Neuro/pharm Flashcards

1
Q

Norepinephrine: change in dz

A

A neurotransmitter that activates the sympathetic response to stress, increasing heart rate (HEART) , rate of respiration, and blood pressure in support of rapid action. Also known to excite the INTESTINES and UROGENITAL tract. Low amounts are linked to depression, manic behavior.
Norepinephrine inhibits the firing of neurons in the central nervous system, but it excites the HEART muscle, INTESTINES, and UROGENITAL tract. Stress stimulates the release of norepinephrine. This neurotransmitter also helps to control alertness. Too little norepinephrine is associated with depression, and too much triggers agitated, manic states. For example, amphetamines and cocaine cause hyperactive, manic states of behavior by rapidly increasing brain levels of norepinephrine.

Increase anxiety
Decrease depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dopamine: describe change in dz

A

Neurotransmitter that influences voluntary movement, attention, alertness; lack of dopamine linked with Parkinson’s disease; too much is linked with schizophrenia. Low levels are associated with Parkinson’s Disease where the physical movement is deteriorated. High levels are associated with Schizophrenia.Increase hodgkins dz
Decrease Parkinson’s
Decrease depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

5-HT (serotonin receptor)

A

A neurotransmitter that affects hunger,sleep,arousal,and mood. appears in lower than normal levels in depressed persons. Teams with acetylcholine and norepinephrine. Lowered levels of Serotonin area associated with depression. contributor to feelings of well-being and happiness

Increase Parkinson’s
Decrease anxiety
Decrease depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ach, describe change in dz

A

Neurotransmitter used to control activity, including movement, memory, attention, and dreaming. Usually stimulates the firing of neurons. Low levels are linked to Alzheimers Disease

Increase Parkinson’s
Decrease Alzheimer’s
Decrease Huntington dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GABA, describe change in dz

A

Found in the central nervous system and keeps neurons from firing to help control signals being carried from one neuron to the next. 1/3 of the brains synapses. Low levels are linked to anxiety.
Reduces neural excitability
Decrease anxiety
Decrease Huntington dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe Parkinson’s dz

A

Degenerative disorder of CNS associated with Lewy bodies and loss of dopaminergic neurons (de pigmentation) of substantial nigra.

TRAPS your body- Tremor, cogwheel Rigidity, Akinesia, Postural instability, Shuffling gait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe huntington dz

A

Autosomal dominant trinucleotide repeat disorder on chromosome 4. Age 20-50 with aggression, depression, dementia. Decrease levels of GABA and Ach in the brain.

Caudate loses Ach and GABA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe alpha 1 adrenergic receptor. G protein class? Major fxns

A

ActivAtion in smooth muscle a
Of blood vessels to leads to vasoconstriction of both arteries and veins leading to increase BP seen in sympathetic response (INCREASE VASCULAR SMOOTH MUSCLE). INCREASE PUPILLARY DILATOR MUSCLE. INCREASE INTESTINAL AND B,ADDER SPHINCTER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe alpha 2 adrenergic receptor. G protein class, Major fxns

A

i. Decrease SMPATHETIC OUTFLOW (inhibit norepi). Decrease INSULIN RELEASE, LIPOLYSIS. increase PLATELET AGGREGATION.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe beta 1 adrenergic. G protein class, major fxns

A

s. Increase HR ( at the SA node. Chronotropic effects and leads to increased cardiac output), contractility, renin release, LIPOLYSIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe beta 2 adrenergic. G protein class, major fxns

A

s. Vasodilation, bronchodilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe -azole. Category. Example

A

Antimicrobial. Ergosterol synthesis inhibitor. I.e. Ketoconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

-bendazole. Category. Example

A

-bendazole. Antimicrobial. Anti parasitic. I.e. Mebendazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

-cillin. Category. Example

A

Peptidoglycan inhibitor. Antimicrobial. I.e. Penicillin/ampicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

-cycline. Describe. I.e.

A

Antimicrobial. Protein synthesis inhibitor. Tetracycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

-ivir. Describe. I.e.

