Psychosis and depression: antipsychotics and antidepressants Flashcards

1
Q

Explain Sensory-gating deficits?

A

Inability to filter out unimportant stimuli

Could lead to delusional thinking

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2
Q

Explain Cognitive dysmetria

A

Abnormalities in sensory and cognitive processing

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3
Q

Number of alterations in brain structure

A

Reduced volume in left frontal lobe

Reduced volume in left thalamus

Altered connections between thalamus and other structures

Consistent with neurodevelopmental hypothesis

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4
Q

The dopamine hypothesis asserts that excessive dopamine in the mesolimbic pathway is associated with _______

A

Positive symptoms

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5
Q

The glutamate hypothesis suggests that diminished levels of glutamate in cerebral cortex and limbic systems are responsible for_____________

A

Positive and negative symptoms of schizophrenia

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6
Q

Name the three Antipsychotic Drugs?

A

Typical

Atypical

Third generation

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7
Q

Example of Typical Antipsychotics

A

Antagonist of D2 dopamine receptor

Help control positive symptoms

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8
Q

Example of Atypical Antipsychotics

A

Antagonists for 5-HT2A and D2 receptors

Serotonin–dopamine hypothesis
Fast D2-off hypothesis

(Effective for positive, negative, and cognitive symptoms)

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9
Q

Name all Antipsychotic Administration

A

Usually in pill form

Can be used as nasal spray

Can be injected

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10
Q

Elevated mesolimbic dopamine is associated with _____ and reduced dopamine in prefrontal cortex are associated with___________

A

Positive symptoms

Negative symptoms and cognitive impairments

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11
Q

What are the two different MAO

A

MAOA

MAOB

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12
Q

MAOA is found in the _______ MAOB is found primarily in the ___

A

Brain, peripheral nervous system, and intestinal tract.

Brain

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13
Q

MAO inhibitors can either permanently inhibit MAO or they can form _________

A

temporary bonds and/or be displaced.

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14
Q

Mechanism and structure of Tricyclic Antidepressants

A

Three benzene rings in chemical structure

Block reuptake of serotonin and norepinephrine

Some block muscarinic acetylcholine receptors and α1 norepinephrine receptors

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15
Q

The effects at acetylcholine receptors cause a number of side effects including?

A

dry mouth, dry eyes, constipation, and urinary retention

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16
Q

Bupropion inhibits reuptake of ?

A

norepinephrine and dopamine

17
Q

Reboxetine is a selective?

A

norepinephrine reuptake inhibitor

18
Q

Vortioxetine inhibits _______ reuptake but also serves as an antagonist of some serotonin receptors

A

serotonin

19
Q

Effects of Antidepressant Treatment?

A

Increased serotonin

Increased nucleus accumbens dopamine with chronic use

Increased prefrontal dopamine

Increased neuronal growth and production in hippocampus