Psychiatry Basic Science Flashcards
what are monoamines a type of?
neurotransmitter
what receptor does serotonin work on?
5-HT receptors
where is 5-HT produced?
raphe nuclei in the brainstem enterochromaffin cells in the GI tract
what does serotonin control?
mood sleep feeding sensory perception
what neurotransmitter does the sympathetic NS use?
NA
where does the sympathetic nervous system come from?
thoracolumbar outflow (T1-L2)
pre and post ganglionic neurotransmitters in the sympathetic NS?
pre - ACh post - NA
how does sympathetic nerve supply get to the body wall?
spinal nerves
how does sympathetics get to SM/glands?
cardiopulmonary splanchnic nerves abdominopelvic splanchnic nerves
first part of the brain affected in alzheimers?
nucleus basalis of meynert
what is the inhibitory neurotransmitter in the brain?
GABA
what is the excitatory neurotransmitter in the brain?
glutamate
what neurotransmitter do benzos work on?
GABA
effects of benzos?
relax sedate decrease anxiety anticonvulsant anterograde amnesia
what does the appetitive system of the brain do?
reward system
what neurotransmitter controls the appetitive system of the brain?
dopamine (called mesocorticolimbic dopaminergic regions)
what does the averise system of the brain do?
promote survival
what neurotransmitter controls the aversive system of the brain?
5-HT
what conditions result when the aversive/appetitive systems of the brain go wrong?
aversive - anxiety appetitive - depression
what are the functions of dopamine?
hormone neurotransmitter
where is dopamine made?
brain adrenal medulla
what is dopamine made from? name of precursor?
phenylalanine/tyrosine L-DOPA
what receptors does dopamine work on?
D1-D5 receptors
how is control of the HPA affected in depression?
upregulated with down regulation of negative feedback (cortisol) excess cortisol desensitises receptors inflammation and problems with neurotransmitters
affects of increased cortisol on the body?
inflammation increased BM adrenal hypertrophy
what neurotransmitter problems occur in depression schizo ADHD?
depression - decreased serotonin schizo - increased dopamine ADHD - decreased dopamine
what receptors does NA work on?
alpha 1, 2 and beta 1, 2, 3
what occurs when NA binds to alpha 1 receptors?
increased IP3 and Ca occurs by activating phospholipase C
what occurs when NA binds to alpha 2, Beta 1,2, 3 receptors?
decreased cAMP by inhibiting adenylate cyclase
what happens with NA binds to alpha 1 receptor?
SM contracts decreased appetite
what happens with NA binds to alpha 2 receptor?
acts with alpha 1 and stops NA release
what happens with NA binds to beta 1 receptor?
increase HR, CO, inotropic causes renin release
what happens with NA binds to beta 2 receptor?
relax SM of… GI, uterus, bronchi, detrusor, seminal tract
what happens with NA binds to beta 3 receptor?
release of insulin, glucose causes lipolysis and thermogenesis
draw the HPA axis
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draw and label a neuron
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