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55 Cards in this Set
- Front
- Back
what are the characteristics of a drug which acts close to the end organ when modulating the autonomic nervous system?
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produces most selective response with the least side effects
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drugs which act on ganglia effect what nervous divisions of the autonomic nervous system?
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both parasympathetic and sympathetic since both are located in ganglia
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where will drugs that modulate nervous function act to have the most wide spread effects?
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the CNS
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what are the 2 neurotransmitters used to mediate transmission in the PNS?
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Acetylcholine and norepinephrine
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which NT is used at the pre/postganglionic neuron synapse for both parasympathetic and sympathetic divisions?
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acetylcholine
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what NT is used at the postganglionic neuron/end organ synapse in parasympathetic division?
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acetylcholine
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the NT used in most postganglionic neuron/end organ for the sympathetic division is?
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norepinephrine
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what is the exception to the sympathetic postganglionic/end organ synapse use of norepinephrine?
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muscarinic acetylcholine receptors on sweat glands
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what type of receptors are stimulated by norepinephrine with the sympathetic nervous division?
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alpha and beta adrenergic receptors
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what NT is used at the somatic efferent neuron at the end plate region on skeletal muscle?
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acetylcholine
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what inactivates acetylcholine in the synaptic cleft?
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acetylcholinesterase in the junctional folds
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what is the third NT that is released by the post-ganglionic sympathetic neurons at the synaptic cleft with renal vascular smooth muscle?
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dopamine
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sympathetic preganglionic neurons arise from which regions of the CNS?
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thoracic and lumbar regions of the spine
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parasympathetic preganglionic neurons arise from what regions of the CNS?
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nuclei in brainstem, and sacral segments of the spinal cord
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describe the position in regards to the end-organ of most parasympathetic ganglia?
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near the end-organ (organ wall) as compared to the sympathetic which is near the spinal cord (chain ganglia)
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which tend to be longer, preganglionic sympathetic or parasympathetic?
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parasympathetic since they have to go farther to reach ganglia
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describe the ratio of preganglionic neurons to postganglionic neurons for the sympathetic and parasympathetic divisions of the autonomic nervous system?
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in sympathetic there are more postganglionic than pre, but in parasympathetic it is 1:1
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where does the split in innervation between the cranial nerves and the sacral region become apparent for parasympathetic action?
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upper 2/3 of large intestine is CN X where as the lower 1/3 of large intestine and everythin below is from sacral parasympathetic input
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Describe the process of propagation of a nervous inpulse in the PNS?
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1. Syn. & storage of transmitter.
2. Action potential depolarizes cell. 3. Depol. activates Ca channels. 4. Vesicle fuses with plasma membrane & releases transmitter. 5. Transmitter crosses cleft & binds to postsynaptic receptor 6. Transmitter is removed from receptor and is *Degraded by enzymes in cleft *Taken up by presynaptic cell 7. Postsynaptic intracellular signaling molecules are degraded. |
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what are SNARE proteins which are found in the pre-synpatic membranes of neurons?
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they hold vesicles with NT's near the cell membrane and upon sensing calcium allow vesicles to fuse with membrane spilling NT's into the synaptic cleft
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describe the action of tetanus or botulinum toxins?
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they selectively cleave snare proteins causing release of NT's
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what is the function of Hemicholinium?
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inhibits the high affinity Na+-choline cotransporter preventing the formation of acytelcholine in the neuron
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what is the function of Vesamicol?
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inhibits the H+-Ach antiporter that transports Ach into storage vesicles
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what is the function of Botulinum toxin?
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prevents calcium induced fusion of vesicles with plasma membrane by cleaving SNARE proteins
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what is the function of Muscarinic and Nicotinic Antagonists?
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block their respective receptors in the postsynaptic cell
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what is the function of AChE Inhibitors ?
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inhibit membrane bound acetylcholinesterase from degrading ACh into choline and acetate
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Catecholamines are all synthesized from?
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tyrosine
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describe the process by which tyrosine gets to epinephrine including the names of intermediates and the chemical process between each intermediate
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1. tyrosine is hydroxilized to form LDOPA
2. LDOPA is decarboxylized to form dopamine 3. Dopamine is hydroxylized to form norepinephrine 4. CH3 is added to norepinephrine to form epinephrine |
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what is the function of alpha-Methyltyrosine?
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inhibits tyrosine hydroxylase which is the rate limiting step in catecholamine synthesis
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what is the function of Cocaine?
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inhibits the selective NE transporter that takes released NE back into the presynaptic terminal
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what is the function of Reserpine?
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inhibits the vesicular monoamine transporter (VMAT) involved in filling or refilling of synaptic vesicles with dopamine or NE respectively
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what is the function of Clonidine?
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it is an alpha2- agonist, that stimulates presynaptic autoreceptors resulting in decreased release of NE
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what is the function of alpha1 ,beta1,& beta2 antagonists?
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block their respective post-synaptic receptors
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Muscarinic receptor M1 =?
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CNS and presynaptic autonomic ganglia
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Muscarinic receptor M2 =?
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heart
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Muscarinic receptor M3 =?
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smooth muscle
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Nicotinic Receptors Nm =?
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skeletal muscle
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Nicotinic Receptors Nn =?
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postganganglionic autonomic neurons, adrenal chromaffin cells
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what type of receptors are all nicotinic receptors?
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ligand-gated cation-selective channels
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all muscarinic receptors are what type of receptor
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G-protein-linked transmembrane
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where can the adrenergic receptor alpha1 be found?
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postsynaptic effector cells, especially smooth muscle
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where can the adrenergic receptor alpha2 be found?
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presynaptic adrenergic nerve terminals, platelets, lipocytes
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where can the adrenergic receptor beta1 be found?
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heart
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where can the adrenergic receptor beta2 be found?
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postsynaptic vascular smooth muscles
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where can beta3 adrenergic receptors be found?
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lipocytes
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describe the process of signal tranduction from binding of NT to physiologic actions?
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.
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describe the mechanism of action of beta1 and beta2 adrenergic receptors
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.
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what is the location of muscarinic M3 receptors?
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exocrine glands
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what is the location of muscarinic M2 receptors?
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myocardium
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what is the effect of binding norepinephrine with alpha1 adrenergic receptors? (2)
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1. vascular smooth muscle contraction
2. genitourinary smooth muscle contraction |
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what is the effect of binding norepinephrine with beta1 adrenergic receptors? (2)
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1. increased chronotropy and inotrpy in the heart
2. increased AV-node conduction velocity in the heart |
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what is the effect of binding norepinephrine with beta2 adrenergic receptors? (2)
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bronchiolar smooth muscle relaxation
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what is the effect of binding norepinephrine with alpha2 adrenergic receptors? (2)
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decreased norepinephrine release from nerves
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Increased BP, HR, sphincter tone, gluconeogenesis, glycogenolysis, lipolysis, dilated pupils, bronchioles, distant vision, blood diverted to skeletal muscles would be seen with?
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sympathetic stimulation
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Increased GI motility & secretions, contracted bronchioles, pupils and ciliary muscle, decreased HR, voiding urine would be seen with?
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parasympathetic stimulation
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