Biological Basis of Mental Disorders Flashcards

1
Q

What are the factors implicated in psychiatric disorders

A

Genetic, Biochemical, Enviornment

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2
Q

What catecholamines are important neutransmitters in brain disease theory

A

Norepinephrine and Dopamine

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3
Q

What is the compound 5-HT

A

Serotonin

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4
Q

What norepinephrine cell body has a part in mood and sleep, what does it mediate

A

Locus coeruleus/ Anxiety, dilated pupils, tremor, sweating, tachycardia

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5
Q

What mental changes or physical changes can norepinephrine cause if it goes to the frontal cortex, limbic system, cerebellum, spinal cord

A

Depression and attention, energy levels (agitation) and emotion, tremor, blood pressure

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6
Q

What dopamine pathway causes GOOD FEELINGS, what disease is associated with this pathway, what other event is associated with this pathway

A

Tegmentum to nucleus accumbens (mesolimbic), Schizophrenia, drug abuse

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7
Q

What dopamine pathway is also associated with schizophrenia, what thought process is done with this pathway

A

Tegmentum to the cortex (mesocortical), reasoning

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8
Q

T/F: The tuberoinfundibular pathway is associated with release of pituitary hormones and starts from the hypothalmus (hyperprolactinemia)

A

True

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9
Q

What cell body does a large amount of serotonin regulation, what happens when serotonin travels to the frontal cortex, basal ganglia, limbic, hypothalmus, spinal cord

A

Raphe nucleus, Mood, akathisia (movement) and OCD, anxiety, appetite, sexual dyfunction

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10
Q

How dose serotonin cause nausea and vomiting

A

Bind to the 5-HT3 pathways as agonists

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11
Q

What is the dopamine hypothesis of schizophrenia

A

functional overactivity in mesolimbic dopamine pathway and functional hypoactivity in mesocortical dopamine pathway

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12
Q

What are weakness of antipyschotics

A

Block dopamine receptors acutely but therapeutic effect not seen until 2-6 weeks into treatment, difficult to demonstrate functional dopamine abnormalities in untreated schizophrenic patients

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13
Q

T/F: Mesolimbic pathway overactivity leads to the negative symptoms of schizophrenia while hypoactivity of the mesocortical pathway causes positive symptoms

A

False: MESOLIMBIC pathway overactivity leads to POSITIVE symptoms of schizophrenia while hypoactivity of the MESOCORTICAL pathway causes NEGATIVE symptoms

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14
Q

What is the glutamate hypothesis of schizophrenia

A

functional hypoactivity in brain glutamated mediated by NMDA receptor resulting in a functional hyperactivity in dopamine

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15
Q

What is the spectrum of exictation by glutamate

A

normal excitation -> excess excitaiton/mania and panic -> exictotoxicty/damage to neurons -> excitotoxicity/slow neuro-degeneration-> excitotoxicity/catastrophic neurodegeneration

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16
Q

What is the neurodevelopmental hypothesis of schizophrenia

A

Abnormal migration in-utero results in synaptic disorganization (mother is five months pregnant)

17
Q

What is the monoamine hypothesis for depression

A

Decrease in norepinephrine and/or serotonin transmission

18
Q

What is the monoamine hypothesis for mania

A

Increase in norepinephrine or serotonin transmission

19
Q

T/F: When there is decrease of monoamine receptors there is better control of depression symptoms

A

True

20
Q

What is the surprising fact about ketamine

A

While working through NMDA receptors it can be dosed to treat immediate antidepressent effect in depression and manic depression, immediately reduce suicidal thoughts