Session 8 extras Flashcards

1
Q

What organ/tissue does asthma affect?

A

Lung airways

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2
Q

What are the causes of asthma?

A

Exercise

Cold air

Allergens - pollen, dust, mould etc.

Air pollution - cigarette smoke, chemicals

Infection

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3
Q

What cells are involved in the pathophysiology of asthma?

A

Eosinophils

Bronchial smooth muscle cells

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4
Q

What do eosinophils do in the pathophysiology of asthma?

A

Infiltrate bronchial smooth muscle,
accumulate there

Release cytotoxic mediators

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5
Q

What is the result of eosinophils accumulating in bronchial smooth muscle in asthma?

A

Mucosal odema

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6
Q

What is the result of eosinophils releasing cytotoxic mediators in asthma?

A

Damage to epithelial cells
inflammatory response

exposure of sensory nerves

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7
Q

What is the result of the inflammatory response in asthma?

A

Hyper-secretion of mucus

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8
Q

What is the result of sensory nerves being exposed in asthma?

A

Hyper-responsiveness of bronchial smooth muscle

muscle spasms

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9
Q

What is the effect of mucosal odema, hyper-secretion of mucus and bronchial smooth muscle spasms?

A

Narrowing of airways

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10
Q

What are two features of airway narrowing in asthma?

A

Variable

Reversible

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11
Q

What are the symptoms and signs of asthma?

A

Dyspnoea

Chest tightness

Wheezing

Coughing

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12
Q

How long does asthma last?

A

Chronic condition

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13
Q

How does the density of B2 adrenoceptors change in the lungs?

A

Density increases as airway diameter decreases

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14
Q

How does activating B2 adrenoceptors in the lungs give bronchodilation?

A

PKA decreases intracellular calcium conc.
decreases amount of calcium bound myosin
so bronchial smooth muscle relaxes

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15
Q

What are the categories of drugs used to treat asthma?

A

Bronchodilators - relievers

Anti-inflammatory drugs - preventers

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16
Q

What are the types of bronchodilators used to treat asthma?

A

B2 adrenoceptor agonists

Anticholinergics - M3 receptor antagonists

17
Q

What are the types of anti-inflammatory drugs used to treat asthma?

A

Glucocorticoids

Inhibitors of mediator release

18
Q

When might a short-acting B2 adrenoceptor agonist be used to treat asthma?

A

During an asthma attack

to give immediate bronchodilation

19
Q

When might a long-acting B2 adrenoceptor agonist be used to treat asthma?

A

Used at night to prevent flare up of asthma

used as part of long-term treatment

20
Q

Are B2 adrenoceptor agonists or M3 receptor antagonists more useful in treating asthma? Why?

A

B2 adrenoceptor agonists
give bronchodilation

whereas M3 receptors simply prevent bronchoconstriction caused by parasympathetic nervous system, which is not always the cause of asthma