Introduction to Pharmacology Flashcards

1
Q

What is pharmacodynamics?

A

Pharmacodynamics refers to the study of the pharmacological effects and the dose-response relationship of drugs, essentially what the drug does to the body.

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2
Q

What role do receptors play as drug targets?

A

Receptors are protein molecules that respond to endogenous mediators like hormones and neurotransmitters, playing a crucial role in cellular communication.

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3
Q

List the four categories of receptors.

A
  • Ligand-gated ion channels
  • G protein-coupled receptors
  • Kinase-linked receptors
  • Nuclear receptors
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4
Q

What are steroid hormones and how do they interact with nuclear receptors?

A

Steroid hormones, such as oestrogen, testosterone, and thyroid hormone, are lipid-soluble and can cross the plasma membrane to bind to nuclear receptors, initiating gene transcription.

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5
Q

What are ligand-gated ion channels?

A

Ligand-gated ion channels, also known as ionotropic receptors, allow for the passage of ions across the membrane, leading to fast cellular responses.

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6
Q

Describe G protein-coupled receptors (GPCRs).

A

GPCRs, also known as metabotropic receptors, are involved in various cellular functions through second messengers like cyclic AMP and phospholipase C.

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7
Q

What are kinase-linked receptors involved in?

A

Kinase-linked receptors are involved in growth factor signalling and include pathways like the RAS/MAP kinase and JAK-STAT pathways.

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8
Q

What is the function of nuclear receptors?

A

Nuclear receptors are intracellular receptors that modulate gene transcription in response to lipid-soluble compounds and hormones.

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9
Q

What are ion channels?

A

Ion channels are protein molecules that form pores in the membrane, allowing ions to pass through and are characterized by selectivity and gating properties.

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10
Q

How do drugs target enzymes?

A

Drugs can target enzymes by acting as prodrugs, inhibitors, or false substrates, affecting enzyme activity and metabolic pathways.

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11
Q

What role do transporters play as drug targets?

A

Transporters are protein molecules involved in the reuptake of neurotransmitters and can be targeted by drugs to treat conditions like depression.

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12
Q

What is drug selectivity?

A

Selectivity refers to the ability of a drug to preferentially act on a particular receptor type, leading to desired effects with minimal side effects.

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13
Q

Define drug affinity.

A

Affinity is the strength of the interaction between a drug and its receptor, influencing the concentration needed to produce a response.

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14
Q

What is drug potency?

A

Potency is the dose of a drug required to produce a desired clinical effect, influenced by affinity and other factors.

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15
Q

What does drug efficacy refer to?

A

Efficacy is the ability of a drug to produce the maximum response possible for a biological system.

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16
Q

How do drugs interact with receptors?

A

Drugs can interact with receptors as agonists, antagonists, or allosteric modulators, affecting receptor activity.

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17
Q

What is receptor regulation?

A

Receptor regulation involves changes in receptor number and function in response to drug stimulation.

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18
Q

What does pharmacokinetics encompass?

A

Pharmacokinetics refers to how the body acts on a drug, encompassing the physiological processes a drug undergoes as it enters and exits the body.

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19
Q

What factors affect drug absorption?

A
  • Route of administration
  • Physicochemical properties of the drug
  • Presence of food in the stomach
  • pH of the environment
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20
Q

Define bioavailability.

A

Bioavailability refers to the amount of an administered drug that reaches the systemic circulation intact.

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21
Q

What is bioequivalence?

A

Bioequivalence is the requirement for a generic drug to have the same pharmacokinetic profile as the brand name or proprietary drug.

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22
Q

What is the significance of plasma protein binding?

A

Plasma protein binding refers to the reversible binding of drugs to plasma proteins, affecting their distribution and pharmacological effect.

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23
Q

What does the volume of distribution indicate?

A

Volume of distribution is a pharmacokinetic parameter that describes the extent of drug distribution between plasma and tissues.

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24
Q

What is the role of absorption in pharmacokinetics?

A

Absorption is the process by which a drug enters the systemic circulation, influenced by various factors including the route of administration and the drug’s physicochemical properties.

