Adrenergic Agonists and Receptor Activation Quiz
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Questions and Answers

What is the reason that catecholamines are ineffective if given orally?

  • They undergo rapid degradation by MAO and COMT
  • They are inactivated before they can reach systemic circulation (correct)
  • They lack a catechol group
  • They have a lower affinity for adrenergic receptors

What causes the pink or brown pigmentation in catecholamine-containing solutions over time?

  • Bacterial contamination
  • Reaction with light
  • Decomposition of the solution
  • Oxidation of the catecholamine molecule (correct)

How do noncatecholamines differ from catecholamines?

  • They undergo rapid degradation by MAO and COMT
  • They have a higher affinity for adrenergic receptors
  • They are substrates for COMT and metabolize slowly by MAO
  • They lack a catechol group and metabolize slowly by MAO (correct)

What is a significant characteristic of noncatecholamines in terms of their ability to cross the blood-brain barrier?

<p>They are considerably less polar than catecholamines (D)</p> Signup and view all the answers

Which drug is highly selective, acting at B2 receptors only?

<p>Albuterol (D)</p> Signup and view all the answers

At what doses does the selectivity of a drug to activate certain receptors decline?

<p>As the dose increases (C)</p> Signup and view all the answers

What responses can be elicited by the activation of alpha-1 receptors?

<p>Vasoconstriction and mydriasis (D)</p> Signup and view all the answers

Which enzymes are responsible for the quick metabolism of catecholamines?

<p>Monoamine oxidase [MAO] and catechol-O-methyltransferase [COMT] (A)</p> Signup and view all the answers

What distinguishes indirect agonists from direct agonists in terms of their mechanism of action?

<p>Direct agonists work on receptor binding, while indirect agonists work by promoting norepinephrine release. (B)</p> Signup and view all the answers

What chemical groups characterize catecholamines?

<p>Catechol and amine groups (D)</p> Signup and view all the answers

Why can catecholamines not be used orally?

<p>Because they are quickly metabolized by enzymes and have a brief duration of action (A)</p> Signup and view all the answers

What is the defining characteristic of noncatecholamines in relation to the blood-brain barrier?

<p>They are unable to cross the blood-brain barrier (B)</p> Signup and view all the answers

What is the role of adrenergic agonists in activating adrenergic receptors?

<p>Directly working on receptor binding (B)</p> Signup and view all the answers

What distinguishes catacholamines from noncatacholamines?

<p>Catacholamines have a shorter duration of action than noncatacholamines (B)</p> Signup and view all the answers

Which group of drugs includes dopamine, epinephrine, isoproterenol, and ephedrine?

<p>Indirect agonists (C)</p> Signup and view all the answers

What happens to catecholamines due to their chemistry?

<p>They rapidly metabolize and cannot be used orally (B)</p> Signup and view all the answers

What is the role of noncatecholamines in relation to the blood-brain barrier?

<p>They are unable to cross the blood-brain barrier like catecholamines (B)</p> Signup and view all the answers

What differentiates catecholamines from noncatecholamines in terms of oral use?

<p>Catecholamines can be taken orally while noncatecholamines cannot (A)</p> Signup and view all the answers

What is the defining characteristic of adrenergic agonists known as sympathomimetics?

<p>Their effects are similar to sympathetic nervous system activation due to using the same receptors (D)</p> Signup and view all the answers

What distinguishes catacholamines from noncatacholamines?

<p>Availability for oral use, duration of action, and ability to act in the central nervous system (A)</p> Signup and view all the answers

What is the common structural feature of all catecholamines?

<p>Hydroxyl groups on two adjacent carbons of a benzene ring (B)</p> Signup and view all the answers

Which enzyme is responsible for the rapid metabolism of catacholamines?

<p>Catechol-O-methyltransferase [COMT] (A)</p> Signup and view all the answers

Why can't catacholamines be used orally?

<p>They are rapidly metabolized by monoamine oxidase [MAO] and catechol-O-methyltransferase [COMT] (B)</p> Signup and view all the answers

Which class of adrenergic agonists includes dopamine and epinephrine?

<p>Catecholamines (B)</p> Signup and view all the answers

What distinguishes indirect agonists from direct agonists?

<p>Mechanism of receptor activation (C)</p> Signup and view all the answers

What is the common mechanism of action for indirect agonists?

<p>Promotion of norepinephrine release, blockade of norepinephrine re uptake, and inhibition of norepinephrine inactivation (B)</p> Signup and view all the answers

Why do catacholamines have a brief duration of action?

<p>Rapid metabolism by monoamine oxidase [MAO] and catechol-O-methyltransferase [COMT] (D)</p> Signup and view all the answers

What prevents catacholamines from crossing the blood-brain barrier?

<p>The presence of efflux transporters (B)</p> Signup and view all the answers

What makes noncatacholamines different from catecholamines?

<p>Their ability to be used orally and duration of action (D)</p> Signup and view all the answers

What is the primary mechanism through which noncatacholamines exert their effects?

<p>Inhibition of norepinephrine inactivation (C)</p> Signup and view all the answers

Why are noncatecholamines able to act in the central nervous system unlike catecholamines?

<p>They are not susceptible to metabolism by hepatic enzymes (C)</p> Signup and view all the answers

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