A

Antimicrobial. Neuraminidase inhibitor. I.e. Oseltamivir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

-navir. Describe. I.e.

A

Protease inhibitor i.e. Ritonavir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

-ovir. Describe. I.e.

A

DNA polymerase inhibitor i.e. Acyclovir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

-thromycin. Describe. I.e.

A

Antimicrobial. Macrolides antibiotic i.e. Azithromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hindbrain

A

Division which includes the cerebellum, Pons, and medulla; responsible for INVOLUNTARY processes: blood pressure, body temperature, heart rate, breathing, sleep cycles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Brainstem

A

The part of the brain that controls functions including HEART rate, BREATHING, and BODY TEMP; includes midbrain, pons, and medulla oblongata. Connects the spinal cord at its lower end and then extends upward to encase the reticular formation of the mid brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Midbrain

A

A small structure between the hindbrain and forebrain that relays information from the EYES, EARS, and SKIN and that controls certain types of automatic behavior. Nerve fiber systems ascend and descend to connect the higher and lower portions of the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

forebrain

A

The brain’s largest division and its most forward section. Top of the brain which includes the thalamus, hypothalamus, and cerebral cortex; responsible for EMOTIONAL REGULATION, COMPLEX THOUGHT, MEMORY ASPECT OF PERSONALITY.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

