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  • Quinn Karylle Fuentes

  • 問題数 91 • 4/4/2024

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    問題一覧

  • 1

    What are the receptors of sympathetic

    Alpha , Beta, Dopamine

  • 2

    It has the property of adjusting in response to stressful situations such as trauma, fear, hypoglycemia, cold or exercise.

    Sympathetic nervous system.

  • 3

    The endogenous neurotransmitters contain three required structural features. What are those transmitter

    Catechol nucleus, a,b- hydroxy group , Nitrogen substituents.

  • 4

    Ortho hydroxybenzene

    Catechol 1& 2

  • 5

    Meta hydroxybenzene

    Resorcino 1 & 3

  • 6

    Para hydroxybenzene

    hydroquinone 1 & 4

  • 7

    The primary neurotransmitter of postganglionic sympathetic adrenergic nerves.

    Norepinephrine.

  • 8

    Synthesized inside nerve axon in the adrenal medulla and stored within vesicles. It is released by the nerve when an action potential travels down the nerve.

    Norepinephrine.

  • 9

    Receptors= Gq linked

    Alpha 1

  • 10

    Receptors= Gi linked

    Alpha 2

  • 11

    Exert negative feedback leading to decrease in the synthesis & release of NE

    Alpha 2

  • 12

    (+) inotropism, dromotropism, chronotropism

    Beta 1

  • 13

    The increase in cAMP levels in structures with beta2 receptors on them will lead to smooth muscle relaxation but skeletal muscle contraction.

    Beta 2

  • 14

    modulation of motor activity, behavior, mood & thought process Induce vomiting

    Dopamine 2-4

  • 15

    Gs linked

    Dopamine 1

  • 16

    like family receptors is coupled to the G protein Gi, which directly inhibits the formation of cAMP by inhibiting the enzyme adenylate cyclase

    Dopamine 2-4

  • 17

    Receptors of catecholamines are example of

    Type 2

  • 18

    Drugs that mimic the action of epinephrine or norepinephrine.

    Adrenoceptor Agonists

  • 19

    What are under Nonselective

    Epinephrine, Norepinephrine, Dopamine, Isoproterenol

  • 20

    What are under selective

    ALPHA 1 agonists , ALPHA 2 agonists , BETA 1 agonists , BETA 2 agonists , DOPAMINE 1 agonists

  • 21

    Binds directly to the receptor

    Direct acting.

  • 22

    Increase concentration of catecholamines in the synaptic cleft

    Indirect acting.

  • 23

    CNS centered effects

    Centrally acting

  • 24

    What are under increase release

    Tyramine, Ephedrine, Angiotensin II , Amphetamine

  • 25

    What are under inhibit re uptake

    TCAs, Cocaine, Reboxitine

  • 26

    What are under centrally acting

    Phenylpropanolamine , Amphetamine, Methylphenidate, Phentermine, Modafinil

  • 27

    considered as the parent compound from which sympathomimetic drugs are derived.

    Phenylethylamine.

  • 28

    consists of benzene ring with an ethylamine side chain

    Phenylethylamine.

  • 29

    consists of benzene ring with an ethylamine side chain

    Norepinephrine.

  • 30

    stimulates α1 , β1 and β2

    Epinephrine

  • 31

    stimulates β1 and β2

    Isoproterenol.

  • 32

    Methyl substitution on NE, yielding Epi, enhances activity at β2 receptors. ↑ β-receptor activity. The larger the substituent on the amino group, the lower the activity at α-receptor.

    Terminal amino group.

  • 33

    Substitution of OH group on benzene ring increases maximal α & β activity

    Benzene ring.

  • 34

    INACTIVATED BY COMT, cannot be given orally polar (Poor CNS penetration)

    With OH (at 3 and 4) catecholamines

  • 35

    not inactivated by COMT, can be given orally, non polar (CNS penetration)

    Without OH (at 3 and 4) non catecholamines

  • 36

    Dec. metabolism by monoamine oxidase (MAO).

    Alpha carbon.

  • 37

    Give example of alpha carbon.

    Ephedrine , Amphetamine

  • 38

    Substitution of OH group will become a direct-acting agonists. β-hydroxyl group.

    Beta carbon.

