Pharmacology Flashcards

1
Q

What are the Thyroid drugs?

A

Levothyroxine- T4

Liothyronine- T3

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2
Q

Adrenal steroids are also called?

A

Glucocorticoids

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3
Q

Goitre
Weight waxing
Cold intolerance
Myxoedema

Are symptoms of?

A

Hypothyroidism

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4
Q

Hypothyroidism

A

The thyroid gland does not produce enough thyroid

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5
Q

The half- life of Levothyroxine (T4) is prolonged by ?

A

Binding to TBG

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6
Q

Levothyroxine is considered a prodrug because

A

T4 converted to T3 in cell to act on a nuclear receptor

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7
Q

Which thyroid drug:

  • Increased O2 consumption and heat production
  • Increased cardiac muscle contractility
  • Increased sensitivity to catecholamines
  • Maintenance of hypoxic and hypercapnic drive in respiratory centre
  • Increased gut motility
  • Increased erythropoiesis
  • Increased bone turnover
  • Increased protein turnover and loss of muscle tissue
  • Increased cholesterol degradation
  • Increased metabolic turnover of many hormones and drugs
A

Levothyroxine

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8
Q

Overdose of Thyroxine cases?

A
diarrhoea,  
sweating,
nervousness,  
tachycardia,
increased appetite,  
loss of weight.
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9
Q

Overdose of thyroxine can lead to?

A
heart failure,
angina,  
arrhythmia,
osteoporosis
(long term).
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10
Q

exophthalamos,
weight loss,
heat intolerance,
CVS increase

Are symptoms of?

A

Hyperthyroidism

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11
Q

Mechanism of action of inhibitors of Thyroperoxidase

A

Competitive inhibitors for substrate binding site on thyroperoxidase.
Inhibit the iodination of tyrosyl residues in thyroglobulin

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12
Q

What is also used to treat tachycardia/arrhythmia in hyperthyroidism?

A

B-blockers propranolol

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13
Q

What drug is used to treat :

  1. Cardiac arrest
  2. Anaphylaxis, angioedema – acute hypersensitivity (Epipen)
  3. Vasoconstrictor – local anaesthetics
  • β-blockade - reduced response, hypertension, bradycardia
A

Epinephrine

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14
Q

Drug used to treat vasoconstriction in shock

A

Norepinephrine

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15
Q

Cortisol is a?

A

Glucocorticoid

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16
Q

Aldosterone is a?

A

Mineralcorticoid

17
Q

What is the replacement therapy for Addison’s disease or Adrenalectomy.

A

Hydrocortisone

&
Fludrocortisone

18
Q

Glucocorticoids have what effect?

A

Anti inflammatory