Pharm Quiz 1 Flashcards

1
Q

what is biochemistry?

A

study of the molecular basis of life

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2
Q

what is an ion?

A

electrically charged atom formed by the addition or loss of electrons

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3
Q

what is a molecule?

A

smallest unit of a pure substance (2+ atoms linked with a bond)

ex: H2O

Number of protons = atomic number on the periodic table (Z)

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4
Q

what is a radical ?

A

unstable atom that is very reactive

uncharged atom with equal protons and electrons

Radicals are released from chemical reactions in the body, and too many of them causes damage to other molecules

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5
Q

what are compounds?

A

more than 2 elements with a chemical union that is able to reproduce

can be broken back down into singular elements

Ex: adding heat to water

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6
Q

what is a mixture?

A

more than 2 different elements or compounds

can be separated into its components

Retains the properties of its components

Ex: sugar dissolved in water

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7
Q

what is a non-uniform mixture?

A

more than 2 substances that DONT bond or have fixed proportions

each substance keeps its own properties

Ex: mixing oil and water

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8
Q

what is the biological hierarchy?

A

atom, molecule, cell, tissue, organ, organism, population, ecosystem

usually a higher level structure has many copies of the lower level structure (ex: tissue contains many types of cells)

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9
Q

what is chemistry?

A

identifying substances, properties of those substances, the way it interacts and changes with other substances, and the use of these processes to make new substances

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10
Q

what is structural formula (chemistry) ?

A

graphical representation of the molecular structure (shows how atoms are arranged in that substance)

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11
Q

what is protein structure (chemistry)?

A

bio molecular structure of a protein molecule
Proteins are polypeptides formed from the building blocks of amino acid

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12
Q

what are chemical bonds?

A

attraction between atoms to form chemical substances

118 known elements that can combine to form different substances

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13
Q

what are the types of bonds?

A

covalent

non-covalent (hydrogen and ionic, van der waals bonds)

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14
Q

what is a covalent bond?

A

bonding between nonmetals (sharing a pair of electrons, and binding to each other with those shared electrons)

Hold together proteins, carbohydrates, and lipids

Strongest and most stable bonds

*** not involved in drug receptor interactions because so hard to break down

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15
Q

what are the types of non covalent bonds?

A

electrostatics (ionic), hydrogen, hydrophobic, and van der Waals

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16
Q

what are hydrogen bonds?

A

combination of a positive hydrogen atom and electronegative atom (ex: oxygen, nitrogen, sulfur)

Weaker than a covalent bond alone, but multiple hydrogen bonds together can build strength (3rd strongest)

ANY molecule with a hydrogen atom directly attached to a oxygen or nitrogen atom is capable of hydrogen bonding

Has higher boiling points, and more heat is necessary to separate them (it’s stickier)

Critical functions: holds the double helix together, helps polypeptides bond, helps enzymes bind, antibodies bind, transcription factors bind to each other and to DNA

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17
Q

what are ionic bonds?

A

bonding between metal and nonmetal

Transfer a electron from a metal onto a nonmetal (they should have opposite charges)

Ex: sodium(+) and chloride(-) together to form NaCl salt

Stronger than hydrogen, weaker than covalent bonds

*** MOST EFFECTIVE in attracting drug molecules to a receptor site

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18
Q

what are van der waals bonds?

A

an attract at moderate distance and repel in close range, bigger atom = bigger force

Most common bond between atoms

Weaker than the other types of bonds

Operate only in close proximity

Sometimes can participate in drug reception

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19
Q

what are redox reactions?

