FFM-2 Mini 2 Flashcards
1) Selective B1 blocker with cardioselectivity
2) Given orally or IV
3) Partial crossing of BBB
4) Used in patients with COPD/asthma as no bronchoconstriction observed
5) Preferentially blocks B1 but at high enough dose, will begin to block B2
6) Used to treat angina, HTN
Metoprolol
1) Reversible anticholinesterase
2) Protect ACh from degradation from AChE
3) Crosses BBB
4) Treatment of glaucoma
5) Antidote to atropine
6) Treats paralytic bladder/ileus
Physistigmine
1) Persistent activation of nicotinic receptors
2) Used to relax skeletal muscle in surgery
3) Active within 1 min; lasts 30 minutes
4) Can cause hyperkalemia due to release of K+ into blood
Succynlcholine
Feature of Traumatic Fat Necrosis
Focal areas of fat destruction resulting from repeated blunt force trauma
Usually seen in female breast tissue
1) Reversible anticholinesterase
2) Acts more on CNA
3) Used in treatment of Alzheimer’s disease
Donepezil
Iron salts
Deferoxamine
Adrenal medulla
Neural Crest Cells
Predominant Tone:
Iris
Parasympathetic - cholinergic
Locations of a1 receptors
Radial muscle of eye
Arterioles of skin/viscera
Veins
Trigone/sphincter of bladder
Cyanide
Treatment?
Nitrites
Thiosulfates
Predominant Tone:
Heart
Parasympathetic - cholinergic
1) Favors B2 over B1
Metaproterenol
Define: Undoing
Erasing an unacceptable event in past by adoption of acceptable behavior in present or atonement/confession
Internal genital ducts (minus lower vagina)
Intermediate mesoderm derivative
Oxidizing agents
Treatment?
Methylene blue
Muscarinic receptors:
M3
Smooth muscles
1) Mixed a1, a2, B1, B2 receptor agonist
2) Indirectly will release NE from nerve endings
3) Can cause tachyphylaxis
4) Crosses BBB
5) Used as nasal decongestant and CNS stimulant
6) Used to treat bronchial asthma and nasal congestion
Ephedrine/Pseudoephedrine
Explain: Restriction
Restriction of participants to ONLY certain criteria
Blood vessels
Lateral mesoderm Splanchnic layer derivative
Feature of Coagulative Necrosis
Necrosis with cellular preservation of outlines and tissue
Inhibits choline reuptake into cell
Hemicholinium
1) Selective B3 receptor agonist
2) Used to relax detrusor muscle in bladder
3) Used in treatment of overactive bladder
Mirabegron
1) Selective a2 blocker
2) Competitive inhibition
3) Used primarily as sexual stimulant
4) Not used clinically
Yohimbine
Define: Acting out
Avoiding personally unacceptable feeling by behaving in attention-getting manner; usually social inappropriate manner
1) Nonselective B1/B2 blockers
2) Full blocking effect seen
3) Reduces production of aqueous humor in eye
4) Used in treatment of glaucoma (open-angle)
Timolol
Tanner Stages: Stage III
Males:
Females:
Males: Increase penis size with testicular enlargement
M/F: Dark, coarser, more curly hair
Females: Enlargement of areola and breast
Antagonist for Nn receptors
Tubocurarine
Curare derivatives
Smooth muscle
Lateral mesoderm Splanchnic layer derivative
Define: Denial
Not believing personally intolerable facts about reality
1) Direct action on cholinergic receptors
2) Able to cross BBB
3) Stimulates ONLY Nm
4) Used for emergency use in increased IOT (glaucoma)
Pilocarpine
1) Competative agonist at nicotinic receptors
2) Block affects of ACh without cellular depolarization
3) Used to relax skeletal muscles in surgery
4) Can cause respiratory paralysis at high enough doses
Pancuronium
Cyanide
Treatment?
