study Flashcards

1
Q

Gliclizide and glyburide are what class of drug

A

sulfonylureas

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2
Q

what is metformins mechanism of action

A

decreases hepatic production of glucose and increases insuline sensitivity

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3
Q

Lactic acidosis is a possible adverse effect of what diabetic medication

A

metformin

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4
Q

what is the mechanism of action of sulfonylureas

A

cause beta cells to release more insulin

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5
Q

what class of medication are the “gliptins”

A

Dpp4 inhibitors

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6
Q

Januvia and trajenta are examples of what class of medication

A

DPP4 inhibitors

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7
Q

What is the mechanism of action of DPP4 inhibitors

A

inhibit breakdown of the incretin GLP-1

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8
Q

Semalgutide is an example of what class of medication

A

GLP1

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9
Q

What is the mechanism of action of GLP1

A

mimics the incretin GLP1

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10
Q

what class of medication are the “flozins”

A

SGLT2

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11
Q

What is the mechanism of action of SGLT2

A

increases urinary glucose secretion by decreasing renal glucose reabosportion

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12
Q

What % HGBA1C is diagnostic for diabetes

A

> 6.5%

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13
Q

What class of medication are the “glitazones”

A

Thiazolidinediones

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14
Q

What is the mechanism of action of thiazolidinediones

A

increase insulin sensitivity, decrease gluconeogeneisis, increase glucose uptake

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15
Q

Gluconorm is what class of medication

A

Meglitinide

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16
Q

What is the mechanism of action of meglinitides

A

increase beta cell insulin release

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17
Q

Arcobose is what class of medicaiton

A

Glucuosidase inhibitors

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18
Q

What is the mechanism of action of glucosidase inhibitors

A

decreases glucose absorption from the gut

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19
Q

what class of medications increase insulin secreation

A

sulfonylureas and meglitines

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20
Q

what class of medications increase tissue insulin sensitivity

A

biguanide and thiazolinidiedones

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21
Q

what class of medication inhibits the digestion of sugar

A

glucosidase inihbitors

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22
Q

TRH is released from what structure

A

hypothalamus

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23
Q

TSH is released from what structure

A

Ant. Pit.

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24
Q

What would cause increased T3 and T3 and decreased TSH

A

hyperthyroid, graves disease

25
what is first line treatment for hyperthyroidism
carbimazole
26
propulthiouracil is used to treat what
hyperthyroidism
27
what is radioactive iodine used to treat
hyerpthyroidism
28
Carbimazole, methimazole and propylthiouracil are what class of medication
thioamides
29
what is the mechanism of action of thioamides
blocks creation of T3 and T4
30
what would cause decreased T3/T4 and increased TSH
primary hypothyroidism
31
Hypothyroidism caused by a problem in the hypothalamus would have ___ T3/T4 and ___ TSH
decreased and decreased
32
Hypothyroidism caused by a problem in the ant. pit. would have ___ T3/T4 and ____ TSH
decreased and decreased
33
PTH increases or decreased serum calcium
increases
34
increased cortisol and increased ACTH is caused by what
cushings
35
increased ACTH with decreased cortisol is caused by what
addisons
36
CRH is released by what structure
hypothalamus
37
CRH triggers the Ant. Pit. to release what
ACTH
38
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
39
what is the treatment for addisons
steroid replacement
40
if doses are missed in the treatment of addisons what can it cause
adrenal crisis
41
T1 cells are part of what hypersensitivity
Type 4
42
what do T1 cells stimulate B cells to release
IgG
43
T2 cells are part of what hypersensitivity
type 1
44
What do T2 cells stimulate B cells to release
IgE
45
What receptors do triptans bind to
serotonin
46
What medication can cause SJS or toxic epidermal necrolysis in some asian populations
carbamazepine
47
What part of the brain is responsible for emotional regulation
amygdala
48
amitriptyline, imimpramine and desipramine are examples of what class of medication
Tricyclics
49
What is the mechanism of action of tricyclics
inhibit norepi, serotonin and dopamine reuptake
50
What is the mechanism of action of pramipexole
dopamine agonist
51
what is pramipexole used to treat
RLS and parkinsons
52
Sinemet is used to treat what
Parkinsons
53
activated CD4 and CD8 lymphocytes are associated with what disease and what do they do
T1DM, destruction of beta cells
54
which hypersensitivity is IgG or IgM mediated
Type 2
55
hemolytic anemia is an example of which hypersensitivity
type 2
56
which hypersensitivity is immune complex mediated
type 3
57
systemic lupus is an example of what hypersensitivity
type 3
58
which hypersensitivity is T cell mediated
Type 4
59
SJS is an example of which hypersensitivity
type 4