Neurotransmitters Flashcards

1
Q

What neurotransmitter is utilized in presynaptic nerve terminals for parasympathetic and sympathetic systems?

A

Acetylcholine

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2
Q

What type of receptor is between the pre and post synaptic nerve terminals of the sympathetic and parasympathetic nervous systems?

A

Nicotinic

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3
Q

What type of receptor is a nicotinic receptor?

A

Ion gated ligand channel

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4
Q

What type of receptor is a muscarinic receptor?

A

G-protein coupled

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5
Q

Succinylcholine is an agonist OR antagonist at a nicotinic OR muscarinic receptor.

A

Agonist, nicotinic

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6
Q

Non-depolarizing muscle relaxers are agonists OR antagonists at nicotinic OR muscarinic receptors.

A

Antagonist, nicotinic

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7
Q

What receptor does acetylcholine agonize?
A. Nicotinic
B. Muscarinic
C. Both

A

C. Both

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8
Q

What blocks a dopamine receptor?

A

haloperidol, metoclopramide, droperidol

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9
Q

What are alpha-1 agonists?

A

Epinephrine, Norepinephrine, Phenylephrine

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10
Q

What are alpha-1 antagonists?

A

Phentolamine, Phenoxybenzamine, Prazosin

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11
Q

What are alpha-2 agonists?

A

Clonidine, Dexmedetomidine

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12
Q

What are alpha-2 antagonists?

A

Yohimbine

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13
Q

What are beta-1 agonists?

A

Dobutamine, Dopamine, Epinephrine, Norepinephrine

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14
Q

What are beta-2 agonists?

A

Albuterol, Terbutaline

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15
Q

What are beta-1 antagonists?

A

Metoprolol, Atenolol

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16
Q

What are beta-2 antagonists?

A

Propranolol

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17
Q

What do MAOIs do?

A

Inhibit the breakdown of catecholamines

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18
Q

What two enzymes breakdown catecholamines?

A

COMT, MAO

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19
Q

What terminal does Norepinephrine work at?

A

Both the presynaptic (feedback loop) and postsynaptic

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20
Q

What does stimulation of alpha-1 receptors lead to?

A

Vasoconstriction

21
Q

What does stimulation of alpha-2 receptors lead to?

A

Inhibits NE release, vasoconstriction, and myocardial hypertrophy

22
Q

What does stimulation of beta-1 receptors lead to?

A

Increased heart rate, increased inotropy

23
Q

What does stimulation of beta-2 receptors lead to?

A

Smooth muscle relaxation including vessel walls

24
Q

What does stimulation of beta-3 receptors lead to?

A

Metabolism (lipolysis)

25
How is Norepinephrine synthesized?
Tyrosine to Dopa to Dopamine to Norepinephrine
26
How does Acetylcholine and Norepinephrine get out of the presynaptic terminal?
Exocytosis
27
What blocks a muscarinic receptor?
Atropine, scopolamine, and pilocarpine
28
What does the stimulation of muscarinic receptors lead to?
Saliva and sweat secretion, pupil constriction, increased GI peristalsis, and slows heart rate
29
Which dopamine receptors increase cAMP?
D1, D5
30
Which dopamine receptors decrease cAMP?
D2,D3,D4
31
Where are H1 receptors found in the body?
Vascular smooth muscle (dilation), bronchial smooth muscle (constriction), and CNS
32
Where are H2 receptors found in the body?
Stomach (increase acid production)
33
Where are H3 receptors found in the body?
On presynaptic terminals (reduce further histamine release)
34
What are antagonists to H1 receptors?
Diphenhydramine, loratadine
35
What are antagonists to H2 receptors?
Famotidine
36
Which serotonin receptor can be linked to nausea?
5-HT3 *Only ligand gated
37
What is the chemical name for serotonin?
5-hydroxytriptamine
38
What does serotonin affect in the body?
Intestinal movement, mood, cognition, sleep
39
What are agonists for serotonin?
Buspirone, triptans, LSD, cisapride
40
What are antagonists to serotonin?
Ondansetron, risperidone
41
What meds can be given to block each of the neurotransmitters that interact with nausea? Dopamine, serotonin, acetylcholine, histamine, substance P
Dopamine: droperidol/haldol Serotonin: ondansetron Acetylcholine: scopolamine Histamine: Substance P: emend
42
What is the primary brain excitatory neurotransmitter?
Glutamate
43
What is glutamate synthesized from and where is it synthesized?
Glutamine, in the neurons *Does not cross the BBB
44
What receptor does glutamate work at?
NMDA
45
What does glutamate need to activate the receptor?
Glycine
46
What are glutamate antagonists?
Dextromethorphan Nitrous oxide Ketamine Magnesium Methadone
47
What is the primary inhibitory neurotransmitter in the brain?
GABA
48
What are the two most abundant neurotransmitters in the brain?
1. Glutamate 2. GABA
49
What is GABA synthesized from?
Glutamate