Steroids & Immunosuppressants Flashcards

1
Q

what hormones are produced in the adrenal cortex, starting from outer to inner?

A
  • mineralocorticoids
  • glucocorticoids
  • sex hormones
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2
Q

what does the adrenal medulla produce?

A
  • 80% epinephrine

- 20% norepinephrine

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3
Q

steroid hormones are converted from what? name them

A

cholesterol

  • progesterone → converts to cortisol
  • aldosterone
  • testosterone (androgen)
  • oestradiol-17β (estrogen)
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4
Q

glucocorticoids, mineralocorticoids, progestins, androgens & estrogens are all what kind of steroids?

A

endogenous steroids

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5
Q

which endogenous steroid is responsible for homeostasis regulation?

A

glucocorticoids

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6
Q

what effect do glucocorticoids have on the immune response?

A

decreases immune response

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7
Q

which endogenous steroid is responsible for fluid & electrolyte imbalance?

A

mineralocorticoids

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8
Q

mineralocorticoids have what effect on Na+, K+ & blood pressure?

A

increases Na+, decreases K+ → causing increase in blood pressure

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9
Q

which endogenous steroid is responsible for progesterone-like pregnancy hormones?

A

progestins

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10
Q

which endogenous steroids are responsible for growth, sexual development & behavior leading to male/female sexual characteristics & pregnancy hormones?

A

androgens - males

estrogens - females

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11
Q

what receptors do steroids bind to? where are the receptors located?

A

nuclear receptors → intracellularly

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12
Q

which protein is produced by steroids that inhibits the enzyme PLA2?

A

lipomodulin

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13
Q

where do corticosteroids act on in the arachidonic pathway?

A

inhibits phospholipase A2 → prevents formation of arachidonic acid

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14
Q

where do NSAIDs act on the arachidonic pathway?

A

prevents formation of COX 1 & 2

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15
Q

MMP-2 or MMP-9?

constitutive

A

MMP-2

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16
Q

MMP-2 or MMP-9?

inducible

A

MMP-9

17
Q

which one is the non-active form? how is it converted into its active form?
cortisone or cortisol

A

non-active → cortisone

converted by liver

18
Q

which one is the non-active form? how is it converted into its active form?
prednisone or prednisolone

A

prednisone → converted by liver

19
Q

how are cortisol & prednisolone converted back to their inactive forms?

A

metabolized by kidneys for elimination

20
Q

list the moderate-max strength steroids from strongest to weakest –
PredForte, Lotemax, Durezol

A

Durezol > PredForte > Lotemax

21
Q

which moderate-max strength steroids are ketone steroids?

A

Durezol & PredForte

22
Q

Out of Durezol, PredForte & Lotemax, which one is most commonly used?

A

PredForte

23
Q

which strength of steroids are used more for ocular surface diseases?

A

mild strength steroids