Hydroxycobalamin
Schwanns cells
Satellite cells
Neural Crest Cells
Parotid gland
Surface ectoderm derivative
Predominant Tone:
GIT
Parasympathetic - cholinergic
1) Reverisible anticholinesterase
2) Long acting on AChE
3) Used in management of chronic MG
4) Usually lasts around 3-6 hours
Pyridostigmine
Explain: Matching
Pairing of individuals during sampling
Controls and close-match cases
Urinary bladder/urethra
Endoderm cell derivative
1) Blocks uptake of NE into synaptic terminal
2) Enhances NE sympathetic activity
3) Used as CNS stimulant
Cocaine
1) Used to block reflex changes in HR due to increased/decreased BP
2) Does NOT block reflex if direct acted upon
3) Rarely used in drug therapy
Trimethaphan
Postganglionic autonomic cells
Neural Crest Cells
1) Direct action on cholinergic receptors
2) Affects Nm more than Nn
3) Not therapeutically used
4) Used to dx bronchial hyperactivity/asthma
Methacholine
Define: Projective Identification
Pressuring others to feel your feelings
GI glands
Endoderm cell derivative
Notochord/Nucleus pulposus
Mesoderm derivative
Ways to control Confounding:
Design phase (3)
1) Randomization
2) Restriction
3) Matching
Sensory organs of inner ear
Surface ectoderm derivative
Predominant Tone:
Ciliary Muscles
Parasympathetic - cholinergic
1) Used to block reflex changes in HR due to increased/decreased BP
2) Does NOT block reflex if direct acted upon
3) Rarely used in drug therapy
Mecamylamine
1) Selective B1 receptor agonist; direct action
2) Increased force of contraction in heart (inotropic) with NO changes in chronotropic
3) Used in treatment of CHF/MI with failure
4) Can increase CO without need to increased O2 requirements for heart
5) Used for cardiogenic shock
Dobutamine
Predominant Tone:
Salivary glands
Predominant Tone:
Cholinergic
1) Selective a2 receptor agonist; direct action
2) Decreases outflow of ACh to periphery
3) Lowers BP, withdrawal effects from drugs
4) Used to treat open-angle glaucoma
5) Causes drowsiness, sexual dysfunction, Xerostomia/constipation
Clonidone/Apraclonidine
Ways to control Confounding:
Analysis phase (3)
1) Standardization
2) Stratified analysis
3) Multivariant Analysis
Iron
Chelator?
Deferoxamine
Deferasirox
1) Reversible anticholinesterase
2) Short action to protect ACh from AChE (10-20 minutes)
3) Used to Dx Myasthenia Gravis
Edrophium
Locations of Muscarinic receptors:
M3
GIT smooth muscle
Gq = increase IP3, DAG, Ca2+
Increase release of ACh into synapse
Latrotoxin (spider venom)
Define: Transference
Patient unconsiously deposits feelings/attitudes from past relationships/situations to present
Patient to provider
1) Similar to atropine
2) Used to treat motion sickness
Scopolamine
Odontoblasts/dentin
Neural Crest Cells
Irritant Gases
Treatment?
Humidified O2
Bronchodilators
Beta blockers
Treatment?
Glucagon
Feature of Liquefactive Necrosis
Necrosis with loss of cellular outline AND tissue architecture
Seen in brain
Define: Somatization
Turning unacceptable impulse/feeling into physical symptom
CO
Treatment?
100% O2
Define: Isolation of affect
Failing to experience feeling associated with stressful life event; logical understand SIGNIFICANCE of event
Dermis
Lateral mesoderm Somatic layer derivative
Lead/Mercury
Chelator?
Succimer
DSMA
Feature of Gangrenous Necrosis
Structureless tissue debris with no cellular outlines
Neutrophils (PMN’s)
Benzodiazapine
Treatment?
Flumazenil
Explain: Multivariant analysis (MANOVA)
Allows for adjustment of many variables at the same time to be analyzed
1) Cholinergic drug
2) Rapidly degraded by AChE within seconds
3) Will not cross BBB
4) Affects M3 receptors in various areas
5) Affects on M3 receptors yields contraction
Acetylcholine
Hydrogen sulfide
Treatment?
Nitrite
Lead
Chelator?
