Pharm Flashcards

(86 cards)

1
Q

What is the precursor for Dopamine?

A

Tyrosine

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2
Q

What is increased in mania, psychosis, and schizophrenia?

A

Dopamine

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3
Q

What is decreased in parkinson’s disease?

A

Dopamine

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4
Q

What is the major inhibitory NT in the CNS?

A

GABA

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5
Q

Alchohol, benzodiazepines, and barbituaates are agonists of what receptor?

A

GABA

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6
Q

Decreased levels of GABA are associated with what disorders?

A

Anxiety and Epilepsy

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7
Q

What is the major excitary NT in the CNS?

A

Glutamate

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8
Q

What is increased in epilepsy, schizophrenia, and Alzheimers?

A

Glutamate

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9
Q

What inhibitory NT controls gultamate activity in the brain and spinal cord?

A

Glycine

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10
Q

What NT is responsible for sleep modulation and sateiy?

A

Histamine

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11
Q

What classes of drugs block H1 and lead to sedation and increased appetite?

A

Antipsychotics and Tricyclic antidepressants

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12
Q

What NT is increased in anxiety?

A

NE

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13
Q

What NT is decreased in depression?

A

NE

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14
Q

What NT regulates mood, temp, sexualilty, and sleep?

A

Serotonin

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15
Q

What is the precursor of serotonin?

A

Tyrptophan

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16
Q

What degrades serototnin?

A

Monoamine Oxidase

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17
Q

What NT is decreased in depression, bipolar, and anxiety, but increased in schizophrenia?

A

Serotnoinin

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18
Q

Where are histaminergic nuerons located?

A

central posterior hypothalmus

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19
Q

Where is thr primary site for NE synthesis?

A

locus ceruleus

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20
Q

What stucture releases serotonin to projections throughout the brain stem?

A

Raphe Nucelus

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21
Q

Substantia nigra pars compacta and tegmenatal area are important sites of what type of neurons in the brain?

A

dopaminergi nuerons

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22
Q

Morphine is what type of drug class?

A

Opiod

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23
Q

What opiod can be used as a iv anesthetic?

A

Fentanyl

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24
Q

3 methyl morphine is what opiod?

A

Codeine

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25
Hydromorphone is more potent than which drug and should never be chewed?
Morphine
26
What opiod is used as a treatment for herione addiction?
Methadone
27
Which opidod is less potent than morphine and can cause CNS depression?
Meperidine
28
Oxycodone is used for what type of pain?
Weak
29
Loperamide is used to treat which symptom?
Diarehhia
30
What drugs are used to treat an OD of opiates?
Naloxene and Naltrexone
31
Which opiods are used as an antitussive?
Dextromethorphan and COedine
32
What is a major endogenous opiod?
Enkephalin
33
What is located in the PAG, Raphe Magnus and doesal horn?
Enkephalin
34
What is the site of action for NSAIDs and other OTC analgesics?
Sensory nerve endings
35
What is the site of action for local anethetics>
Nerve trunks and spinal cord where they prevent nerve conduction
36
What analgesic works at the spinal cord, thalamus, PAG, Raphe Nucleus and cortex of the brain?
OPiates
37
Where do general anthestics work in the NS?
cortex
38
What analgesic hyper polarize and inhibit NT release everywhere except the PAG and Raphe Mangnus?
OPiates
39
What is the mechanism of pain control in the PAG and Raphe Magnus by opaites?
OPiates activate descending [ain control pathways
40
What opidio partial agonist when given with morphine antagonixze its effects?
Buprenorphine
41
How do opiods inhibit NT release and decrease pain?
Increase K+ conductance (outflow), Decrease Ca+ inflow (Inhibit andenyl cyclase)
42
Drowisness, Nausea, Vomiting and Respiratory Depression are side effects of what drugs?
OPiates
43
Which anaglesic do you use after an MI?
Morphine
44
Does Morphine Increase or Decrease Prolactin?
Increase
45
Does Morphine increase or Decrease Growth Hormone?
INcrease
46
Does Morphine Increase or Decrease TSH?
reduce
47
Does Morphine Increase or Decrease ACTH
reduce
48
Does Morphine Increase or Decrease LH?
reduce
49
Which Local ANthestics are Amides?
Lidocaine and Bupivacine
50
What local analgesic causes vascontriction because of inhibition of NE uptake?
Cocaine
51
SHorter nerves are blocked before....
Longer nerves
52
Which fire faster: pain or motor?
Pain
53
Which pain fibers are the most susceptible to block in order from most to least?
C>delta>gamma>beta>alpha
54
What is usually coadminsitred with local anthestics to decrease sysstemic distrubution and toxicity?
Epinephrine or vasoconstrictors
55
Local ansthetics side effects include:
CNS: seizures-->depression--->death | Cardio depression
56
Which 3 local anthestics are suitable for injection?
Procaine, Lidocaine, Bupivacaine
57
Which 3 local anthestis are suitable for mucous membranes and skin?
Benzocaine, Lidocaine, Cocaine
58
What is the only anthestics used for eyes?
Proparacaine
59
What are the drugs of choice for Anxiety?
SSRI SNRI buspirone
60
What drugs do you use for bipolar disorder?
``` Lithium Aytpical antipsychotics Valporic Acid Carbamazepine (LAVAC) ```
61
Drugs of choice for Depression?
``` SSRI SNRI TCAs buspirone mirtazapine ```
62
Drugs for panic disorder?
SSRI venlafaxine benzodiazepines
63
PTSD drugs?
SSRI
64
What are the drugs for SSRIs?
``` FLuoxetine PARoxetine SErtraline CITalopram FLashbacks PARalyze SEnior CITizens ```
65
Which Anti-depressants cause serontinin syndrome?
MAOI SSRI SNRI TCAs
66
Name the SNRI drugs (2)
Venlafaxine | Duloxetine
67
TCA-depressant drugs (4)
``` Desipramine Amitriptyline Notriptyline Imipramine DANI needs TRIple ```
68
What is the major antidepressant that causes sexual dysfunction?
SSRI
69
SNRI's cause...
increase in BP
70
What are the Tri-C's of TCA side effects?
Convulsions Coma Cardiotoxicity
71
What type of drug is Tranylcypromine?
MAOI
72
What are MAOI used for?
Atypical depression
73
What are the three atypical antidepressants?
Bupropion Mirtazapine Trazodone
74
What anti-depressant has no sexual sideeefect?
Bupropion
75
What drug group is a agonist for serotonin 5HT1?
Triptans and Ergot alkaloids
76
What are three drugs that are used for prophylactic for migraines?
Propanolol Topiramate Amitryptyline
77
What are triptans contraindicated for?
Hypertension, Heart Disease, Cerebrovascular
78
Will a shorter or longer nerve be blocked first?
Shorter
79
Will a nerve firing more often than be blocked before a nerve that fires less?
More
80
The fibers on the outside are blocked before the fibers on the inside. T/F?
True
81
Sensory nerve fibers are blocked...
before motor fibers
82
Which non-benzos increase sleep duration?
Zolpidem and Eszopicolone
83
Which non benzo decreasae the latency to sleep?
Zaleplon
84
What sleep drug is an agnoist for MT1/MT2?
Rameleton
85
baclofen targets is an agonist for which receptor?
GABA-B
86
Tizanidine is a agonsit for which receptor?
Alpha 2