depression Flashcards

1
Q

What system is implicated in emotions

A

limbic system

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2
Q

what system is implicated in motivation

A

mesocorticolimbic dopamine system

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3
Q

What other parts of the brain are included in the limbic brain?

A

amygdala, hippocampus, basal ganglia, cingulate gyrus

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4
Q

In a person with MDD, describe engagement of the limbic regions and motivational regions

A

increased engagement in limbic

decreased in motivational (striatum)

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5
Q

Which neurotransmitters are implicated in the amine hypothesis of depression?

A

dopamine, norepinephrine, seotonin (monoaminergic)

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6
Q

What may cause depression by inadequate monoamine neurotransmission?

A

less neurotransmitter release
fewer receptors
impaired signal transduction

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7
Q

What is reserpine and how does it cause depression?

A

hypertensive drug

depletes neurons of dopamine and norepinephriine transmitters

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8
Q

What is ipronazid and how does it work?

A

Inhibits monoamine oxidase which breakdowns monoamines, alleviating repression

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9
Q

What does the glutamate hypothesis suggest?

A

reduction in glutamatergic signalling in cortex

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10
Q

Which drug must be taken with a low tyramine diet?

A

ipronazid

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11
Q

What SSRIs?

A

selective seratonin reuptake inhibitors

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12
Q

What SNRIs?

A

serotonin norepinephrine reuptake inhibitors

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13
Q

What is an example of a selective reuptake inhibitor

A

fluoxetine

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14
Q

What us ketamine

A

noncompetitive NMDA receptor antagonist

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15
Q

What is the major side effect of ketamine

A

hallucinogenic

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16
Q

What are the limitations of ketamine ?

A

narrow TI index

17
Q

What is rolipram

A

phosphodiesterase inhibitor that increases cAMP, good for depression