EDTA
Prostrate/bulbourethral glands
Endoderm cell derivative
1) Selective B1 blocker with cardioselectivity
2) Partial crossing of BBB
3) Used in patients with COPD/asthma as no bronchoconstriction observed
4) Preferentially blocks B1 but at high enough dose, will begin to block B2
5) Used to treat angina, HTN
Atenolol
Calculation of osmolar gap
(2*[Na]) + ([Glucose]/18) + ([BUN]/3)
Gonads
Intermediate mesoderm derivative
Locations of Muscarinic receptors:
M2
Heart
Gi; decrease cAMP
Tanner Stages: Stage V
Males:
Females:
Males: Adult size/shape of penis
M/F: Hair spread to medial surfaces of thighs
Females: Recession of areola to contours of breast; projection of papilla
1) Nonselective for a1, a2, B1 receptors; direct action
2) REFLEX bradycardia seen
3) Will increase BP and TPR
4) No change in pulse pressure noted
5) Used to treat vasodilatory shock; cardiogenic shock
Norepinephrine
1) REACTIVATOR of AChE
2) Will bind to anionic site of AChE
3) If given within 24 hrs, will reactivate AChE
Pralidoxime
Define: Pyknosis
Nuclear shrinkage
Define: Reverse Transference
Doctors feeling toward patient in uncharacteristic manner
Doctor to patient transference
Somatic motor nerves
Neuroectoderm derivative
Preganglionic autonomic nerves
Neuroectoderm derivative
1) Nonselective B1/B2 blockers
2) Can block a receptors as well
3) Vasodilation of peripheral = decreased overall BP
4) WILL NOT alter serum lipid/glucose levels
5) Used in HTN emergencies = no reflex tachycardia seen
6) C/I in asthmatics/COPD-ers and diabetics
Labetalol
D
U
M
B
B
E
L
S
S
Diarrhea
Urination
Miosis
Bradycardia
Bronchospasms
Emesis
Lacrimation
Sweating
Salivation
1) Directly acts on cholinergic receptors
2) Used predominantly in ocular solutions
3) Used to treat glaucoma
Carbachol
Greater vestibular glands
Endoderm cell derivative
Define: Dissociation
Separation of function of mental processes
1) Competative agonist at nicotinic receptors
2) Block affects of ACh without cellular depolarization
3) Used to relax skeletal muscles in surgery
4) Can cause respiratory paralysis at high enough doses
Mivacurium
Tanner Stages: Stage IV
Males:
Females:
Males: Further enlargement of testicles; glans penis develops
M/F: Adult hair type on smaller area
Females: Projection of areola and papilla
1) Antiadrenergic drug with indirect action receptors
2) Inhibits tyrosine hydroxylase
3) Used in treatment of pheochromocytoma
4) Adverse effects of orthostatic hypotension
Metyrosine
Acetaminophen
Treatment?
NAC
Explain: Stratified analysis
Further dividing of participants into a more narrow criteria
Epidermis/Epidermal appendages
Surface ectoderm derivative
Brain/spinal cord
Neuroectoderm derivative
1) Competative agonist at nicotinic receptors
2) Block affects of ACh without cellular depolarization
3) Used to relax skeletal muscles in surgery
4) Can cause respiratory paralysis at high enough doses
Rocuronium
Somatic sensory nerves
Neural Crest Cells
1) Mixed acting a1/a2 receptor agonist
2) Used as nasal decongestant
3) Causes SEVERE HTN
Phenylpropanolamine
1) Used to block reflex changes in HR due to increased/decreased BP
2) Does NOT block reflex if direct acted upon
3) Blocks bradycardia with use of phenylephrine
4) Rarely used in drug therapy
Hexamethonium
Some head/neck CT/dermis/bone
Neural Crest Cells
Antagonist for Nm
Hexamethonium
Mecamylamine
Nuclear changes seen in Necrosis
1)
2)
3)
1) Karyolysis
2) Pyknosis
3) Karyorrhexis
Mushroom poisoning with muscarinic excess symptoms
Treatment?
