release more Norepinephrine containing vesicles?
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Amphetamines
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Which metabolite is assayed in the urine to know the level of catecholamine break down?
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VMA
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Which receptor is responsible for the constriction of arterioles and urogenital sphincters?
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Alpha 1
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Which type of receptors is present on the presynaptic nerve terminal?
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Alpha 2
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Name the receptors which increase the heart rate and force of contraction?
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Beta 1
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Which drug is beta1 blocker?
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Altenelol
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Which receptors help in the relaxation of bronchus? Name agonist of this receptor?
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Beta 2, Salbutamol
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Which enzyme converts Norepinephrine into epinephrine and where is it present?
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norepinephrine into epinephrine lies in the cytosol. This enzyme is phenylethanolamine-N-methyl-transferase(PNMT).
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Name one poison which inhibits acetylcholinesterase?
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Nerve gas sarin
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Name the drug that inhibits the reuptake of serotonin into presynaptic bouton?
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Fluoxetine
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Which drug blocks the reuptake of dopamine?
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Cocccaaayyeeena
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Which drug prevents the uptake of Norepinephrine into its vesicles?
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Imipramine and Amitriptyline
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