A

(combination of oxidation and reduction): reactions that transfer electrons

Reactions are a matched set, with only one, it’s called a half-reaction
Oxidation: loss of electrons
Reduction: gain of electrons

All metal atoms can be oxidized (lose electrons), which forms a cation (positively charged ion). The electrons released are then reduced onto a non-metal (which is then an anion)

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20
Q

what is oxidative stress

A

disturbance/imbalance between the production of reactive oxygen species (ROS)

ROS: free radicals and peroxides

Disturbances in the redox environment results in too much ROS —> can damage cell components like proteins, lipids, and DNA

Antioxidants can combat excess ROS

Oxidative stress and inflammation go hand in hand, resulting in: Aging, neurodegeneration, and diseases (diabetes, cancers, atherosclerosis, Parkinson’s, and Alzheimer’s)

Severe oxidative stress results in cell death (necrosis)

Moderate oxidative stress results in apoptosis (cell “popping” and dying)

ROS can be beneficial: kills pathogens and helps cells signal

Overproduction of ROS causes cell death, so we use antioxidants to prevent this (through natural body processes or nutrition)

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21
Q

what is inflammation?

A

part of the immune response of vascular tissues to stimuli such as: pathogens, physical, and chemical trauma

It is a necessary response that allows us to destroy invaders and repair itself (wound healing)

In some disorders, the immune system can’t repair itself and it can result in a chronic inflammatory disease

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21
Q

what are antioxidants?

A

Glutathione is an antioxidant produced naturally and protects cells from free radicals. Found in plants, animals, fungi, and bacteria. Important protector in aud/vestib system

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22
Q

what is chronic inflammation?

A

continued active inflammation and tissue destruction

Is a predisposition to cancers and aging diseases (ex: diabetes, cardiovascular, and autoimmune diseases)

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23
Q

what are enzymes?

A

speed up chemical reactions in cells (most are proteins)

In an enzymes reaction: molecules at the beginning are substrates (ex: lactose is a substrate), then the enzyme unites with one of them and changes it to a product (ex: changes it to lactase)

The enzyme determines which metabolic process will occur in the reaction

All enzymes end in “-ASE”

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24
Q

what is an enzyme-substrate complex?

A

if the shapers don’t match, a react might not occur… unless the enzyme changes it shape to accommodate the substrate cell

Enzyme activity: can be affected by other molecules (inhibitors and activators). Also affected by chemical environment, substrate concentration, and temperature. Some are used commercially:
Laundry detergent, meat tenderizers, antibiotic synthesis, etc.

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25
Q

what are receptors?

A

a protein molecule in the cell surface that fosters communication on behalf of the cell and allows extracellular molecules (ligands) in and out of the cell

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26
Q

what are hormones?

A

a chemical substance that elicits physiological activity and sends chemical messages from one cell to another.

Only a small amount of a hormone is required to elicit change in the cell metabolism

All multicellular organisms produces hormones

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27
Q

what are neurotransmitters?

A

a chemical messenger that carries, boosts, and modulates signals from the neurons and other cells

Affected by disease and drugs

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28
Q

what are the types of neurotransmitters?

A

Excitatory- increase likelihood that a neuron will fire an AP (epinephrine (adrenaline for fight or flight) and norepinephrine)

Inhibitory- decrease likelihood of a neuron firing an AP (GABA and serotonin)

Some NT’s are both excitatory and inhibitory, and depending on which receptor they bind to, can do either (ex: acetylcholine and dopamine)

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29
Q

what is the function of acetylcholine (neurotransmitter)?

A

voluntary movement of skeletal muscles (sympathetic path)

30
Q

what is the function of norepinephrine (neurotransmitter)?

A

wakefulness/arousal (sympathetic path)

31
Q

what is the function of dopamine (neurotransmitter)?

A

voluntary movement and motivation, pleasure, addiction

32
Q

what is the function of serotonin (neurotransmitter)?

A

memory, emotion, wakefulness, sleep, temp regulation (depression)

33
Q

what is the function of GABA (neurotransmitter)?

A

inhibit of motor neurons, in the CNS

34
Q

what is the function of glycine (neurotransmitter)?

A

spinal reflexes and motor behavior

35
Q

what is the function of glutamate (neurotransmitter)?

A

excitatory

36
Q

what are neuromodulators?

A

a substance released by a neuron that alters activity of the NT’s

Sensory transmission role, ex: pain

37
Q

what are local chemicals?

