biology & pharm (1) Flashcards
what part of the brain is responsible for intellect and personality
frontal lobe
what is the junction between neurons
synapses
what is the small space between 2 neurons
synaptic cleft
what conducts impulses toward the synapse
presynaptic neurons
what conducts impulses away from the synapse
postsynaptic neurons
what binds with receptor sites on postsynaptic neuron to determine if another impulse will be generated
neurotransmitter
agonist vs. antagonist neurotransmitters
agonist is like a key inserted and turned to activate a response. an antagonist is like a key sitting and taking up space or “blocking” a response
what happens after a neurotransmitter is “used”
it is either INACTIVATED or returned to vesicles to be stored and used again (REUPTAKE)
what holds the neurotransmitter
a vesicle (like a mom and baby)
what stops the neurotransmitter from going back to the vesicle
re-uptake blocker
what makes more neurotransmitters to go back to vesicles
reuptake enhancer
what is an example of an antagonist
narcan, it blocks to that no more can enter
what is our cholinergic example
acetylcholine
what neurotransmitter is responsible for memory and big movement
acetylcholine
what can increased levels of acetylcholine cause
depression
what can decreased levels of acetylcholine cause
alzheimers
what class in norepinephrine in
monoamines
which neurotransmitter is responsible for fight/flight/freeze?
norepinephrine
what can decreased levels of norepinephrine cause?
memory loss, social withdraw, depression
what can increased levels of norepinephrine cause?
mania, schizophrenia, anxiety
what class is dopamine in
monoamines
what are actions that could occur with low dopamine
gambling, substances, depression
which neurotransmitter is implication in schizophrenia/mania in high levels
dopamine
what class is serotonin in
monoamines
what is the type of serotonin we look at
5-HT
which neurotransmitter is responsible for mood, aggression, appetite, libido, sleep, arousal, pain, suicidal ideation, judgement, coordination
serotonin
what class is histamine in
monoamines
which neurotransmitter is responsible for allergic and inflammatory reactions
histamine
what category is GABA in
amino acid
what does GABA do?
calms brain down
what can decreased GABA levels cause?
anxiety / mania
what category is glutamate in
amino acid
what is another name for glutamate?
NMDA
which neurotransmitter is responsible for the working memory?
glutamate (NMDA)
what can prolonged increased levels of glutamate cause?
neurotoxic -> alzheimers
what can decreased glutamate cause?
schizophrenia / psychosis
what can endorphins and enkalphine possibly be linked to
schizophrenia
what does increased substance P cause
more pain
what do decreased levels of substance P cause?
depression
which neurotransmitter is growth hormone
somatostatin
what does somatostatin initiate the release of?
dopamine, serotonin, norepinephrine, acetylcholine
what does somatostatin inhibit the release of?
norepinephrine, histamine, glutamate
what can decreased somatostatin lead to?
alzheimers
which kind of med stops neurotransmitters from going to vesicles
reuptake inhibitor
describe the action of SSRIs
inhibit serotonin from going back to cesicle, makes serotonin available at the synaptic cleft
example of an SSRI
prozac
how do serotonin dopamine antagonists (SDAs) work
takes up space in dopamine receptor
how do SNRIs work
more serotonin/norepinephrine available @ synapse
example serotonin dopamine antagonist
seroquel
example SNRI
cymbalta, pristiq
example dopamine reuptake inhibitor
provigil
what do vasopressin/ADH from the pituitary gland cause
alteration in secretion -> ploydipsia (schizo)
what from the pituitary gland is released in response to stress
cortisol
relationship between cortisol and immunity
increased cortisol means decreased immunity
what can growth hormone be linked to (makes no sense)
anorexia nervosa
dysfunction of what hormone affects behavior
thyroid stimulating hormone
hyper thyroid sx
insomnia, irritability, anxiety, restless, weight loss, labile-delirium, psychosis
hypo thyroid sx
fatigue, decreased libido, memory impairment, depression, SI
describe epigenetics
environmental factors / choices can change the health of the person AND their descendants
describe pharmacogenetics
genetic variation can lead to drug tolerability / responses
what test analyzes genes that affect response to antidepressants, antipsychotics, ADHD and pain meds
GeneSight Psychotropic
components of a SPECT scan
PET scan + CSF testing
what kind of test is a polysomnography
sleep
what is the concept of psychoimmunology?
more susceptible to physcial illness following exposure to stress/life event
what are fundamental beliefs we screen info with?
schemas