  • 39

    Ephedrine, Phenylephrine and Amphetamine which of these are non catecholamines

    All of them

  • 40

    Ephedrine, Phenylephrine and Amphetamine which of these are resistant to MAO metabolism

    Amphetamine, Ephedrine

  • 41

    Ephedrine, Phenylephrine and Amphetamine which of these are direct acting agonist

    Ephedrine, Phenylephrine

  • 42

    Ephedrine, Phenylephrine and Amphetamine which of these are direct acting agonist

    Ephedrine, Phenylephrine

  • 43

    Ephedrine, Phenylephrine and Amphetamine which of these are indirect acting agonist

    Amphetamine

  • 44

    What is the Natural catecholamines:

    Epinephrine, Norepinephrine, Dopamine

  • 45

    What is the synthetic catecholamines:

    Isoproterenol

  • 46

    OH groups show highest potency in activating alpha or beta receptors

    High potency.

  • 47

    What are the rapid inactivation

    COMT (POSTSYNAPTICALLY), gut wall , MAO (intraneurally), liver, gut wall

  • 48

    Catecholamines presence of OH group at 3 & 4 pos. OH group at this pos also inc. polarity

    Inactivated by COMT

  • 49

    due to absence of substituent in alpha carbon

    Inactivated by MAO

  • 50

    presence of OH at β carbon.

    Direct acting agonist.

  • 51

    increase activity in beta receptors due to substituent in terminal amino group

    Non selective

  • 52

    NE (Levophed)

    IV

  • 53

    Epi (adrenalin)

    IV, SQ, Topical, Auto injector

  • 54

    Dopamine

    IV

  • 55

    Isoproterenol

    IV, Inhalation

  • 56

    potent vasoconstrictor & cardiac stimulant. and Gives positive inotropic & chronotropic effect

    Epinephrine.

  • 57

    Epinephrine (Adrenalin) Uses

    Anaphylactic shock , bronchospasm, hypersensitivity, glaucoma

  • 58

    First line inotropic agent in the management of septic shock- (SBP <90mmHg) due to systemic infection

    Norepinephrine

  • 59

    Norepinephrine also know as

    Levarterenol, Noradrenaline

  • 60

    Norepinephrine (Levophed) Uses

    Hypotension , Decongestant , infiltration anesthesia

  • 61

    immediate metabolic precursor of NE. Affinity to receptors:

    Dopamine.

  • 62

    Dopamine uses

    Septic shock , acute oliguric renal failure, Cardiogenic shock

  • 63

    Dec. activity in alpha receptor= bulky substituent in terminal amino group

    Isoproternol

  • 64

    Isoproterenol uses

    Asthma, COPD, Heart failure

  • 65

    What is the adverse effet oc Isoproterenol

    Cardiac arrhythmias , Tachyphylaxis

  • 66

    What is the precursor of catecholamines

    Tyrosine.

  • 67

    What ion is responsible for exit

    Calcium ion

  • 68

    Dilation of pupil

    Mydriasis.

  • 69

    What is the reponse to Alpha 1 receptors

    Erection.

  • 70

    A receptor that has the ability to increase your blood pressure / Vasoconstriction

    Alpha 1 receptors.

  • 71

    A type of blocker that has yhe ability to decrease your BP / Vasodilation

    Alpha 1 blocker.

  • 72

    What alpha 1 Synthesis

    Muscle contraction.

  • 73

    What do you call the space between pre synapse and post synapse

    Synaptic cleft.

  • 74

    Decrease catecholamines secretion

    NFE

  • 75

    What are the drugs that has NFE that decrease catecholamines secretion (norepinephrine and synthesis; Lowers blood pressure; Cure antihypertensive)

    Clonidine, Methyldopa

  • 76

    Inotropic agent for heart failure

    Beta 1 agonist

  • 77

    Increase the strength of cardiac contractions

    Inotropic

  • 78

    Increase the duration of heart muscle that lead to heart failure

    Chronotropism

  • 79

    Increase the conduct of cardiac cells

    Dromotropism

  • 80

    A Catecholamines receptors that has an ability to increase heart rate and increase stroke volume.

    Beta 1

  • 81

    A catecholamine receptors Juxtaglomerular cell if release its renin can increase blood pressure.

    Beta 1

  • 82

    Facilitate the sodium and water retention in the body

    Renin

  • 83

    A receptor that can decrease Blood pressure

    Alpha 2

  • 84

    A catecholamines receptor that can increase Blood pressure

    Beta 1

  • 85

    Used in mngt of bronchchi asthma and COPD

    Beta 2

  • 86

    A catecholamines receptors that found in autonomic nervous system.

    Dopamine 1

  • 87

    A catecholamines receptors that found in central nervous system.

    Dopamine 2-4

  • 88

    High dopamine level can cause

    Schizophrenia

  • 89

    Low dopamine level can cause

    Parkinsonism

  • 90

    Anti parkinsonism

    Dopamine 2 agonist

  • 91

    Antipsychotics drugs

    Dopamine 2 antagonist