Drugs and the gut L3 Flashcards

1
Q

where can peptic ulcers form

A

stomach ulcers

duodenal ulcers

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2
Q

symptoms of peptic ulcers

A

abdomen, neck, back pain
bleeding
indigestion
heartburn

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3
Q

main place of gastric secretion

A

fundus

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4
Q

where in the gastric pit are mucus cells (neck cells)

A

higher up

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5
Q

which too cells are close together in the gastric pit

A

chief cells and parietal cells

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6
Q

what do chief cells do

A

secrete pepsinogen

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7
Q

what do parietal cells secrete

A

HCL

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8
Q

what enzyme allows CO2 and H2O to react

A

carbonic anhydrase

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9
Q

what causes alkaline tide

A

outflow of HCO3-

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10
Q

how are H+ ions pumped into the lumen

A

in exchange for K+ via proton pump

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11
Q

things that can cause peptic ulcers (2)

A

NSAID

bacterial infections

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12
Q

what pH is needed for stomach healing

A

> 3

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13
Q

what type of bacteria is heliobacter pylori

A

G negative

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14
Q

how do bacteria cause ulcers

A

disrupts the lining of the stomach—> stomach acid infiltrates

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15
Q

what do PPIs do

A

decrease H+ secretion by parietal cells

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16
Q

positive of PPIs

A

few side effects

17
Q

how are PPIs given (drug form)

A

prodrugs

18
Q

what inhibition do PPIs cause

A

irreversible inhibition of H+ pump via ATPase

19
Q

What is combined with a PPI

A

antibiotic

20
Q

e.g of antibiotic used in PPI

A

Amoxicillin

21
Q

what can be given with NSAIDs to prevent ulceration

A

misoprostol

22
Q

Hyoscine=

A

blocks Ach receptors
(muscarinic receptor antagonist)
used for motion sickness

23
Q

Name 2 H-1 receptor antagonists

A

cyclizine

cinnarizine

24
Q

cinnarizine=

A
Histamine receptor antagonist 
motion sickness (vomiting)
25
Q

cyclizine=

A
histamine receptor antagonist 
motion sickness (vomiting)
26
Q

what can be used to treat morning sickness

A

promethazine

27
Q

5HT-3 receptor antagonists are used for

A

to prevent chemotherapy and radiotherapy induced nausea and vomiting

28
Q

2 examples of D2 receptor antagonist

A

Metaclopramide

domperidone

29
Q

D2 receptor antagonists are used for

A

GI symptoms and cytotoxic therapy