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Medchem test 2
med chem test 2
41
Chemistry
Professional
10/22/2008

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Term
myasthenia gravis results in...
Definition
destruction of ACh receptors at NM junction
Term
botox results in
Definition
blocking of ACh release
Term
small acyl group is good for
Definition
agonistic action
Term
increasing acyl group size increases
Definition
antagonistic effects
Term
alkyl substitutions on Beta carbon decreases _______ action
Definition
nicotinic
Term
increasing ______ on amine group will change compound from agonist to antagonist
Definition
alkylation
Term
_____ is identical to acetylcholine except the CH3 is replaced with an NH2
Definition
carbachol
Term
can reduce intraocular pressure when pilocarpine or neostigmine fail
Definition
carbachol
Term
pilocarpine treats _____ by _____
Definition
glaucoma; better draining of ocular fluid through canal of schlemn
Term
indirect cholinergic agents work by?
Definition
blocking action of acetylcholinesterase
Term
31 pairs of nerves
Definition
spinal nerves
Term
cranial nerves
Definition
12 pair
Term
carry impulses from periphery to CNS
Definition
sensory / afferent nerves
Term
impulses from CNS to periphery
Definition
motor / efferent nerves
Term
parasympathetic nervous system - where it comes out
Definition
craniosacral
Term
sympathetic nervous system - where it comes out
Definition
thoracolumbar
Term
parasympathetic has _____ preganglionic axons
Definition
long
Term
sympathetic has ____ preganglinoic axons
Definition
short
Term
first neurotransmitter released from spinal cord in autonomic system
Definition
ACh
Term
connection between 2 neurons
Definition
synapse
Term
connection between neuron and innervated tissue
Definition
junction
Term
excitatory CNT release results in ______ of postsynaptic cell
Definition
depolarization
Term
inhibitory CNT release results in ______ of post synaptic membrane
Definition
hyperpolarization
Term
action of CNT terminated by THREE major mechanisms
Definition
uptake, metabolism, diffusion
Term
cholinergic nerves result in ____ of GI tract
Definition
peristalsis
Term
cholinergic nerves regulate _______ and ______ of the heartbeat
Definition
contraction and force
Term
acetylcholine comes from
Definition
diet
Term
butyrylcholinesterase is primarily found in ____
Definition
RBC or blood supply
Term
first receptor ACh interacts with is _______
Definition
nicotinic
Term
trimethylamine group is a better inhibitor in the ____ position than the ____ position
Definition
meta ; para
Term
alzheimers results in reduced _______ receptor levels
Definition
nicotinic
Term
enzyme responsible for biosynthesis of ACh
Definition
choline acetytransderase
Term
aricept/donepezil is metabolized to an active phenol by _______
Definition
O-demethylation
Term
phosphate esters are capable of
Definition
covalent bond formation
Term
organophosphates cause ACh to ______ at nerve endings
Definition
accumulate
Term
_____ is used to reverse the effects of nerve agents or insecticides
Definition
atropine
Term
postganglionic neurotransmitter in sympathetic system
Definition
epinephrine or norepinephrine
Term
postganglionic neurotransmitter in parasympathetic neuron
Definition
ACh
Term
mydriatic effect
Definition
pupil dilation
Term
anticholinergics ____ secretion of saliva and gastric juices
Definition
decrease
Term
tiotropium/Spiriva blocks __ receptors in the airways
Definition
M3
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