PHARMACODYNAMICS Flashcards

1
Q

The cellular macromolecule or macromolecule
complex with which the drug interacts to elicit a
cellular response

A

DRUG RECEPTOR/ DRUG TARGET

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

Other receptors can be in the form of

A

ion

channels, Enzymes and Transporters.

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

Binding of ATENOLOL to Beta receptor
stimulates conversion of _______ (producing
biologic effects by the activation of G-protein)

A

ATP to cAMP

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

Ex: Binding of amlodipine to calcium channel

A

Ion channels

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

_____ block NaCl transporter at the distal convoluted tubule

A

Thiazides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
Magnitude of 
biologic effect is 
directly related to 
the fraction of 
ACTIVE STATE
A

Partial agonist

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

In reversible equilibrium, it favors more the

_____state.

A

inactive

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

Drugs that bind to physiological receptors and
mimic the regulatory effects of the endogenous
signalling compounds/ endogenous ligand.

A

AGONIST

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

Are drugs that would bind on the same
recognition site as the endogenous
ligand/agonist.

A

PRIMARY AGONIST

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

Drug binds to a different site but produces the

same effect as that of the endogenous ligand.

A

ALLOSTERIC/ ALLOTOPIC AGONIST

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

Transduction process that links drug occupancy

of receptors and pharmacological response

A

Coupling

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

After drug-receptor binding, _____
may occur then cause _____,
desensitization and down-regulation of the
receptor.

A

signal transduction; signal amplification

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

Signal amplification is only seen if the mechanism involves ______ and ______

A

second
messenger G-protein coupled receptors ;
enzyme-linked receptors.

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

Binding of ____(Beta agonist) to its
receptor would activate the receptor → Stimulates
G-protein coupled receptors (aka 7
Transmembrane receptors because it is a
protein located at the cell membrane; it passes
through it for about 7 times. It contains Alpha,
Beta and Gamma.)

A

Albuterol

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

3 TYPES OF G-PROTEIN COUPLED RECEPTORS

A

Gs/ STIMULATORY
Gi/ INHIBITORY
Gq

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

Gs/ STIMULATORY ideally binds to ____

A

GDP

17
Q

Spare receptor is also seen by the mechanism of ____

A

signal amplification

18
Q

Half occupancy of the receptor produces

A

EC50

19
Q

is the concentration of a drug that

produces 50% of maximal effect.

A

EC 50

20
Q
  • concentration of free drug at which ½

maximal binding is observed

A

Kd/Equilibrium Constant-

21
Q

EC50 is LESS THAN Kd

A

(+) SPARE RECEPTORS:

22
Q

EC50 is EQUAL TO Kd

A

(-) SPARE RECEPTORS

23
Q

Repeated or continuous administration of an
agonist (or antagonist) may lead to changes in
the responsiveness of the receptor

A

DESENSITIZATION AND DOWN-REGULATION OF

RECEPTORS

24
Q

Phosphorylation or a similar chemical event that
renders a receptor on that cell surface
unresponsive to the ligand

A

TAPHYLAXIS

25
Q

How can you overcome the effect of your competitive antagonist?

A

increase the amount of agonist

26
Q

affinity of one for the other

A

dissociation constant

27
Q

Concentration-effect curve can be expressed as ____ curve

A

Hyperbolic curve

28
Q

Effect of B1 receptors in the heart

A

Increase heart rate

29
Q

maximal response that can be produced by the drug

A

Emax

30
Q

concentration of a free drug in which half maximal binding is observed

A

Kd

31
Q

100 ligands bound to 100 receptors

A

Bmax

32
Q

T or false

Kd=Ec50

A

False

33
Q

Ec50=effect; Kd=___

A

Binding of the receptors

34
Q

refers to concentration or dose of a drug required to produce 50% of that drug’s maximal effect

A

Potency

35
Q

Lower ED50=___potency

A

high

36
Q

T or F

You can compare potency of drugs with different effects

A

False