CA1 Flashcards

1
Q

Sinoatrial node

A

Accelerates

Beta 1 and beta 2

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2
Q

GI walls

A

Relaxes

Beta 2 and alpha 2

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3
Q

Ectopic pacemakers

A

Accelerates

Beta 1 and beta 2

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4
Q

Contractility

A

Increases

Beta 1 and beta 2

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5
Q

Skin, splanchnic vessels

A

Contracts

Alpha

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6
Q

Skeletal muscles

A

Both contracts and relaxes

Relaxes : beta 2
Contracts : alpha

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7
Q

Bronchiolar smooth muscle

A

Relaxes

Beta 2

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8
Q

Sphincters

A

Contracts

Alpha 1

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9
Q

Secretion

A

Inhibits

Alpha 2

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10
Q

Cholinergic is generally associated to

A

Parasympathetic

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11
Q

Examples of cholinergic receptors are

A

Nicotinic and muscarinic

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12
Q

What does the parasympathetic control

A

Rest and digest

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13
Q

What is the endogenous ligand for cholinergic receptors

A

Acetylcholine

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14
Q

What is the endogenous ligand for sympathetic

A

Epinephrine or norepinephrine

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15
Q

How many alpha receptor antagonist are there

A

3

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16
Q

What are the alpha antagonists

A

Alpha 1 Selective , alpha 2 selective , non selective,

17
Q

How many beta receptor antagonists are there

18
Q

What are the beta antagonists

A

Non selective (1st gen), beta 1 selective (2nd gen), beta 1 selective (3rd gen), non selective (3rd gen)

19
Q

How many types of adrenergic agonists are there

20
Q

What are the types of adrenergic agonists

A

Indirect acting
Direct acting
Mixed acting

21
Q

What are the 4 types of indirect acting agonists for adrenergic receptors

A

MAO (monoamine oxidase)
COMT ( catechol O methyltransferease)
Releasing agents
Uptake inhibitor

22
Q

Is alpha 1 inhibotry or excitatory

A

Excitatory

23
Q

Is alpha 2 excitatory or inhibitory

A

Inhibitory

24
Q

Is beta 1 excitatory or inhibitory

A

Excitatory

25
Q

Is beta 2 excitatory or inhibitory

A

Inhibitory

26
Q

What is the affinity for beta 2 like

A

Affinity for only epinephrine

27
Q

What is the gene affected by polymorphism for PD

A

HLA-B*1502 (adverse rxns)
VKORC1 and HER2 (therapeutic effect)

28
Q

What is the gene affected by polymorphism for PK

A

Phase 1 : CYP2C19, CYP2C9, CYP2D6 (drug metabolism)
phase 2 : UGT1A1 (drug metabolism)
OATP1B1 (transporters)

29
Q

What are the methods to increase cholinergic effect

A
  1. Increase agonists
  2. Reduce cholinesterase
30
Q

How many types of anti cholinergic drugs are there

31
Q

What are the 3 cholinergic antagonists

A
  1. Cholinesterase regenerator
  2. Anti muscarinic
  3. Anti nicotinic
32
Q

What are the 2 types of anti muscarinic drugs

A

M1 selective and non selective

33
Q

What are the 2 types of anti nicotinic drugs

A

Neuromuscular and ganglion blockers

34
Q

What kind of protein are muscarinic receptors

35
Q

What kind of proteins are nicotinic rceptors

A

Ion channels

36
Q

What type of proteins are adreneergic receptors

37
Q

What happens to the heart during sympathetic and how

A

Increase heart rate and contraction force

Beta 1

Constriction of blood vessels

Alpha 1

38
Q

What happens to the lungs during sympathetic and how

A

Dilation of brionchioles

Beta 2

39
Q

What happens to the GI during sympathetic and how

A

Sphincter contract alpha 1

Decrease motility movement alpha 2 and beta 2

Inhibit dsecretion alpha 2