Term 
        
        | Mechanism of action of GHB (4) |  
          | 
        
        
        Definition 
        
        1. inhibition of impulse flow throughout mesolimbic DA system for about an hour 2. stimulates DA synthesis via negative feedback 3. increased interneuronal DA 4. Increased levels of dopac |  
          | 
        
        
         | 
        
        
        Term 
        
        | What is GHB used to treat? (3) |  
          | 
        
        
        Definition 
        
        1. narcolepsy 2. alcoholism 3. heroine withdrawal symptoms |  
          | 
        
        
         | 
        
        
        Term 
        
        | duration of action of GHB |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Why was GHB declared illegal? (2) |  
          | 
        
        
        Definition 
        
        1. produces euphoria 2. used for date rate |  
          | 
        
        
         | 
        
        
        Term 
        
        | Peripheral effects of GHB (3) |  
          | 
        
        
        Definition 
        
        1. decreased respiration 2. decreased heart rate 3. decreased BP |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | What can treat GHB CNS depression? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | From what is LSD derived? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Symptoms of ergot poisoning? (2) |  
          | 
        
        
        Definition 
        
        1. mental disturbances 2. painful constriction of blood vessels |  
          | 
        
        
         | 
        
        
        Term 
        
        | Minimum and mean doses of LSD? |  
          | 
        
        
        Definition 
        
        minimum: 25 um median: 100 um |  
          | 
        
        
         | 
        
        
        Term 
        
        | Duration of action of LSD? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Effects of LSD on 5-HT? (4) |  
          | 
        
        
        Definition 
        
        1. decrease in tryptophan hydroxylase activity 2. decrease in extraneuronal 5-HT 3. increase in intraneuronal 5-HT 4. decrease in 5-HT neuron activity |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | visual, auditor, tactile, olfactory or kinesthetic perception that occurs in the absense of a stimulus |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | distortion of an external stimulus |  
          | 
        
        
         | 
        
        
        Term 
        
        | What are the four categories of hallucinogens? (4) |  
          | 
        
        
        Definition 
        
        1. LSD indole 2. phenylalkyl amines (mescaline) 3. indole alkyl amines (psilocybin) 4. MDMA in high doses |  
          | 
        
        
         | 
        
        
        Term 
        
        | What receptor does LSD activate to elicit glutamate release? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Mental (psychological) effects of LSD (4) |  
          | 
        
        
        Definition 
        
        1. accentuates mental state at the time of does 2. unpredictable effects 3. dependent on user's personality, mood, expectations, and surroundings 4. Always a positive and negative component of the trip |  
          | 
        
        
         | 
        
        
        Term 
        
        | Physiological effects of LSD (8) |  
          | 
        
        
        Definition 
        
        1. increased BP 2. increased HR 3. dizziness 4. tremors 5. decreased appetite 6. dry mouth 7. sweating 8. nausea |  
          | 
        
        
         | 
        
        
        Term 
        
        | Emotional/sensory effects of LSD (3) |  
          | 
        
        
        Definition 
        
        1. rapid shifts between fear and happiness 2. intensification of colors, smells, and sounds 3. synesthesia |  
          | 
        
        
         | 
        
        
        Term 
        
        | LSD compared to MDMA (3 each) |  
          | 
        
        
        Definition 
        
        MDMA: DA release, 5-HT release, phenethylamine LSD: 5-HT2A partial agonist, stimulates D1 receptors, indole amine |  
          | 
        
        
         | 
        
        
        Term 
        
        | Where does MDMA (+LSD) produce neurodegeneration? (4) |  
          | 
        
        
        Definition 
        
        1. raphe nucleus 2. cortex 3. striatum 4. hippocampus (causing anterograde amnesia) |  
          | 
        
        
         | 
        
        
        Term 
        
        | 2 persistant events associated with LSD use? (2) |  
          | 
        
        
        Definition 
        
        1. persistent psychosis 2. hallucinogen persisting perception disorder (flashbacks) |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | cannabidiol (CBD)-->THC-->cannabinol (CBN) |  
          | 
        
        
         | 
        
        
        Term 
        
        | % THC by weight of plant? |  
          | 
        
        
        Definition 
        
        1% naturally 4-6% from genetic alteration |  
          | 
        
        
         | 
        
        
        Term 
        
        | why is THC so fast acting? (2) |  
          | 
        
        
        Definition 
        
        1. lipid soluble 2. absorbed easily through the lungs |  
          | 
        
        
         | 
        
        
        Term 
        
        | THC is a ____ and a _____ |  
          | 
        
        
        Definition 
        
        | psychotomimetic and a CNS depressant |  
          | 
        
        
         | 
        
        
        Term 
        
        | Effects of THC in humans? (3) |  
          | 
        
        
        Definition 
        
        1. feelings of relaxation 2. decrease in aggression 3. feelings of sharpened sensory awareness |  
          | 
        
