Pharmacology Flashcards

1
Q

Bronchial smooth muscle contraction

A

M3 muscarinic ACh receptors

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2
Q

Bronchial smooth muscle relaxation

A

B2 adrenoceptors activated by adrenaline

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3
Q

Phosphorylation of MLC

A

Contraction

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4
Q

Dephosphorylation of MLC

A

Relaxation

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5
Q

Change in bronchioles in asthma

A
  1. Increased mass of smooth muscle
  2. More interstitial fluid
  3. More mucus
  4. Epithelial damage
  5. Sub-Epithelial fibrosis
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6
Q

Bronchospasm and acute inflammation

A

Type I hypersensitivity reaction

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7
Q

Delayed inflammation

A

Type IV hypersensitivity reaction

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8
Q

Nonatopic

A

Low-level TH1 response involving IgG

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9
Q

Atopic

A

Strong TH2 response involving IgE

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10
Q

Eosinophil interleukin

A

IL-5 from TH2 cells

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11
Q

Mast cell interleukin

A

IL-4 and IL-13 from TH2 cells

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12
Q

Cells involved in the effector phase of asthma

A

Eosinophils and mast cells

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13
Q

Receptors on mast cells in airway tissue

A

IgE

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14
Q

Effects of cross linked IgE on mast cells

A
  1. Stimulates Ca+ entry into mast cell

2. Release of Ca+ from stores

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15
Q

Activated mast cell

A
  1. Releases secretory granules - cause smooth muscle contraction
  2. Release facts which attract cells to cause inflammation
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16
Q

Relievers in asthma

A

SABA
LABA
Leyukotrine receptor antagonists
Methylxanthines

17
Q

Preventers in asthma

A

Glucocorticoids - ICS or oral
Cromoglicate
Humanised monoclonal IgE antibodies
Methylxanthines

18
Q

Step 1

A

SABA - short acting B2-adrenoceptor agonist

19
Q

Step 2

A

SABA + inhaled corticosteroid

20
Q

Step 3

A

SABA + LABA + inhaled corticosteroid

21
Q

Step 4

A

SABA + LABA + Inhaled corticosteroid + theophylline/leukotrine receptor antagonist

22
Q

Step 5

A

SABA + LABA + inhaled corticosteroid + theophylline + oral corticosteroid + refer to specialist

23
Q

Main mineralocorticoid and its function

A

Aldosterone - regulates retention of salt and water by kidneys

24
Q

Effects of glucocorticoids on gene transcription

A

Increase transcription of anti-inflammatory genes, decrease that of inflammatory

25
Q

Name a SABA

A

Salbutamol

26
Q

Name a LABA

A

Salmeterol

27
Q

Name a leyukotrine receptor antagonist

A

Monteleukast

28
Q

Name an inhaled corticosteroid

A

Becolomastone

29
Q

Name an oral glucocorticoid

A

Prednisolone

30
Q

Name a methylxanthine

A

Theophylline