Atropine
Olfactory epithelium
Surface ectoderm derivative
Explain: Randomization
Equalizes proportions in treatment/control groups for many different characteristics
1) Selective a1 receptor blocker
2) HIGH FIRST PASS METABOLISM
3) Used as antiHTN; assist with urinary issues
4) Can cause orthostatic hypotension; HA/Dizziness
5) Cause sexual dysfunction and miosis
Prazosin
Tamsulosin
Terazosin
Doxazosin
Normal range of Anion gap
12-16 mEq/L
Muscarinic receptors:
M1
CNS/neurons
Mammary glands
Surface ectoderm derivative
Fluoride or Ca2+ blockers
Calcium
Limb bones
Lateral mesoderm Somatic layer derivative
Define: Regression
Appearance of childlike patterns of behavior during stressful situations
1) Nonselective for B1/B2
2) Partial blocking seen due to intrinsic sympathomimetic activity
3) Less bradycardia seen due to partial blockage
4) Minimal changes in plasma lipid concentration
5) Used in HTN with moderate bradycardia in DM
Pinodolol
Predominant Tone:
Sweat Gland
Sympathetic - cholinergic
Define: Social learning
Learn through observation
Bobo doll
Inhibits vesicular storage of ACh
Vesamicol
Dura mater
Mesoderm derivative
1) Releases large amounts of CE from nerve terminal
2) False NT - taken up as NT but converted into different agonist
3) Not used clinically
4) Found in fermented foods
5) Will precipitate “cheese reaction” if given with MAO-I’s
Tyramine
1) Synthetic Alkaloid
2) Competative antagonist at muscarinic receptors
3) Fewer side effects than atropine
4) Used as a bronchodilator
Ipratronium
1) Direct action on cholinergic receptors
2) Reversed by use of atropine
3) DUMBBELSS
Muscarine
Retina
Neuroectoderm derivative
Thyroid follicle cells
Endoderm cell derivative
Thymus
Endoderm cell derivative
Define: Rationalization
Giving seemingly reasonable explanations for unacceptable/irrational feelings
Define: Reaction formation
Denying unacceptable feelings and adopting opposite attitudes
Predominant Tone:
Veins
Sympathetic - adrenergic
Calculation of anion gap
(Na + K) - (Cl + HCO3)
1) Nonselective a1/a2 blocker; IRREVERSBLE
2) Prevents vasoconstriction; can cause reflex tachycardia
3) Used to block affects of CE release from pheochromocytoma tumor
4) Used to treat HTN, pheochromocytoma and Raynaud’s Disease
5) C/I in patients with decreased coronary perfusion
Phenoxybenzamine
Define: Operant conditioning
Learn through reinforcement or punishment
Methanol/Ethylene glycol
Treatment?
Ethanol
Fomepizole
Tympanic cavity and auditory tube
Endoderm cell derivative
Define: Intellectualization
Using the mind’s higher functions to avoid experiencing uncomfortable emotions
1) Blocks muscarinic receptors
2) Enters BBB
3) Blocks M3 receptors in eyes, GIT
4) Can enter CNS = cause hallucinations and disorientation
5) Used as preanesthetic; for bradycardia, and mydriasis/cycloplegia
Atropine
1) Irreversible anticholinesterase
2) Reacts with esoteric site of AChE
3) WIll undergo aging
Parathion
1) Derived from plant in SA
2) Competative agonist at nicotinic receptors
3) Block affects of ACh WITHOUT cell depolarization
4) Used to relax skeletal muscles in surgery
5) Respiratory paralysis if dose high enough
Tubocurarine
1) Nonselective a1, a2, B1, B2 receptor agonist
2) Will increase BP at high doses; can vasodepress at lower doses
3) Bronchodilation within lungs
4) Cause of hyperglycemia
5) Relaxation of smooth muscles in GIT; urinary retention
6) Cause of mydriasis
7) Used to treat bronchospasms/anaphylaxis; glaucoma; cardiac arrest
Epinephrine
Delirium from anticholinergic drugs
Treatment?
Physostigmine
1) Long duration of action
2) Will decrease overall cardiac workload - decreasing O2 requirements for patient with angina
3) Blocks vasodilation - decrease BP
4) Causes bronchoconstriction in lungs
5) Blocks epinephrine-induced fasting hypoglycemia
6) Used with HTN, Angina, Hyperthyroidism, Pheochromocytoma
Nadolol
Digoxin and related glycosides
Digoxin Abs
Tanner Stages: Stage II
Males:
Females:
Males: Testicular volume < 3mL; scrotal skin changes
M/F: Sparse growth of pubic hair along labia/penis
Females: Breast bud stage
Define: Classical conditioning
Learn through association
Pavlov’s dog
1) Alkaloid
2) Used to decrease bladder spasm/overactive bladder
Solifenacin
Narcotic drugs
Treatment?
