Basic CNS Pharmacology and CNS Stimulants Flashcards

1
Q

Generally, what happens in the cerebral cortex?

A

information processing and interpretation

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2
Q

What are the specific functions of the cerebral cortex?

A

sensations, perception, voluntary movement, learning, speech, and cognition

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3
Q

What are the components of the hindbrain?

A

medulla and cerebellum

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4
Q

What are the centers are located in the medulla?

A

respiration, cardiac and vasomotor control centers and the reticular formation

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5
Q

What is the function of the cerebellum?

A

voluntary movement in space and time, controls balance-vermis; and eye movement, and cognitive functions

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6
Q

What are the components of the forebrain?

A

thalamus, hypothalamus, basal ganglia, and limbic system

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7
Q

What is the role/function of the thalamus?

A

It acts not only as a relay center; but also filters and modulates sensory information transmission to the cerebral cortex

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8
Q

What disease is associated with the thalamus?

A

epilepsy

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9
Q

What is the function of the hypothalamus?

A

it controls the ANS, hormonal regulation via the pituitary; visceral response; internal homeostasis, and emotions

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10
Q

What is the function of the basal ganglia?

A

voluntary motor control

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11
Q

What disease is associated with the basal ganglia?

A

Parkinson’s disease - it is dysfunctional

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12
Q

What is the function of the limbic system?

A

It comprises the cingulate gyrus, hippocampal formation, and amygdala; emotions, social behavior, and memory

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13
Q

What are the steps in neurotransmitter release?

A
  1. Neurostransmitter synthesis
  2. Vesicular storage
  3. Enzymatic breakdown of non-vesicular neurotransmitter
  4. Exocytosis
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14
Q

What are the steps in neurotransmitter action?

A
  1. Auto-receptor feedback inhibition
  2. Postsynaptic receptor activation
  3. Deactivation by enzymatic breakdown
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15
Q

Anti-epileptics target what?

A

specific parts in the action potential phase

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16
Q

In the case of epilepsy, what is the synaptic cleft filled with?

A

glutamate

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17
Q

What are the different types of autoreceptors?

A

somatodendritic and presynaptic

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18
Q

Where are the norepinephrine cell bodies located?

A

locus coeruleus

lateral tegmental area

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19
Q

Where are the epinephrine cell bodies located?

A

the medulla

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20
Q

Where are the dopamine cell bodies located?

A

substantia nigra
ventral tegmental area
arcuate nucleus

21
Q

Where are the serotonin cell nodies located?

A

Raphe nuclei, pons, and medulla

22
Q

What are catecholaminergic neurons involved in?

A

movement, mood, attention, and visceral function

23
Q

What is the role of tyrosine in catecholaminergic neurons?

A

It is the precursor for three amine neurotransmitters that contain catechol group

24
Q

What three amine neurotransmitters is tyrosine precursors for?

A

Dopamine (DA)
Norepinephrine (NE)
Epinephrine (E, adrenaline)

25
Where are the dopaminergic pathways (what tracts)?
Nigrostriatal, mesocortical, mesolimbic, and tuberoinfundibular
26
_____ and ____ is caused by hyper dopaminergic transmission.
Elation, euphoria
27
What drugs modulate dopaminergic function?
neuroleptics
28
How is dopamine action terminated?
mainly by reuptake-domapine transporter (DAT) and degradation by monoamine oxidase-B (MAOB) and catechol-o-methyltransferase (COMT)
29
What are the distinct groups of dopamine receptors?
D1 group-D1, D5 | D2 like group - D2, D3, D4
30
What does the D1 group of dopamine receptors do?
stimulate adenylyl cyclase
31
What does the D2 like group receptors do?
inhibit adenylyl cyclase
32
What neurotransmitter is 5-HT associated with?
serotonin
33
What does 5-HT act on?
7 major types of receptors and 5-HT transporter (SERT)
34
What does 5-HT transporter do?
acts as the breaks
35
What do 5-HT enhancing drugs do?
they are effective modulators of behavior
36
What does norepinephrine do?
plays a key role in sleep, regulation of anxiety, mood, learning, and memory
37
Through what receptors does norepinephrine work?
alpha and beta adrenergic receptors
38
What kind of drugs enhance noradrenergic neurotransmission?
CNS stimulants, SNRIs, and TCAs
39
How does CL- work with the GABA-A receptor?
it flows into the neuron, hyperpolarizes, and dampens neuron excitability
40
Where are GABA receptors abundant?
in the Nigrostriatal pathway
41
What is the function of the majority of interneurons throughout the brain?
inhibit excitability, stabilize membrane potential, prevent repetitive and synchronous discharge of rapidly firing neurons (seizures)
42
What are Methylxanthines?
bronchodilators
43
What are the bronchodilators we mentioned in class?
Theophylline, caffeine, and theobromine
44
What are the pharmacologic actions of bronchodilators?
CNS stimulant Mild diuretic Respiratory muscle stimulant effects Smooth muscle relaxation
45
What is the mechanism of action of Methylxanthines?
1. Phosphodiesterase inhibition leads to the accumulation of cAMP 2. Reversible blockade of adenosine receptor
46
What are the side effects of Methylxanthines?
CNS excitement, seizures and restlessness Gastrointestinal disturbance- nausea and vomiting Cardiac dysrhythmia may occur in severe toxicity
47
Name a common source of theobromine poisoning.
chocolate
48
True or False: Methyxanthines act by stimulating adenosine receptors.
false
49
_____ region of the brain acts as a relay center.
Thalamus