limbic system

A

A doughnut-shaped system of neural structures at the border of the brainstem and cerebral hemispheres; associated with emotions such as FEAR and AGGRESSION and drives such as those for food and sex. Includes the hippocampus, amygdala, and hypothalamus. A loosely connected network of structures under the cerebral cortex.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Describe ACE inhibitors, give examples and Side effecs
inhibit conversion of angiotnsin I to angiotensin II, decreasing aldosterone and sodium/water intake to decrease BP. ie. -pril lisinopril side effects: release of bradykinin which is a vasodilator causing a DRY (NON PRODUCTIVE) COUGH.
26
describe beta blockers, what class, give examples, and contraindiciations
Class II drugs. decrease HR and speed of conduction. ie. atenelol, metropolol --> cardioselective propanolol --> non-cardioselective CONTRAINDICATIONS- CHF, asthma, diabetes, heart block
27
describe HCTZ
thiazide, diuretic. Inhibit Na reabsorption causing loss of Na. DANGER: can cause hypoKALEMIA causing muscle problems
28
describe verapamil, nifedipine, amlodipine. What class of drugs are these?
``` Ca Channel BLocker, class IV. inhibit Ca from smooth muscle and myocardium during depolarization. produces relaxation of coronary smooth muscle. SIDE EFFECTS: constipations, flushing edema, CV effects ```
29
describe mechanism of nitroglycerin, isosorbide, dinitrate.
Endothelial cell produce NO--> A guanyl cyclase --> GTP --> CAMP--> De-P of light chain myosin --> RELAXATION of all smooth muscle--> dilation of veins/arteris to DECREASE prelaod, O2 demand. DANGER: reflex tachycardia & increase PR! use with beta blockers
30
Name the 6 lipid lowering drug groups
Ezetimibe, statins, niacin, bile acid resins, fibrates, cardiac glycosides.
31
name the 12 cranial nerves
you know these
32
name nerves for eyes
you know these
33
describe pathway for V1 of which nerve?
trigeminal. V1: cavernous sinus--> superior orbital fissure--> orbit.
34
describe pathway for V2 of which nerve
trigeminal. V2--> rotundum--> pterygopalatine fossa --> all things maxillary
35
describe pathways for V3 of which nerve
trigeminal. V3--> ovale --> infratemporal fossa--> all things mandibular.
36
name 9 movement disorders
Hemiballismus, chorea, athetosis, dystonia, essential tumor, resting tremor, intention tremor
37
which movement disorder is associated with wild flailing with ipsilateral leg movement
hemiballismus
38
which movement disorder shows sudden jerky purposeless movement. where it is found?
chorea= dancing. found in basal ganglie (voluntary movement/ postural stance)
39
athetosis?
wrthing movements especially in fingers, snake-like
40
resting tremor
uncontrolled movements of distal appendages like hands. seen in parinsons.
41
describe epidural hematoma
rupture of middle meningeal artery (branch of maillxary artery). NOT cross surture lines
42
describe subdural hematoma
rupture of BRIDGING VEINS. SLOW venous bleeding, CROSSES suture lines.
43
describe subarachnoid hematoma
rupture of ANEURYSM. assocaited with MARFAN, EHLERS DANLOS. "worst headache of my life"
44
what is term for acute blockage of vessels which can result in liequfactive necrosis. name 3 types
ischemic stroke. 3 types: thrombotic, embolic, hypoxic. thrombotic at direct site (usually MCA), emobolic (usually from cardioembolic).
45
Name the 6 adult primary brain tumors. (GM, Mioma,Hblastoma, Schwan, oligo, PA. )
glioblastoma multiforme, meningioma, hemangioblastoma, schwannoma, oligodendroglioma, pituitary adenoma.
46
Name the 4 childhood primary brain tumors
pilocytic astrocytoma, medulloblastoma, ependymoma, craniopharygnioma
47
Describe the 4 kinds of meningomyelocele
Normal. Spins bifida occulta (failure of bony spine to close, assoc with tuft of hair), meningocele (meninges herniated through spinal canal), meningomycelocele (meninges and spinal cord herniated through spinal canal).
48
Name the 6 big Neurotransmitters and location
Norepinephrine( pons), dopamine (midbrain), 5HT (raphe nucleus), Ach (basal nucleus of Meyers), GABA (nucleus accumbens).
49
Describe change in dz of Norepi and dopamine
Norepi=HIGH in anxiety, LOW in depress | Dopamine= HIGH huntingtons, LOW in parkinson, LOW depression
50
Describe change of dz in 5HT and aCh, GABA
``` 5HT= HIGH in parkinson, LOW anxiety and depress Ach= HIGH in parkinson, LOW in Alzheimer's, LOW huntingtons GABA= LOW anxiety, huntingtons ```
51
Describe hypothalamus
TAN HATS | Thirst, Adenohypophysis neurohypophysis, hunger, autoimmune, temperature, sexual urges
52
Describe REM sleep
``` "At night, BATS Drink Blood" Beta- awake eyes open Alpha- awake eyes close Theta- Light sleep Sleep spindles and K complexes- deeper sleep Beta- R.E.M. Sleep loss of motor tone. ```
53
Describe limbic system
The Famous F's | Feeding, fleeing, fighting, feeling, fucking
54
Describe kluver Bucy syndrome, wenicke korsakoff syndrome
