Week 1 - Pharmacodynamics Review Questions Flashcards

1
Q

What are the 4 main Drug Targets?

A
  • Enzymes
  • Carrier molecules
  • Ion channels
  • Receptors
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2
Q

What is an example of an Enzyme and drugs which affect them?

A

COX - cyclooxygenase

inhibited by Aspirin

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3
Q

What is an example of a Carrier Molecule and drugs which affect them?

A

Na/K/ATPase

Inhibitor- Digitalis

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3
Q

What is an example of a Receptor and drugs which affect them?

A

‘mu’ receptor
Agonist-Morphine
Antagonist-Naloxone

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4
Q

What is the difference between affinity and efficacy?

A
  • Affinity is the ability to bind to a receptor, efficacy is the ability to elicit a response.
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5
Q

What is the difference between a full agonist and a partial agonist

A
  • A full agonist has high efficacy can achieve maximum response
  • a partial agonist has low efficacy and cannot achieve maximum response regardless of concentration.
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6
Q

What is the difference between;

Reversible, Irreversible and Competitive Antagonism?

A

Reversible can be removed by an agonist

Irreversible cannot be removed by an agonist

Competitive can be removed if there is a high enough concentration of agonist.

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7
Q

How would you determine if an antagonist was competitive?

A

the disassociation agonist curve is shifted to the right in parallel

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8
Q

List ALL the different types of drug targets

A
  • ligand-gated ion channels
  • G-protein coupled receptors
  • kinase-linked receptors (growth factors, cytokines)
  • Nuclear receptor (regulate gene transcription).
  • enzymes
  • carrier molecules
  • ion channels.
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9
Q

Given an example of a Ligand-gated ion channel, and drugs which interact with them.

A

nicotinic ACh receptor

  • Agonist - Nicotine
  • Antagonist - Tubocurarine
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10
Q

Given an example of a G-protein coupled receptors, and drugs which interact with them.

A

B-adrenoceptors

  • Agonist - Adrenaline
  • Antagonist - Propranolol
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11
Q

Given an example of a kinase-linked receptor, and drugs which interact with them.

A

Insuline Receptor

  • Agonist - Insulin
  • Antagonist - Glucagon
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12
Q

Given an example of a Nuclear receptor, and drugs which interact with them.

A

Oestrogen receptor

  • Agonist - Ethinylestradiol
  • Antagonist - Tamoxifen
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13
Q

Given an example of a Enzyme drug target, and drugs which interact with them.

A

Cyclooxygenase (COX)

-Inhibitors- Aspirin

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14
Q

Given an example of a carrier molecule, and drugs which interact with them.

A

Noradrenaline Transporter

  • Inhibitor - Tricyclic antidepressant
  • False Substrates - Amphetamine
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15
Q

Given an example of an ion channel, and drugs which interact with them.

A

Voltage-gated Sodium Channels

  • Modulator - Veratridine
  • Blocker - Local Anaesthetic
16
Q

What is a 2nd Messenger?

A

Molecules which relay signals from receptors to target molecules

17
Q

What is an example of a 2nd messenger and its affects?

A

AC (adenylate cyclase) and cAMP in GPCR

Trigger intracellular ion channels