        
         | 
        
        
        Term 
        
        | Central effects of THC (8) |  
          | 
        
        
        Definition 
        
        1. time passing slowly 2. decreased short term memory 3. feel falsely confident 4. impaired motor coordination 5. cataplexy 6. analgesia 7. antiemetic 8. increased appetite |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        1. increased HR 2. vasodilation 3. decreased intraoccular pressure 4. bronchodilaiton |  
          | 
        
        
         | 
        
        
        Term 
        
        | Characteristics of CB1 receptors (3) |  
          | 
        
        
        Definition 
        
        1. G protein coupled 2. inhibits adenylyl cyclase 3. coupled positively to K+ channels, reducing NT release |  
          | 
        
        
         | 
        
        
        Term 
        
        | Where are CB1 receptors located? (6) |  
          | 
        
        
        Definition 
        
        1. hippocampus (memory impairment) 2. cerebellum 3. substantia nigra (motor disturbances) 4. mesolimbic DA pathway (addiction) 5. VTA 6. Cortex |  
          | 
        
        
         | 
        
        
        Term 
        
        | Where are CB2 receptors located? |  
          | 
        
        
        Definition 
        
        | In the lymphoid system; they inhibit immune function |  
          | 
        
        
         | 
        
        
        Term 
        
        | What are the unwanted side effects of weed? (6) |  
          | 
        
        
        Definition 
        
        1. dizziness 2. drowsiness 3. drymouth 4. dysphoria 5. hallucinations 6. psychotic reactions |  
          | 
        
        
         | 
        
        
        Term 
        
        | An endogenous compound synthesized from arachidonic acid? What are its advantages? |  
          | 
        
        
        Definition 
        
        | anandamide: no overdose, no depression in respiration, no cardiovascular impairment |  
          | 
        
        
         | 
        
        
        Term 
        
        | Effects of CB1 antagonists? (3) |  
          | 
        
        
        Definition 
        
        1. increased locomotor activity 2. increased short term memory 3. increased NT release |  
          | 
        
        
         | 
        
        
        Term 
        
        | Why are CB1 antagonists used clinically? (3) |  
          | 
        
        
        Definition 
        
        1. to reduce bronchial pain 2. to reduce intraoccular pressure 3. antiemetic |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | a synthetic compound from THC that is administered orally and is used to treat cancer; degraded in 1st pass metabolism, but metabolites are active as well |  
          | 
        
        
         | 
        
        
        Term 
        
        | Long term effects of THC in men and women (6) |  
          | 
        
        
        Definition 
        
        1. inhibition of perspiration 2. decreased serum testosterone 3. decreased spermatogenesis 4. decreased length of tail of sperm 5. decreased FSH 6. decreased LH |  
          | 
        
        
         | 
        
        
        Term 
        
        | Symptoms of amotivational syndrome (4) |  
          | 
        
        
        Definition 
        
        1. apathy 2. impairment in judgement 3. poor concentration 4. loss of interest in appearance and goals |  
          | 
        
        
         | 
        
        
        Term 
        
        | peak concentration of THC occurs after... |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | peak subjective effect of THC occurs after... |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Effects of THC last for... |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Withdrawal symptoms from THC? (5) |  
          | 
        
        
        Definition 
        
        1. irritability 2. restlessness 3. nervousness 4. decrease in appetite 5. insomnia |  
          | 
        
        
         | 
        
        
        Term 
        
        | long term users of THC develop tolerance to (2) |  
          | 
        
        
        Definition 
        
        1. increased HR 2. motor impairment |  
          | 
        
        
         | 
        
        
        Term 
        
        | Which enzyme breaks down many drugs and retroviral HIV treatments? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Which drugs are broken down by Cyp3A4? (9) |  
          | 
        
        
        Definition 
        
        1. BZDs 2. Cocaine 3. Ketamine 4. MDMA 5. methadone 6. codeine 7. hydrocodone 8. PLP 9. THC |  
          | 
        
        
         | 
        
        
        Term 
        
        | How to convert morphine to heroine? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | Any substance (endogenous or synthetic) that produces morphine-like effects |  
          | 
        
        
         | 
        
        
        Term 
        
        | What is the classic antagonist of morphine? |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Morphine is both a ____ and a _____ in the CNS |  
          | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Effects resulting from an injection of heroine (4) |  
          | 
        
