When a false substrate drug acts on an enzyme, an abnormal metabolite is produced. True or false?
Drugs can potentiate enzymes (i.e. increase their activity). True or false?
An inactive drug is produced when a pro-drug binds to an enzyme. True or false?
Nitric oxide stimulates what enzyme?
Hydroxylcarboxylase
Phosphatase kinase
Guanylate cyclase
Acetyloxidase
Drugs releasing nitric oxide (NO) are used to treat what?
Angina
Bacterial infections
Asthma
Stomach ulcers
Which of the following drugs inhibits cyclo-oxygenase?
Fluoxetine
Paracetamol
Aspirin
Quinine
Which of the following drugs inhibits phosphodiesterase?
Caffeine
Tetracycline
What roles does the drug Aspirin play?
Anticoagulant
Analgesic
Anti-inflammatory
Antipyrectic
Aspirin is a reversible enzyme inhibitor. True or false?
What is the function of the enzyme cyclo-oxygenase?
Converts arachidonic acid into prostaglandins
Adds a phosphate group to adenine diphosphate
Oxidises a cyclic organic molecule
Removes an oxygen group form a cyclic organic molecule
When Aspirin inhbits cyclo-oxygenase, what cellular effects are affected?
Inflammation
Pain
Vascular tone (contractile activity of smooth muscle in small arteries and arterioles)
Platelet function (prevents bleeding)
Which of the following statements are true about L-DOPA (levodopa)?
Prevents symptoms of rigidty and tremor
Increases the level of dopamine in the body
Activates an enzyme to produce more dopamine
Can be used to treat Parkinson's disease
In Parkinson's disease, there are reduced levels of what neurotransmitter in what part of the brain?
Dopamine, cerebrum
Acetylcholine, basal ganglia
Dopamine, basal ganglia
Acetylcholine, cerebrum
Why can L-DOPA be used to treat Parkinson's disease?
It enters the peripheral nervous system
L-DOPA can cross the blood-brain barrier
L-DOPA is the immediate precursor of dopamine
It acts directly upon muscles to prevent symptoms of rigidity and tremor
Which of the following statements are true regarding the properties of L-DOPA and dopamine?
DOPA-decarboxylase acts upon L-DOPA to produce dopamine
L-DOPA and dopamine can cross the blood-brain barrier
Removing a carboxylic acid group from L-DOPA forms the neurotransmitter, dopamine
Dopamine can be used to prevent symptoms of Parkinson's disease
L-DOPA is administered as a medicine. Given alone, dopamine levels would increase in the brain and periphery. How may this be prevented?
Administer L-DOPA in very small quantities
Co-administering a DOPA-decarboxylase inhibitor (e.g. carbidopa)
Closely monitor L-DOPA levels in the body once administered
Co-administer with an enzyme that removes dopamine from the body
Carbidopa does not cross the blood brain barrier. Therefore dopamine concentrations are only increased in the brain. True or false?
Neostigmine is an example of what?
An anticoagulant
An analgesic
A neurotransmitter
An anti-cholinesterase
Treatment with anti-cholinesterases boosts the effects of acetylcholine. True or false?
In general anaesthesia, the action of nicotinic acetylcholine receptors is stimulated. True or false?
What effects does inhibiting cholinesterase have?
Prevents acetylcholine breakdown
Blocks the action of nicotinic acetylcholine receptors
Indirectly increases acetylcholine concentration
Displaces the receptor blocker (a competitive antagonist) from the receptor, reversing its effects
Which of the following statements are true regarding the disease Myasthenia gravis?
Muscles that control swallowing are unaffected by the disease
It is an auto-immune disease in which antibodies develop against the muscle nicotinic Ach receptor
It is treated with anti-cholinesterases to boost the action of Ach
Symptoms of the disease include drooping eyelids and muscle weakness
Ion channel blockers allow permeation. True or false?
Ion channel modulators increase/decrease opening probability. True or false?
Which of the following is false: ion channels are grouped by
Overall charge
How they open (i.e. pressure, voltage)
Ion selectivity
Their molecular structure
What is the function of verapamil?
Acts as a competitive agonist
Blocks calcium channels
Opens potassium channels
Inhibits nicotinic receptors
Calcium ion channel blockers are used to treat which of the following?
Hypertension
Heart failure
Arrythmia
Which of the following statements is false regarding sodium ion channel blockers?
Inhibits influx of sodium, preventing action potential propagation
Lidocaine is an example of a sodium ion channel blocker
Verapamil is an example of a sodium ion channel blocker
Sodium channel blockers act as local anasethetics
Transporters move ions down their electrochemical gradient. True or false?
The action of transporters requires energy from
ATP hydrolysis (active transport)
Borrowing energy from other biochemical reactions (pre-transport)
Utilising an existing ion gradient (co-transport)
Energy is not required for the action of transporters
Which drug blocks Na+/K+ ATPase to treat heart failure?
Lidocaine
Dopamine
Digoxin
Fluoxetine is an example of
An antidepressant
A local anaesthetic
An antipyretic
The drug Fluoxetine is an example of a Serotonin-Selective Reuptake Inhibitor (SSRI). True or false?
Treatment with Serotonin-Selective Reuptake Inhibitors (SSRIs) increases the effects of the 5HT receptor. True or false?