Adrenergic Agonists & Neurotransmission
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Questions and Answers

A pharmaceutical company is developing a new drug to treat hypertension. Targeting which of the following receptors would likely lead to a decrease in blood pressure?

  • Alpha-1 adrenergic receptors on vascular smooth muscle
  • Beta-3 adrenergic receptors in adipose tissue
  • Alpha-2 adrenergic receptors on presynaptic nerve endings (correct)
  • Beta-1 adrenergic receptors in the heart

A patient with benign prostatic hyperplasia (BPH) is experiencing urinary retention. Which of the following receptor subtypes, when blocked, would most likely alleviate this symptom?

  • Alpha-2 adrenergic receptors on presynaptic nerve endings
  • Beta-2 adrenergic receptors in the bladder wall
  • Muscarinic receptors in the bladder wall
  • Alpha-1 adrenergic receptors in the urinary sphincter (correct)

In a research experiment, a scientist discovers a novel compound that selectively inhibits dopamine beta-hydroxylase. Which of the following downstream effects would most likely be observed in adrenergic neurons?

  • Enhanced release of epinephrine from the adrenal medulla
  • Increased synthesis of L-dopa
  • Decreased levels of norepinephrine (correct)
  • Increased activity of tyrosine hydroxylase

A researcher is studying the effects of a new drug on glucose metabolism. The drug selectively activates alpha-1 adrenergic receptors in the liver. Which of the following metabolic changes would be most likely observed?

<p>Increased glycogenolysis (breakdown of glycogen to glucose) (B)</p> Signup and view all the answers

A patient is accidentally administered an excessive dose of a non-selective adrenergic agonist. Which combination of the following effects would be most likely observed?

<p>Vasoconstriction, increased heart rate, decreased insulin secretion (D)</p> Signup and view all the answers

A researcher is investigating the mechanism by which adrenergic agonists affect renin release in kidney cells. If a drug inhibits alpha-1 adrenergic receptors in the kidney, what effect on renin release would be expected and through what mechanism?

<p>Increased renin release, due to antagonism of the normal inhibitory effect of alpha-1 receptors (C)</p> Signup and view all the answers

A new drug is designed to selectively stimulate beta-2 adrenergic receptors in bronchial smooth muscle. Which of the following intracellular signaling pathways would most likely be activated by this drug?

<p>Increased production of cAMP via activation of adenylyl cyclase (B)</p> Signup and view all the answers

A patient presents with symptoms of anxiety, tremors, and palpitations after taking an over-the-counter cold medication. The medication contains a drug that non-selectively activates adrenergic receptors. Which of the following receptor subtypes is most likely contributing to the patient's palpitations?

<p>Beta-1 adrenergic receptors in the heart (B)</p> Signup and view all the answers

A novel drug selectively targets beta-2 receptors but paradoxically causes tachycardia (increased heart rate). Which of the following mechanisms best explains this unintended side effect?

<p>The drug stimulates beta-2 receptors on vascular smooth muscle, causing vasodilation and a compensatory increase in heart rate via baroreceptor reflex. (A)</p> Signup and view all the answers

A researcher is developing a new drug to treat obesity by targeting beta-3 receptors. Which of the following potential side effects would be MOST concerning during clinical trials?

<p>Urinary retention. (D)</p> Signup and view all the answers

A patient with severe hypotension and bradycardia requires immediate pharmacological intervention. Which of the following adrenergic agonists would be MOST appropriate to simultaneously address both conditions?

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

A patient is experiencing anaphylactic shock following a bee sting. While epinephrine is administered, the medical team is concerned about potential adverse effects given the patient's history of hypertension and angina. Which receptor activation by epinephrine poses the GREATEST risk in this scenario?

<p>Beta-1 receptor activation, leading to increased myocardial oxygen demand. (D)</p> Signup and view all the answers

A researcher is investigating the effects of a novel compound on airway smooth muscle. The compound causes bronchodilation but is found to be ineffective in the presence of a beta-2 receptor antagonist. Furthermore, the compound's effects are significantly reduced by pre-treatment with reserpine (which depletes norepinephrine stores). Which mechanism of action is MOST likely?

<p>Mixed-action adrenergic agonist that stimulates beta-2 receptors and releases norepinephrine. (D)</p> Signup and view all the answers

A patient with a history of opioid abuse is admitted for detoxification. Which alpha-2 adrenergic agonist would be MOST appropriate to manage the patient's withdrawal symptoms?

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

A pharmacologist is studying the effects of a new drug on insulin secretion. The drug increases insulin release from pancreatic beta cells. Which adrenergic receptor is MOST likely being targeted by this drug?

<p>Beta-2 (D)</p> Signup and view all the answers

A patient with asthma is prescribed albuterol for acute symptom relief. The patient also has well-controlled hypertension managed with a low dose beta-1 selective antagonist (atenolol). What is the MOST concerning potential interaction between these two medications?

<p>Atenolol may block albuterol's bronchodilating effects, reducing its efficacy (B)</p> Signup and view all the answers

A patient is inadvertently administered an excessive dose of pseudoephedrine. Which of the following physiological responses would be MOST likely observed?

<p>Marked hypertension, anxiety, and insomnia (B)</p> Signup and view all the answers

A researcher aims to develop a novel drug that selectively stimulates lipolysis in adipose tissue without significantly affecting heart rate or blood pressure. Which of the following adrenergic receptor subtypes would be the MOST appropriate target?

<p>Beta-3 (C)</p> Signup and view all the answers

Flashcards

Adrenergic Agonists

Mimic norepinephrine and epinephrine actions.

Sympatholytics

Block the activation of adrenergic receptors.

Tyrosine Hydroxylase

Converts tyrosine to L-dopa (levodopa).

Vasoconstriction (Alpha-1)

Alpha-1 receptors cause this in vascular smooth muscle.

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Mydriasis

Alpha-1 receptors cause this in the eye.

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Decreased Insulin Secretion

Alpha-2 receptors cause this to happen.

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Norepinephrine Release

Alpha-2 receptors inhibits this.

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Glycogenolysis

Alpha-1 receptors cause this in the liver.

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Beta-1 Receptor Function

Increase heart rate heart contractility and AV node conduction

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Beta-2 Receptor Function

Cause bronchodilation, vasodilation, relaxation of GI/uterine smooth muscle, increased insulin secretion

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Beta-3 Receptor Function

Increase lipolysis and are found in the urinary bladder

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Catecholamines

Molecules with a catechol ring, ethyl chain, and amine group; often ineffective orally.

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Direct-Acting Agonists

Bind directly to alpha or beta receptors.

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Indirect-Acting Agonists

Enhance norepinephrine/epinephrine effects by blocking reuptake or degradation.

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Epinephrine

Activates nearly all adrenergic receptors; used for anaphylaxis.

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Norepinephrine

Stimulates alpha-1 receptors, increasing blood pressure; limited Beta-2 activity.

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Clonidine

Lowers blood pressure by decreasing sympathetic tone.

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Cocaine/Amphetamine

Blocks reuptake of norepinephrine/dopamine, causing stimulation and addiction.

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Description

Overview of adrenergic agonists and neurotransmission in adrenergic neurons. Adrenergic agonists mimic norepinephrine and epinephrine. Neurotransmission involves tyrosine transport, conversion to L-dopa and dopamine, and norepinephrine release.

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