Naloxone
1) Irreversible anticholinesterase
2) Reacts with esoteric site of AChE
3) WIll undergo aging
Malathion
Kidney/ureters
Intermediate mesoderm derivative
1) Indirect action on receptors
2) Will increase release of NE, Dopamine, Serotonin
3) Affects seen in CNS primarily; can be seen in PNS as well
4) Used as CNS stimulant - will increase BP and HR
5) Used to treat ADHD and narcolepsy
Amphetamine
Nicotinic receptors:
Nm
Seen at ALL NMJ
Neuroglial cells
1) Astrocytes
2) Oligodendrocytes
3) Ependymal cells
Neuroectoderm derivative
1) Nonselective B1/B2 blockers
2) Can block a receptors as well
3) Vasodilation of peripheral = decreased overall BP
4) WILL NOT alter serum lipid/glucose levels
5) Used in HTN emergencies = no reflex tachycardia seen
6) C/I in asthmatics/COPD-ers and diabetics
Carvedilol
Explain: Standardization
Comparison of rates among population with different underlying structures
1) Nonselective B receptor agonist; direct action
2) Increase HR and contractility
3) Will decrease TPR and BP
4) Does NOT cause hyperglycemia
5) Used for bronchodilation, heart blocks, and bradyarrythmias
6) C/I in ANY type of shock
Isoproterenol
Define: Splitting
Believing people/events are either bad/good because of intolerance of ambiguity
Skeletal muscles
Paraxial mesoderm derivative
Pia mater
Arachnoid mater
Neural Crest Cells
1) a2 agonist
2) Not a true NT - is converted into different type of a2 agonist
3) Functions to decrease tone
4) Used to treat HTN in pregnant women
Methyldopa
Tanner Stages: Stage I
Males:
Females:
Males: testiculr volume < 3mL
Females: No pubic hair; elevation of papilla only of breasts
Anal canal below pectinate line
Surface ectoderm derivative
1) Selective B2 receptor agonist; direct action
2) Used to relax uterine muscles in pregnant female patients (cessation of preterm labor)
Terbutaline/Ritrodine
Define: Projection
Attributing one’s personally unacceptable feeling to others
Liver
Endoderm cell derivative
Somatic/Autonomic ganglia
Neural Crest Cells
Define: Karyorrhexis
Nuclear fragmentation
1) Reversible anticholinesterase
2) Related to neostigmine
3) Used to treat open-angle/closed-angle glaucoma
Demercaium
Organophosphate ChE inhibitors
Treatment?
Pralidoxime
2-PAM
Anticholinesterase intoxication
Treatment?
Atropine
1) Irreversible anticholinesterase
2) Impossible to reverse once aging occurs
3) Stimulation of cholinergic receptors - paralysis
4) Produces mitosis in eyes
5) Used to treat chronic open-angle glaucoma
6) Organophosphate
Echothiophate
Inhibit release of ACh from vesicles into synapse
Botulinum toxin
1) Nonselective for B1/B2 - selectivity for B1
2) Partial agonist for B receptors
3) Less bradycardia seen due to partial blockage
4) Minimal changes in plasma lipid concentration
5) Used in HTN with moderate bradycardia in DM
Acebutolol
Define: Displacement
Transferance of emotions from UNACCEPTABLE to ACCEPTABLE person/object
Pancreas
Endoderm cell derivative
1) Selective a2 blocker
2) Primarily used as antidepressant
Mirtazapine
Axial skeleton:
1) Ribs
2) Vertebrae
3) Skull (minus bones from neural crest)
Paraxial mesoderm derivative
1) Nonselective B1/B2 FULL blocker
2) Can cross BBB
3) Decreases most activity within heart (HR)
4) Decreases BP due to vasodilation; decrease insulin causing hyperglycemia
5) Causes bronchoconstriction in lungs
6) Used with HTN, Angina, Hyperthyroidism, Pheochromocytoma
7) C/I in asthmatics, Diabetics, Prinzmetal angina
Propanalol
Submandibular/sublingual glands
Endoderm cell derivative
1) Nonselective a1/a2 blockers; competitive and reversible
2) Prevents vasoconstriction
3) Will cause reflex tachcardia
4) Used to treat HTN, pheochromocytoma and Raynaud’s Disease
