Adrenergic Agonists: Direct and Indirect Mechanisms
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Questions and Answers

What is the main reason why catecholamines administered orally are ineffective?

  • They are quickly metabolized by MAO and COMT. (correct)
  • They cause vasoconstriction in blood vessels.
  • They cannot cross the blood brain barrier.
  • They cause mydriasis.

Which characteristic of noncatecholamines allows them to have longer half-lives compared to catecholamines?

  • They do not undergo rapid degradation by MAO and COMT. (correct)
  • They can cause vasoconstriction in blood vessels.
  • They are substrates for COMT.
  • They are polar and cannot cross the blood brain barrier.

At low doses, which adrenergic agonist acts primarily on B2 receptors only?

  • Isoproterenol
  • Epinephrine
  • Albuterol (correct)
  • Dopamine

What is the main adverse effect of alpha-1 receptor activation?

<p>Tachycardia (A)</p> Signup and view all the answers

What is the clinical significance of activation of alpha-2 receptors in the central nervous system?

<p>Relief of severe pain. (D)</p> Signup and view all the answers

What is the primary therapeutic application of B1 agonists?

<p>Stimulation of the heart. (D)</p> Signup and view all the answers

What is a potential adverse effect of B2 receptor activation in the uterus?

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

What effect does activation of dopamine receptors have on renal vasculature?

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

What is the primary reason why albuterol is considered highly selective when acting at low doses?

<p>It has minimal impact on the heart rate. (D)</p> Signup and view all the answers

Which receptor activation leads to relief of severe pain?

<p>Alpha-2 receptors (C)</p> Signup and view all the answers

What is the primary therapeutic application for activation of B2 receptors in the uterus?

<p>Treatment of preterm labor. (D)</p> Signup and view all the answers

What can overstimulation of B1 receptors lead to in some cases?

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

Which type of adrenergic agonists work by promotion of norepinephrine release, blockade of norepinephrine reuptake, and inhibition of norepinephrine inactivation?

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

What is the main difference between catecholamines and noncatecholamines?

<p>Their availability for oral use (A)</p> Signup and view all the answers

Why are catecholamines unable to cross the blood-brain barrier?

<p>As they contain a catechol group and an amine group (A)</p> Signup and view all the answers

Which enzyme quickly metabolizes catecholamines?

<p>Monoamine oxidase [MAO] (D)</p> Signup and view all the answers

What is the defining feature of indirect adrenergic agonists?

<p>Their promotion of norepinephrine release (C)</p> Signup and view all the answers

What is the chemical structure that characterizes catecholamines?

<p>A benzene ring with hydroxyl groups on two adjacent carbons (B)</p> Signup and view all the answers

Why do catecholamines have a brief duration of action?

<p>Due to their chemical structure (A)</p> Signup and view all the answers

Which class of adrenergic agonists includes dopamine, epinephrine, isoproterenol, and ephedrine?

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

What do noncatecholamines have in common?

<p>They cannot cross the blood-brain barrier (A)</p> Signup and view all the answers

What is the main difference between direct and indirect adrenergic receptor activation?

<p>Mechanism of action (B)</p> Signup and view all the answers

What property prevents chatecholamines from being used orally?

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

Why are chatecholamines unable to act in the central nervous system?

<p>Due to their chemistry (B)</p> Signup and view all the answers

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