study Flashcards
Gliclizide and glyburide are what class of drug
sulfonylureas
what is metformins mechanism of action
decreases hepatic production of glucose and increases insuline sensitivity
Lactic acidosis is a possible adverse effect of what diabetic medication
metformin
what is the mechanism of action of sulfonylureas
cause beta cells to release more insulin
what class of medication are the “gliptins”
Dpp4 inhibitors
Januvia and trajenta are examples of what class of medication
DPP4 inhibitors
What is the mechanism of action of DPP4 inhibitors
inhibit breakdown of the incretin GLP-1
Semalgutide is an example of what class of medication
GLP1
What is the mechanism of action of GLP1
mimics the incretin GLP1
what class of medication are the “flozins”
SGLT2
What is the mechanism of action of SGLT2
increases urinary glucose secretion by decreasing renal glucose reabosportion
What % HGBA1C is diagnostic for diabetes
> 6.5%
What class of medication are the “glitazones”
Thiazolidinediones
What is the mechanism of action of thiazolidinediones
increase insulin sensitivity, decrease gluconeogeneisis, increase glucose uptake
Gluconorm is what class of medication
Meglitinide
What is the mechanism of action of meglinitides
increase beta cell insulin release
Arcobose is what class of medicaiton
Glucuosidase inhibitors
What is the mechanism of action of glucosidase inhibitors
decreases glucose absorption from the gut
what class of medications increase insulin secreation
sulfonylureas and meglitines
what class of medications increase tissue insulin sensitivity
biguanide and thiazolinidiedones
what class of medication inhibits the digestion of sugar
glucosidase inihbitors
TRH is released from what structure
hypothalamus
TSH is released from what structure
Ant. Pit.
What would cause increased T3 and T3 and decreased TSH
hyperthyroid, graves disease
what is first line treatment for hyperthyroidism
carbimazole
propulthiouracil is used to treat what
hyperthyroidism
what is radioactive iodine used to treat
hyerpthyroidism
Carbimazole, methimazole and propylthiouracil are what class of medication
thioamides
what is the mechanism of action of thioamides
blocks creation of T3 and T4
what would cause decreased T3/T4 and increased TSH
primary hypothyroidism
Hypothyroidism caused by a problem in the hypothalamus would have ___ T3/T4 and ___ TSH
decreased and decreased
Hypothyroidism caused by a problem in the ant. pit. would have ___ T3/T4 and ____ TSH
decreased and decreased
PTH increases or decreased serum calcium
increases
increased cortisol and increased ACTH is caused by what
cushings
increased ACTH with decreased cortisol is caused by what
addisons
CRH is released by what structure
hypothalamus
CRH triggers the Ant. Pit. to release what
ACTH
why does addisons cause increased ACTH but not increased cortisol
destruction of adrenal gland means body is constantly signalled to release more ACTH but the adrenals cant release cortisol anymore
what is the treatment for addisons
steroid replacement
if doses are missed in the treatment of addisons what can it cause
adrenal crisis
T1 cells are part of what hypersensitivity
Type 4
what do T1 cells stimulate B cells to release
IgG
T2 cells are part of what hypersensitivity
type 1
What do T2 cells stimulate B cells to release
IgE
What receptors do triptans bind to
serotonin
What medication can cause SJS or toxic epidermal necrolysis in some asian populations
carbamazepine
What part of the brain is responsible for emotional regulation
amygdala
amitriptyline, imimpramine and desipramine are examples of what class of medication
Tricyclics
What is the mechanism of action of tricyclics
inhibit norepi, serotonin and dopamine reuptake
What is the mechanism of action of pramipexole
dopamine agonist
what is pramipexole used to treat
RLS and parkinsons
Sinemet is used to treat what
Parkinsons
activated CD4 and CD8 lymphocytes are associated with what disease and what do they do
T1DM, destruction of beta cells
which hypersensitivity is IgG or IgM mediated
Type 2
hemolytic anemia is an example of which hypersensitivity
type 2
which hypersensitivity is immune complex mediated
type 3
systemic lupus is an example of what hypersensitivity
type 3
which hypersensitivity is T cell mediated
Type 4
SJS is an example of which hypersensitivity
type 4