resp pharmocology Flashcards

1
Q

where are cell bodies of the preganglionic fibres located

A

brainstem

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2
Q

where are cell bodies of postganglionic fibres located

A

embedded in the walls of bronchi and bronchioles

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3
Q

stimulation of postganglionic cholinergic fibres causes

A

bronchial smooth muscle contraction

increased mucous secretion

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4
Q

stimulation of postganglionic non cholinergic fibres causes

A

bronchial smooth muscle relaxation

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5
Q

contraction of smooth muscle is the result of what

A

phosphorylation of myosin

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6
Q

relaxation of smooth muscle results from what

A

dephosphorylation of myosin by myosin phosphatase

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7
Q

In the presence of intracellular calcium ions, the rate of phosphorylation ___ the rate of dephosphorylation

A

exceeds

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8
Q

signs of asthma

A

hyperplasia + hypertrophy
accumulation of interstitial fluid (oedema)
increased secretion of mucous
epithelial damage exposing sensory nerve endings
sub - epithelial fibrosis

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9
Q

response in mild-moderate asthma

A

TH2

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10
Q

response in severe asthma

A

TH1

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11
Q

what do cross links IgE receptors stimulate

A

calcium entry into mast cells

release of calcium ions from intracellular stores

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12
Q

what does the release of calcium ions from intracellular stores evoke

A

release of secretary granules containing preformed histamine + the production and release of leukotrienes that cause smooth airway contraction

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13
Q

what do relievers act as

A

bronchodilators

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14
Q

what do controllers/preventers act as

A

anti-inflammatory agents

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15
Q

should long acting B adrenoceptor agonists be used alone

A

NO

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16
Q

LABA’s must always be co-administered by

A

glucocordicoid

17
Q

what is used as an anti inflammatory agent

A

corticosteroids

18
Q

what does COPD stand for

A

chronic obstructive pulmonary disease

19
Q

ganglia - M1

A

facilitate fast neurotransmission mediated by ACh acting on nicotinic receptors

20
Q

post ganglionic neurone terminals - M2

A

act as inhibitory autoreceptors reducing release of ACh

21
Q

ASM - M3

A

mediate contraction to ACh

22
Q

what type of drugs are used in the treatment of COPD

A

muscarinic receptor antagonists

23
Q

example of short acting muscarinic receptor antagonist

A

ipratropium

24
Q

examples of long acting muscarinic receptor antagonists

A

___ium

25
Q

do muscarinic receptor antagonists have a rapid or delayed rate of bronchodilation

A

delayed

26
Q

muscarinic receptor antagonists

A

decrease mucous production

effect is mainly palliative