Kluver bucy due to bilateral amygdala lesion. Wernicke due to thiamine B1 deficiency. Wernicke comes in CAN of beer (confusion, ataxia, nystagmus).
55
Describe conduction, transcortical motor, transcortical sensory, and mixed transcortical brain lesions.
1. Conduction CAN speak, CANT repeat 2. Transcortical motor CAN comprehend, CAN repeat 3. Transcortical sensory CAN speak, CANT comphrend, CAN repeat 4. Mixed transcortical CANT speak, CANT comprehend, CAN repeat.
56
Draw out circle of willis
Draw
57
Describe Acomm and Pcomm effects of strokes
Acomm most common lesion is aneurysm. Saccular berry aneurysm can impinge on cranial nerves causing visual defects Prom common site of saccular aneurysm causing CN III palsy
58
Describe Berry aneurysm
Most common site is junction of anterior communicating and anterior cerebral artery. Described "Worst headache of life"
59
Describe the types of intracranial hemorrhages
Epidural (rupture of middle meningeal a., doesn't cross suture lines, cross falx tentorium). Subdural (slow bleed, can cross suture lines, cannot cros falx tentorium) Subarachnoid (rupture of an aneurysm seen in Marfan, ehler danlos) Intraparenchymal (systemic hypertension)
60
Draw out dural venous sinuses
Draw
61
Describe hydrocephalus
Communication (nonobstructive)= 1. normal "wet, wobbly, wacky" 2. Hydrocephalus ex vacuum INCREASE in CSF in atrophy with normal intracranial pressure. 3. Communicating DECREASE in CSF and INCREASE in intracranial pressure
62
Describe findings of MS
INCREASE protein IgG in CSF. Periventricular plaques with destruction of axons.
63
What are the 4 big neurocutaneous disorders
Sturge-Weber syndrome Tuberous sclerosis Neurofibromatosis Type I (Von recklinghausen)=cafe au lait spots, lisch nodules Von hippel Lindau
64
List the 4 NeuroCutaneous disorder
Sturge-Weber syndrome, tuberous sclerosis, Neurofibromatosis Type 1 (Von Recklinghausen dz), Von hippel Lindau
65
Describe Skeletal, cardiac, ocular, pulmonary, skin Characteristics of Marfans Syndrome. Mutation of what?
``` Mutation of Fibrillin-1 which is req'd for tissue elasticity and integrity. SKELETAL: body habitus OCULAR: ectopic lentils PUMLONARY: pneumothorax SKIN: incisional hernia ```
66
Sturgeon Weber Syndrome
"STURGE" Sporadic (not inherited but random), port-wine Stain, Tram Track Ca2+ (leptomeningeal angioma calcifications), Unilateral, Retardation, Glaucoma, Epliepsy
67
Tuberous Sclerosis
"HAMARTOMAS" Hamartoma in CNS, Angiofibromas everywhere on skin, Mitral Regurgitate, Ash-leg spots, cardiac Rhabdomyoma, (Tuberos sclerosis), autosomal dOminant, Mental retardation, Angiolipla (histologically), Seizures, Shagreen patches
68
Neurofibromatosis 1 (Von recklinghausen dz)
Mutated NF1- gene. Neurofibromas of Schwann cell origin from neural crest cells. Cafe au lait spots, lisch nodules in eye (pigmented iris hamartoma),
69
Name the 6 spinal cord lesions..
``` Poliomyelitis MS Lateral sclerosis Tabes dorsalis Syringomyelia*** B12 or Vit E deficiency ```
70
Poliomyelitis
LMN lesion ONLY. Fall is paralysis
71
MS
Due to demyelination. Random asymmetric lesions. "Charcot triad is a SIN" Scanning speech, intention tremor, nystagmus. IgG in CNS
72
Lateral Sclerosis
Combined UMN/LMN deficits with no sensory, cognitive, or oculomotor deficitis. Stephen Hawking.
73
Tabes Dorsalis
Caused by tertiary syphyllis. Degneration of dorsal column and roots--> impaired sensation and propriorception. Associated with Charcot joints, argyle Robertson pupils (small bilateral pupils that further constricts to accomodate, not to light). absence of DTR, + Rhomberg (close eyes and stand with feet together, can't maintain balance)
74
syringomyelia**
Cavitation expansion of central canal impeding on white commisure anterior cape distribution. Bilateral loss of pain and temp C8-T1. Seen with Chiari I malformation.
75
B12 or Vit E deficiency spinal cord lesion
Patchy demyelination! Not fully. - Rhomberg, pernicious anemia
76
Function of dorsal column
Ascending: pressure, vibration, fine touch, proprioception. 1 synapse: n. Cuneatus or gracious
77
Function Spinothalamic tract
Ascending: latera: pain/temp anterior: crude touch, pressure. 1 synapse gray matter
78
Function: lateral corticospinal tract
Descending: voluntary movement of contralateral limbs.
79
Brown Sequard syndrome
Hemisection. Of spinal cord. Impaired contralaeral pain/temp sensations (due to spinothalamic tract damage). Impaired ipsilateral propriorception, vibration, joint and position sensation (due to dorsal column damage)
80
Horner syndrome
Sympathoectomy of the face. "PAM is HORNy (Horner) Ptosis (slight dropping of eyelid), Anhidrosis( absence of sweating), Miosis (pupil constriction).
81
Right anopia
...
82
Bitemporal hemaniopia
Pituitary lesion, chiasm. "Tunnel vision"
83
Left homonymous hemianopia
Cute right before LGN
84
Macular degeneration
AKA central scotoma. Deficit in center of affected eye.