5) C/I in patients with decreased coronary perfusion
Phentolamine
1) Selective B1 blocker with cardioselectivity
2) Partial crossing of BBB
3) Used in patients with COPD/asthma as no bronchoconstriction observed
4) Preferentially blocks B1 but at high enough dose, will begin to block B2
5) Used to treat angina, HTN
6) Shortest acting of B1 blockers with cardioselectivity
Esmolol
Predominant Tone:
Genital tract
Sympathetic and parasympathetic
Feature of Fibrinoid Necrosis
Extracellular degeneration with accumulation of fibrinoid tissue within injured vascular wall
Seen in endothelium; indication of SEVERE vascular injury
Feature of Caseous Necrosis
Necrosis with loss of tissue architecture and cellular outlines, but is FIRM in consitency
Seen with TB, Histoplasma
1) Selective B2 blocker
Butoxamine
Aorticopulmonary septum
Neural Crest Cells
Lens of eyes
Surface ectoderm derivative
1) Reversible anticholinesterase
2) Protects ACh from AChE
3) Intermediate acting on AChE
4) Does NOT enter CNS
5) Reversal agent for anethesia
6) Treatment for paralytic ileus/bladder
7) Used for treatment of symptomatic MG
8) Antidote for Tubocurarine/other NM blocking agents
Neostigmine
Predominant Tone:
Bladder
Parasympathetic - cholinergic
Muscarinic receptors:
M2
Heart predominately
1) Synthetic Alkaloid
2) Competative antagonist at muscarinic receptors
3) Unable to cross BBB
4) Blocks vagal inputs in heart
5) Reduce bronchial secretions in surgery
Glycopyrrolate
Ameloblasts/tooth enamel
Surface ectoderm derivative
Theophylline/caffeine/metaproterenol
Treatment?
Esmolol
Respiratory tract
Endoderm cell derivative
Feature of Enzymatic Fat Necrosis
Focal areas of fat destruction resulting from abnormal release of pancreatic enzymes
Cause from acute pancreatitis
Cardiotoxic drugs (tricyclic antidepressants)
Treatment?
Na Bicarb
Define: Identification
Unconscious patterning of one’s behaviors after that of someone more powerful
Melanocytes of skin
Neural Crest Cells
Aspirin
Treatment?
IV fluids
IV Bicarb
Gastric lavage
Adenohypophysis
Surface ectoderm derivative
1) Nonselective D1, B1, a1 agonist; direct action
2) Affects dependent on level of dose: low, D1; medium, B1, high, a1
3) Increase contractility/outflow from heart; renal blood flow; urine output
4) Used in treatment of cardiogenic/neurogenic shock
Dopamine
Copper
Chelator?
Penicillamine
Heart/cardiac muscle
Lateral mesoderm Splanchnic layer derivative
1) Selective B2 receptor agonist; direct action
2) Functions as bronchodilator; suppression of inflammatory mediators in lungs; increases mucocilliary clearance
3) Used in treatment of asthma, COPD, Hyperkalemia
4) Can cause hypokalemia and hyperglycemia
Albuterol/Terbutaline
Pirbuterol
Salmeterol
Formeterol
Sternum
Lateral mesoderm Somatic layer derivative
Nicotinic receptors:
Nn
Seen at ganglia and adrenal medulla
Neurohypophysis
Neuroectoderm derivative
Predominant Tone:
Arterioles
Sympathetic - adrenergic
1) B blocker with K+ channel blockage
2) Used in antiarrythmia cases
Sotalol
Lower vagina
Endoderm cell derivative
1) Direct action on cholinergic receptors
2) Stimulation of paralytic bladder/ileus
3) Used for congenital megacolon
4) Usually post-op or postpartum
Bethanechol
1) Selective a1 receptor agonist; direct action
2) Can elicit bradycardia with increase BP
3) Used as decongestant, with local anesthetics
4) Causes contraction of radial muscles of eye (mydriasis)
5) C/I due to increased BP; photophobia; and anginal pain
Phenylephrine
Methoxamine
Oxymetazoline
Define: Karyolysis
Nuclear dissolution
Locations of Muscarinic receptors:
M1
CNS
Gq = increase IP3, DAG and Ca2+
GIT Lining
Endoderm cell derivative
Adrenal cortex
Intermediate mesoderm derivative