Module 2: Pathophysiology of Prostaglandins Flashcards

1
Q

What are prostaglandins?

A

Prostaglandins are lipid compounds that have hormone-like effects in the body.

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2
Q

True or False: Prostaglandins are derived from fatty acids.

A

True

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3
Q

Fill in the blank: Prostaglandins are synthesized from __________.

A

arachidonic acid

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4
Q

Which enzyme is primarily responsible for the conversion of arachidonic acid into prostaglandins?

A

Cyclooxygenase (COX)

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5
Q

What role do prostaglandins play in the body?

A

Prostaglandins are involved in various physiological processes, including inflammation, pain, and regulation of blood flow.

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6
Q

Describe the process that leads to prostaglandin production.

A
  1. Mast cell degranulation triggered by allergen binding to IgE antibodies attached to high-affinity IgE receptor on mast cell
  2. Intracellular phospholipase A2 enzyme acts on membrane phospholipids to prduce arachidionic acid
  3. Cox enzymes act on arachidonic acid to produce prostaglandins
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7
Q

Types of prostaglandins produced when COX-1 enzymes act on arachidonic acid.

A

prostaglandins that activate platelets and protect the stomach lining.

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8
Q

Types of prostaglandins produced when COX-2 enzymes act on arachidonic acid.

A

prostaglandins that are associated with inflammation.

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9
Q

True or False: NSAIDs primarily inhibit COX-1 enzymes.

A

False. They are non-selective.

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10
Q

What is the primary effect of COX-1 inhibition by NSAIDs?

A

Reduction of gastric mucosal protection and platelet aggregation

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11
Q

Which COX enzyme is primarily responsible for inflammation and pain?

A

COX-2

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12
Q

Multiple Choice: Which of the following is a common side effect of non-selective NSAIDs? A) Gastrointestinal bleeding B) Increased appetite C) Weight loss

A

A) Gastrointestinal bleeding

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13
Q

True or False: Selective COX-2 inhibitors are designed to minimize gastrointestinal side effects.

A

True

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14
Q

What is the mechanism by which NSAIDs exert their anti-inflammatory effects?

A

Inhibition of cyclooxygenase enzymes, leading to decreased prostaglandin synthesis

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