A

not released into the systemic circulation, but work closely with the organs that release them (local processes)

histamine: allergic responses in the immune system)

prostaglandins: hormone like lipid that deals with injury and illness that controls inflammation, blood flow, and induction of labor

38
Q

Why study Pharmacology in AuD?

A

Drugs and side effects are very prevalent in audiology

Adverse drug reactions can cause HL, tinnitus, vestib. dysfunction, cognitive dysfunction, and a combination of any of these

Helps us get an accurate case Hx to avoid misdiagnosis

Can help us be a valuable part of the healthcare team, resource to patient, prevent/manage ototoxic effects, and explain test discrepancies

39
Q

audiologic case hx

A

what meds are you taking, what condition are you taking them for, how long have you been taking them, etc.

OTC and herbal meds can also affect auditory system, ask about those too as well as neurological side effects

40
Q

what is pharmacology?

A

science that deals with what drugs do to/in the body (fate and actions)

combination of the words “pharmakon” (poison) + “logos” (study)

41
Q

what are drugs?

A

substance used for diagnosing, preventing, or treating disease

42
Q

what is quinine?

A

Quinine from tree bark treats malaria (banned in the US)

1st specific drug to treat an infectious disease!

43
Q

what are synthesizing arsenicals (1910)?

A

attaching a carbon atom to a arsenic atom to treat syphilis

44
Q

what is digitalis?

A

is served in a tea to treat congestive heart failure, and is still the preferred treatment today

expensive to make so we still get it from the digitalis plant family

45
Q

what is morphine?

A

solated from opium (pain treatment) which was used since prehistoric times

Opium is from the poppy plant, which is highly regulated in the US

Isolation of morphine led to caffeine, atropine, and strychnine

46
Q

what is caffeine?

A

originated in East Africa (Ethiopia), extracted from the plant coffea arabica

Stimulates the CNS, heart, and muscles

Relieves mental and physical fatigue, increases mental awareness

47
Q

what are the Devil’s Cherries (atropa belladonna)?

A

entire plant is poisonous, but two alkaloids are isolated from it:

Atropine: dilates the pupils, poison if ingested in large quantity

Scopolamine: motion sickness patch and sedative

48
Q

what is Salicylic acid?

A

from willow tree bark (salicin)

Chemical precursor to Aspirin (anti inflammatory)

Increases risk of bleeding, ulcers, and TINNITUS

49
Q

what is epinephrine?

A

adrenaline was the first neurotransmitter isolated

Discovered by the father of modern pharmacology

Produced in some neurons of the CNS + chromaffin cells of phenylalanine and tyrosine

Used in Epipens for allergic reactions

50
Q

what is acetylcholine?

A

in the ANS, only NT in the motor division in the somatic system

Lowers heart rate in cardiac tissues

Also an excitatory NT in skeletal muscle tissues

51
Q

what is sulfa?

A

first antibiotic used to treat strep infections in mice

Sulfanilamide: first effective treatment for pneumonia, meningitis, and other bacterial diseases

Predated use of penicillin

Carried in WW2 to combat infection

Used today to treat urinary tract

52
Q

what is the FDA?

A

The FDA is a regulatory agency that regulates food supply and drug development

53
Q

what is penicillin?

A

accidentally discovered in mold in a lab in 1928 that inhibited staph bacteria

wasn’t turned into a usable product til 1940, needed for war in the US

54
Q

what are over the counter medications?

A

drugs sold without a prescription

the FDA regulates drugs for misbranding and adulteration, says which ones are safe, and can withdraw from the market too

They also test for purity, contaminants, and label matching contents

55
Q

what is the Regulation of Controlled Substances?

