Psychiatry Basic Science Flashcards

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1
Q

what are monoamines a type of?

A

neurotransmitter

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2
Q

what receptor does serotonin work on?

A

5-HT receptors

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3
Q

where is 5-HT produced?

A

raphe nuclei in the brainstem enterochromaffin cells in the GI tract

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4
Q

what does serotonin control?

A

mood sleep feeding sensory perception

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5
Q

what neurotransmitter does the sympathetic NS use?

A

NA

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6
Q

where does the sympathetic nervous system come from?

A

thoracolumbar outflow (T1-L2)

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7
Q

pre and post ganglionic neurotransmitters in the sympathetic NS?

A

pre - ACh post - NA

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8
Q

how does sympathetic nerve supply get to the body wall?

A

spinal nerves

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9
Q

how does sympathetics get to SM/glands?

A

cardiopulmonary splanchnic nerves abdominopelvic splanchnic nerves

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10
Q

first part of the brain affected in alzheimers?

A

nucleus basalis of meynert

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11
Q

what is the inhibitory neurotransmitter in the brain?

A

GABA

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12
Q

what is the excitatory neurotransmitter in the brain?

A

glutamate

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13
Q

what neurotransmitter do benzos work on?

A

GABA

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14
Q

effects of benzos?

A

relax sedate decrease anxiety anticonvulsant anterograde amnesia

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15
Q

what does the appetitive system of the brain do?

A

reward system

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16
Q

what neurotransmitter controls the appetitive system of the brain?

A

dopamine (called mesocorticolimbic dopaminergic regions)

17
Q

what does the averise system of the brain do?

A

promote survival

18
Q

what neurotransmitter controls the aversive system of the brain?

A

5-HT

19
Q

what conditions result when the aversive/appetitive systems of the brain go wrong?

A

aversive - anxiety appetitive - depression

20
Q

what are the functions of dopamine?

A

hormone neurotransmitter

21
Q

where is dopamine made?

A

brain adrenal medulla

22
Q

what is dopamine made from? name of precursor?

A

phenylalanine/tyrosine L-DOPA

23
Q

what receptors does dopamine work on?

A

D1-D5 receptors

24
Q

how is control of the HPA affected in depression?

A

upregulated with down regulation of negative feedback (cortisol) excess cortisol desensitises receptors inflammation and problems with neurotransmitters

25
Q

affects of increased cortisol on the body?

A

inflammation increased BM adrenal hypertrophy

26
Q

what neurotransmitter problems occur in depression schizo ADHD?

A

depression - decreased serotonin schizo - increased dopamine ADHD - decreased dopamine

27
Q

what receptors does NA work on?

A

alpha 1, 2 and beta 1, 2, 3

28
Q

what occurs when NA binds to alpha 1 receptors?

A

increased IP3 and Ca occurs by activating phospholipase C

29
Q

what occurs when NA binds to alpha 2, Beta 1,2, 3 receptors?

A

decreased cAMP by inhibiting adenylate cyclase

30
Q

what happens with NA binds to alpha 1 receptor?

A

SM contracts decreased appetite

31
Q

what happens with NA binds to alpha 2 receptor?

A

acts with alpha 1 and stops NA release

32
Q

what happens with NA binds to beta 1 receptor?

A

increase HR, CO, inotropic causes renin release

33
Q

what happens with NA binds to beta 2 receptor?

A

relax SM of… GI, uterus, bronchi, detrusor, seminal tract

34
Q

what happens with NA binds to beta 3 receptor?

A

release of insulin, glucose causes lipolysis and thermogenesis

35
Q

draw the HPA axis

A
36
Q

draw and label a neuron

A