Basic Science Concepts - Quiz 1 Flashcards

1
Q

PSNS works by releasing ___ which binds to ____ receptors

A

ACh; muscarinic

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2
Q

PSNS physiological response

A

SLUDD (Salivation, lacrimation, urination, defecation, digestion)

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3
Q

SNS works by releasing ___ which binds to ____ receptors

A

NE and E; adrenergic receptors

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4
Q

SNS physiological response

A

Increased BP, HR, and bronchodilation

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5
Q

Muscarinic agonist action?

A

Increased SLUDD

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6
Q

Nicotinic agonist action?

A

Increased HR and BP

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7
Q

Nicotinic antagonist action?

A

Neuromuscular blockade

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8
Q

A-1 agonism? antagonism

A

Agonist: Smooth muscle vasocontriction, Increased BP
Antagonism: Smooth muscle vasodilation, Decreased BP

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9
Q

a-2 agonism? antagonism?

A

Agonist: Decreased release of E and NE, decreased BP and HR
Antagonism: Increased BP and HR

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10
Q

b-1 agonism? antagonism?

A

Agonist: Increased myocardial contractility, CO, HR
Antagonist: Decreased CO and HR

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11
Q

b-2 agonist? antagonism?

A

Agonist: bronchodilation
Antagonist: Bronchoconstriction

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12
Q

Dopamine agonist? antagonsit?

A

Agonist and antagonist: Renal, cardiac, CNS effects

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13
Q

Serotonin agonist? antagonsit

A

Platelet, GI, and psychiatric effects

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14
Q

Enzyme that breaks down Ach?

A

Achetylcholinesterase

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15
Q

Enzyme that converts angiotesin I to II?

A

ACE

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16
Q

Enzyme that breaks down L-DOPA?

A

COMT

17
Q

What is the function of COX enzyme?

A

Converts arachidonic acid to prostagladins (inflammation) and thromboxane A2 (platelet aggregation)

18
Q

Enzyme that breaks down catecholamines?

A

MAO

19
Q

What is PDE

A

Enzyme that breaks down cGMP, a smooth muscle relaxant

20
Q

What converts vit K to its active form?

A

Warfarin

21
Q

What is xantine oxiase?

A

Breaks down hypoxanthine to xanthine and xanthine to urate

22
Q

What are the emergencies that occur with catecholamine accumulation?

A

HTN crisis and seratonin syndrome

23
Q

Identify drug class

A

B-lactam, penicillin

24
Q

Identify drug class

A

B-lactam, cephalosporin

25
Q

Identify drug class

A

b-lactam, carbapenum

26
Q

Identify drug

A

Aztreonam, similar to b-lactams but no cross reactivity

27
Q

What are the 3 main forms of drug degradation?

A
  1. Oxidation-reduction
  2. Hydrolysis
  3. Photolysis
28
Q

What is redox?

A

Loss in electrons and reduction is gain

29
Q

What are visible signs of oxidation?

A

Color change

30
Q

How do you prevent oxidation?

A
  1. Light protection
  2. Temperature control
  3. Antioxidants (free radical scavangers)
31
Q

What is hydrolysis?

A

Occurs hen water causes the cleavage of a bond in a molecule

32
Q

Functional groups susceptable to hydrolysis?

A
  1. Esters (OR-)
  2. Amides (Nitrogn)
  3. Lactams (b-lactam)
33
Q

How do you prevent hydrolysis?

A

Desiccants

34
Q

How do you prevent photolysis?

A

Light protection

35
Q

Compounds that are sussceptible to photolysis?

A
  1. Ascorbic acid
  2. Folic acid
  3. Nitroprusside
  4. Phytonadione