        
        Definition 
        
        1. warmth 2. heavy extremities 3. nausea 4. itching |  
          | 
        
        
         | 
        
        
        Term 
        
        | PNS effects of heroine (5) |  
          | 
        
        
        Definition 
        
        1. decreased HR 2. decreased BP 3. decreased respiration 4. decreased cardiac function 5. decreased GI motility and increased tone |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        1. sedation 2. changes in mood 3. warmth 4. itching 5. nausea/dizziness (due to activation of chemoreceptors in the medulla oblongata) 6. reduces affect associated with pain 7. powerful sense of well-being 8. euphoria (mediated through u receptors) |  
          | 
        
        
         | 
        
        
        Term 
        
        | PNS effects of morphine (4) |  
          | 
        
        
        Definition 
        
        1. decreased respiration (due to increased intracranial pressure) 2. hypotension 3. constriction of pupil 4. decreased GI motility |  
          | 
        
        
         | 
        
        
        Term 
        
        | Withdrawal symptoms from heroine/morphine in rats/mice (6) |  
          | 
        
        
        Definition 
        
        1. increased irritability 2. weight loss 3. tremors 4. writhing 5. jumping 6. aggression |  
          | 
        
        
         | 
        
        
        Term 
        
        | withdrawal symptoms from heroine/morphine in humans (8) |  
          | 
        
        
        Definition 
        
        1. flu-like symptoms 2. yawning 3. fever 4. sweating 5. piloerection 6. nausea 7. insomnia 8. diarrhea |  
          | 
        
        
         | 
        
        
        Term 
        
        | Diseases associated with long term heroine use (5) |  
          | 
        
        
        Definition 
        
        1. HIV/AIDS 2. Hep B and C 3. collapsed veins 4. bacterial infections 5. infections of heart valves/pericardial sac |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Morphine is metabolized by ____ to form ____ |  
          | 
        
        
        Definition 
        
        | glucoronidase, morphine 6 glucoronide |  
          | 
        
        
         | 
        
        
        Term 
        
        | Three types of opioid receptors and their characteristics |  
          | 
        
        
        Definition 
        
        1. u: analgesia and unwanted side effects (respiratory depression, nausea) 2. o: predominant in periphery 3. k: analgesia at spinal cord and some sedation |  
          | 
        
        
         | 
        
        
        Term 
        
        | Cellular effects of morphine (6) |  
          | 
        
        
        Definition 
        
        1. acts on G protein coupled receptors 2. inhibits adenylyl cyclase 3. decreases cAMP 4. Promotes opening of K+ channels 5. inhibits V gated Ca channels 6. reduces membrane excitability |  
          | 
        
        
         | 
        
        
        Term 
        
        | Other peripheral effects of morphine (3) |  
          | 
        
        
        Definition 
        
        1. decreases immune response 2. severe bronchial constriction 3. massive histamine release |  
          | 
        
        
         | 
        
        
        Term 
        
        | Tolerance of morphine develops to (4) |  
          | 
        
        
        Definition 
        
        1. analgesia 2. nausea 3. euphoria 4. respiratory depression |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
         | 
        
        
         | 
        
        
        Term 
        
        | Why was ketamine used as a replacement for phencyclidine? (4 properties of ketamine) |  
          | 
        
        
        Definition 
        
        1. short acting 2. good for child use 3. fast to go down 4. fast to come up |  
          | 
        
        
         | 
        
        
        Term 
        
        | PCP produces what positive signs of schizophrenia? (5) |  
          | 
        
        
        Definition 
        
        1. hallucinations/illusions (auditory and sensory) 2. delusions 3. thought boradcasting (think they know others thoughts) 4. thought insertion (other people plant thoughts-->paranoia) 5. dysfunctional/illogical thought patterns |  
          | 
        
        
         | 
        
        
        Term 
        
        | Negative signs of schizophrenia (2) |  
          | 
        
        
        Definition 
        
        1. depression 2. social withdrawal |  
          | 
        
        
         | 
        
        
        Term 
        
        | Mechanism of action of PCP |  
          | 
        
        
        Definition 
        
        1. noncompetitive antagonist of NMDA receptors 2. binds at a site within the channel pore; stereoselective 3. channel must be open for drug to have effect; use dependent |  
          | 
        
        
         | 
        
        
        Term 
        
        | What channels does PCP block other than NMDA? (4) |  
          | 
        
        
        Definition 
        
        1. V gated Na channel 2. K channel 3. Nicotinic Ach receptor 4. antagonist to sigma receptor |  
          | 
        
        
         | 
        
        
        Term 
        
        | Characteristics of schizophrenia vs. characteristics of PCP (3 each) |  
          | 
        
        
        Definition 
        
        Schizo: 1. decreased nicotinic receptors, 2. increase in DA in limbic system, 3. compromised K channel
  PCP: 1. blocks nicotinic receptors, 2. biphasic, 3. blocks K channel |  
          | 
        
        
         | 
        
        
        Term 
         | 
        
        
        Definition 
        
        | Through the D1 receptor, increases levels of CREB and cAMP; blocking 5-HTR, NER, or D2 does nothing |  
          | 
        
        
         | 
        
        
        Term 
        
        | Endocrine effects of PCP (2) |  
          | 
        
        
        Definition 
        
        1. increased endocrine effects 2. decreased testosterone and sperm count |  
          | 
        
        
         | 
        
        
        Term 
        
        | Mental effects of PCP (2) |  
          | 
        
        
        Definition 
        
        1. perceived invulnerability 2. personality transformation |  
          | 
        
        
         |