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