Pharmacology Flashcards

1
Q

Is Nociceptive pain adaptive or maladaptive?

A

Adaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Is Inflammatory pain adaptive or maladaptive?

A

Adaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Is Pathological pain adaptive or maladaptive?

A

Maladaptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Nociceptors?

A

Specific peripheral primary sensory afferent neurones normally activated preferentially by intense stimuli (e.g. thermal, mechanical, chemical) that are noxious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do nociceptors work?

A

They are first order neurones that send information to second order neurones in the CNS by chemical synaptic transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is nociceptive pain meant for?

A

early warning system and to make memories to avoid harm in the future.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is inflammatory pain caused by?

A

by the immune system in injury, or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How does inflammatory pain help healing of a body part?

A

discourages physical contact and discourages movement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What protective function does pathological pain have?

A

None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What disorder results in not being able to feel pain?

A

Congenital Insensitivity to Pain (CIP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How does CIP come about?

A

Loss of function in the gene SCN9A that encodes a particular voltage-activated Na+ channel (Nav1.7), highly expressed in nociceptive neurones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are A(delta)-fibres ?

A

mechanical/thermal nociceptors that are thinly myelinated (conduction velocity of around 6-30ms-1 assoc. with nipping, stabbing etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are C-fibres?

A

Nociceptors that are unmyelinated (conduction velocity of 0.5-2.0ms-1)
assoc. with throbbing etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is TRP?

A

Transient receptor protein (responds to heat) particularly TRPV1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do ASICs activate?

A

P2X and P2Y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does bradykinin activate?

A

B2 receptors

17
Q

What is ASICs activated by?

A

H+

18
Q

What does ASIC stand for?

A

Acid Sensing Ion Channels

19
Q

Give examples of anti-TNF drugs

A

Etanercept
Adulimumab
Certolizumab
Infliximab

20
Q

What conditions are anti-TNF’s licensed for?

A

RA
psoriatic arhtritis
ankylosing spondylitis

21
Q

What are side effects of anti-TNF’s?

A

Infection risk is increased
Cancer
Pulmoanry fibrosis
Heart failure

22
Q

What does Rituximab do?

A

monoclonal antibody against B (CD20) lymphocytes

23
Q

What does Tocilizumab do?

A

Inhibits IL-6

24
Q

What does Abatacept do?

A

CTLA-4 Ig - blocks full activation of T lymphocytes

25
Q

What does Ustekinumab do?

A

Inhibits IL-12 and IL-23`

26
Q

What are the 2 components to treating gout?

A

Acute episode

Prophylaxis

27
Q

How is the anti-TNF treatment decided?

A

DAWN questions

28
Q

What prophylaxis drugs would be used?

A

Allopurinol
Febuxostat
Uricosurics

29
Q

What is allopurinol?

A

A Xanthine oxidase inhibitor

30
Q

What are side effects of allopurinol?

A

Rash (vasculitis)
marrow aplasia
Azothioprine interaction

31
Q

What is Febuxostat?

A

Xanthine oxidase inhibitor

32
Q

What are side effects of febuxostat?

A

Renal impairment

Caution with ischaemic heart disease