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25
Fill in the blank: _______ refers to the biotransformation of the drug by the body to facilitate its removal.
[Metabolism]
26
True or False: Drug efficacy is more clinically important than drug potency.
True
27
What is the primary function of ligand-gated ion channels?
Allow passage of ions across the membrane, leading to fast cellular responses.
28
What are the different routes of drug administration?
Oral, topical, sublingual, parenteral, and rectal.
29
What physicochemical properties influence drug absorption?
Lipid solubility, size, and charge.
30
How does food in the stomach affect drug absorption?
It alters gut motility and blood flow.
31
What effect does pH have on drug absorption?
It affects the ionization of drugs.
32
What is the process of absorption?
It is influenced by the route of administration, physicochemical properties, and environmental pH.
33
What occurs when a tablet is swallowed?
It enters the stomach, undergoes disintegration or dissolution, and then moves to the small intestine for absorption.
34
What factors influence drug absorption in the gastrointestinal tract?
Gastric emptying rate, gastrointestinal motility, and drug formulation.
35
What is bioavailability?
The fraction of an administered drug that reaches systemic circulation intact.
36
What is the bioavailability of intravenous administration?
100% (F=1).
37
What is bioequivalence?
It ensures that generic drugs have the same pharmacokinetic profile as brand name drugs.
38
What are the key factors affecting drug absorption?
* Gut content * Blood flow to absorption site * Physicochemical properties
39
What are the characteristics of topical drug administration?
Includes cutaneous, transdermal, and inhaled routes, often minimizing systemic effects.
40
What is the significance of the blood-brain barrier in drug distribution?
It restricts access to the brain, allowing only lipid-soluble drugs or those with specific transporters to pass.
41
What is plasma protein binding?
The reversible binding of drugs to plasma proteins like albumin, affecting their distribution.
42
What is the volume of distribution?
It reflects the distribution of a drug between plasma and tissues, expressed in liters.
43
What is elimination in pharmacokinetics?
The combined processes of metabolism and excretion.
44
What role do CYP450 enzymes play in drug metabolism?
They are crucial in the biotransformation of drugs.
45
What is the primary route of drug excretion?
Renal clearance through urine.
46
What factors can alter the ADME processes?
* Age * Disease states * Drug interactions
47
What is the therapeutic range of a drug?
The concentration required to produce a minimum effective concentration (MEC) and maximum safe concentration (MSC).
48
What is the difference between first-order and zero-order kinetics?
* First-order: Elimination is proportional to drug concentration * Zero-order: Elimination is constant, regardless of concentration.
49
True or False: Only unbound drugs can exert pharmacological effects.
True.
50
Fill in the blank: Bioavailability is crucial in determining the target plasma concentrations in ______.
[clinical settings]
51
What happens to aspirin and pethidine in different pH compartments?
* Aspirin accumulates in basic compartments * Pethidine accumulates in acidic compartments.
52
What is the role of epinephrine when used with local anesthetics?
It prolongs their action by reducing systemic absorption.
53
What is ion trapping?
When there is a pH gradient between compartments, leading to drug accumulation.
54
What is the significance of the Henderson-Hasselbalch equation?
It is used to calculate the degree of ionization of drugs.
55
What is the effect of hypoalbuminemia on drug availability?
It can increase the amount of free drug available, potentially raising the risk of toxicity.
56
What is a prodrug?
A drug administered in an inactive form that is converted to an active form in the body.
57
What does renal clearance measure?
The volume of plasma from which a substance is completely removed by the kidneys per unit time.
58
What are the two main branches of the autonomic nervous system?
Sympathetic nervous system and parasympathetic nervous system ## Footnote The autonomic nervous system regulates involuntary body functions.
59
What is the primary function of the sympathetic nervous system?
Prepares the body for 'fight or flight' responses ## Footnote It increases heart rate and dilates pupils among other effects.
60
What is the primary function of the parasympathetic nervous system?
Promotes 'rest and digest' activities ## Footnote It decreases heart rate and constricts pupils.
61
What type of neurons are characteristic of the sympathetic nervous system?
Short preganglionic and long postganglionic neurons ## Footnote This arrangement is opposite in the parasympathetic nervous system.
62
What type of neurons are characteristic of the parasympathetic nervous system?
Long preganglionic and short postganglionic neurons ## Footnote This arrangement is opposite in the sympathetic nervous system.
63
Where do preganglionic neurons originate in the autonomic nervous system?
In the spinal cord and brain stem ## Footnote They synapse with postganglionic neurons that connect to target organs.
64
What neurotransmitter is released from all preganglionic fibers in the ANS?
Acetylcholine ## Footnote It is released by both sympathetic and parasympathetic systems.
65
What neurotransmitter do postganglionic parasympathetic fibers release?
Acetylcholine ## Footnote This is in contrast to postganglionic sympathetic fibers which release noradrenaline.
66
What neurotransmitter do postganglionic sympathetic fibers release?
Noradrenaline ## Footnote It binds to adrenergic receptors.
67
Name the two types of cholinergic receptors.
* Nicotinic * Muscarinic ## Footnote These receptors bind acetylcholine.
68
Name the types of adrenergic receptors.
* Alpha-1 * Alpha-2 * Beta-1 * Beta-2 * Beta-3 ## Footnote Each type has specific functions in the body.
69
What effect does alpha-1 adrenergic receptor activation have?
Smooth muscle contraction ## Footnote This is part of the sympathetic response.
70
What effect does beta-1 adrenergic receptor activation have?
Increases heart rate ## Footnote This receptor is primarily found in the heart.
71
What effect does beta-2 adrenergic receptor activation have?
Relaxes bronchial smooth muscle ## Footnote This aids in breathing.
72
What are some non-adrenergic, non-cholinergic neurotransmitters mentioned?
* GABA * 5-HT * Dopamine * Nitric oxide * Neuropeptide Y ## Footnote These neurotransmitters have various roles in the ANS.
73
What role does dopamine play in the autonomic nervous system?
Causes vasodilation in kidneys ## Footnote This is important for regulating blood flow and pressure.
74
What role does nitric oxide play in the autonomic nervous system?
Involved in gastric emptying and erection ## Footnote It acts as a signaling molecule in various processes.
75
Fill in the blank: Cholinergic receptors include _______ and muscarinic receptors.
nicotinic ## Footnote Nicotinic receptors are found at autonomic ganglia and neuromuscular junctions.