A

drugs that have some potential for abuse or dependence

Controlled Substance Act of 1970: the DEA administers this act to regulate manufacturing and distribution of opioids, stimulants, and sedatives. Before these laws, mixtures with opium and cocaine were sold OTC

In 2016, the FDA required a black box label for addictive drugs (warning sign)
Opioids are a strong pain reliever (morphine, hydrocodone, codeine) and NOT meant for long term use

56
Q

The modern FDA

A

very strict and most respected regulatory body… responsible for:

Protecting the public health by regulating human and vet drugs, biological products, medical devices, food supply, cosmetics, and radiation products

Advancing the public health by making meds more effective, safe, and affordable

Regulates manufacturing, marketing, and selling of tobacco products

Counterterrorism capabilities by ensuring food supply and responding to emerging public health threats

overseeing OTC & supplementals

57
Q

Modern Drug Development:

A

the discovery and development of a new drugs takes about 12 years on average (also very high risk and complex)

Estimated cost is $1-2 Billion

Only 1 of 10 gets approved

57
Q

what are the phases of drug development?

A
  1. Synthesis or discovery of new chemical
  2. Safety evaluation
  3. Effectiveness evaluation
  4. New drug application
  5. Post-marketing surveillance
58
Q

what does it mean if a drug has a chemical name?

A

chemical name refers to its chemical structure

If structure is unknown, a combo of letters and numbers is used

59
Q

what does it mean if a drug has a generic name?

A

FDA approved, now it is given a generic name for marketing purposes

There is only one generic name approved (but can have many brand names)

Not capitalized

60
Q

what does it mean if a drug has a brand/trade name?

A

registered as a trademark under a company, and is their property (copyrighted name)

Ex: Tylenol (acetaminophen)

61
Q

tell me about drug patents

A

when the patent expires after 20 years, other companies can market the generic drug under a trade name (ex: cola is generic, Coke and Pepsi are brand)

generic drugs are more affordable and have the same efficacy of the brand name drugs

Ex: ibuprofen is a generic name, but Advil, Genpril, Caldolor, Motrin, and Neoprofen are other brand names

62
Q

Direct-to-Consumer Marketing:

A

now manufacturers are directly marketing to consumers instead of only to physicians

ex: tv ads, internet, radio, etc

Increases consumer interest and brand recognition

63
Q

What influences drug cost?

A

manufacturing process, development and research, coverage/reimbursement from insurers, marketing before patent expires, exporting to foreign countries, etc.

64
Q

what is pharmacodemiology?

A

study of drug outcomes

important to find side effects and what the drugs do to the body (ex: Vioxx causes heart attack and stroke)

Studied very similar to pharmacology, except: No true randomization, doctor or patient intervention, outcomes are shown as probabilities, millions of patients every year (much larger magnitude)

Look at the table on page 63 for comparison between the twoc

65
Q

what are the cardinal signs of inflammation?

A

redness, swelling, heat (fever), pain, and loss of function

66
Q

what is the doctrine of signatures?

A

in 1500’s thought that the shape/signature of the plant given from God should treat the part of the body that has the same shape (walnut for brain, beans for kidneys, etc, holes i the leaves of saint johns wort resemble pores of the skin so therefore if can treat the skin)

67
Q

ANDA

A

Abbreviated New Drug Application - can be filed before the expiration of the original patent

68
Q

NDA

A

New Drug Application - submitted after the sucessful conclusion of clinical trials

69
Q

Margin of Safety

A

LD50 ÷ ED50

If LD50 is 10 mg and ED50 is 2 mg then the margin of safety is only 5. This means the lethal dose is only 5x the effective dose.

70
Q

Name an example of an enzyme, protein, neurotransmitter, hormone, neuromodulator, and controlled substance :

A

enzyme - lactase
protein - insulin
neurotransmitter - GABA
hormone - Testosterone
neuromodulator - substance p
controlled substance - opioids

71
Q

What is the Right to Try?

A

Drugs used after phase 1 of clinical trials but before FDA approval

72
Q

What is Exapanded Access?

A

Prior to FDA approval for patients who aren’t in the drugs clinical trial

(desperately ill patients, when side effects aren’t an issue, and no comparable alternative is available)