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Adrenergic Agonists Quiz
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Adrenergic Agonists Quiz

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Questions and Answers

What is the reason for catecholamine-containing solutions to turn pink or brown over time?

  • Presence of specific enzymes
  • Exposure to light
  • Addition of coloring agents
  • Oxidation of the catecholamine molecule (correct)
  • What is the primary reason noncatecholamines have longer half-lives compared to catecholamines?

  • They are not substrates for COMT and metabolize slowly by MAO (correct)
  • They do not undergo rapid degradation by COMT
  • They are less polar and cross the blood brain barrier easily
  • They have a different molecular structure
  • Which adrenergic agonist is highly selective, acting at B2 receptors only?

  • Epinephrine
  • Albuterol (correct)
  • Isoproterenol
  • Dopamine
  • What is the main adverse effect of alpha-1 receptor activation?

    <p>Necrosis of tissues</p> Signup and view all the answers

    Which receptor activation is associated with reduction of sympathetic outflow to the heart and blood vessels?

    <p>Alpha-2</p> Signup and view all the answers

    What effect does overstimulation of B1 receptors have on the heart?

    <p>Tachycardia</p> Signup and view all the answers

    What is the therapeutic application of B2 receptor activation in the uterus?

    <p>Prevention of preterm labor</p> Signup and view all the answers

    What is the adverse effect of B2 receptor activation in diabetics?

    <p>Hyperglycemia</p> Signup and view all the answers

    What is the primary effect of dopamine receptor activation in the kidneys?

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

    Which receptor activation stimulates the heart rate due to beta-1 activation?

    <p>Dopamine</p> Signup and view all the answers

    What is the primary effect of B1 receptor activation?

    <p>Stimulation of the heart</p> Signup and view all the answers

    Why are noncatecholamines considerably less polar than catecholamines?

    <p>Due to lack of a catechol group</p> Signup and view all the answers

    Which type of adrenergic agonist works by promoting norepinephrine release, blocking norepinephrine reuptake, and inhibiting norepinephrine inactivation?

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

    Why are adrenergic agonists often referred to as sympathomimetics?

    <p>Because their effects are similar to sympathetic nervous system activation</p> Signup and view all the answers

    Which enzyme is responsible for the metabolism of catecholamines?

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

    What prevents catecholamines from crossing the blood-brain barrier?

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

    Which of the following is a structural component common to all catecholamines?

    <p>Hydroxyl groups on two adjacent carbons</p> Signup and view all the answers

    What is the main difference between catecholamines and noncatecholamines in terms of their oral use?

    <p>Noncatecholamines can be used orally, but catecholamines cannot</p> Signup and view all the answers

    What is the mechanism of action of direct adrenergic agonists?

    <p>Work on receptor binding</p> Signup and view all the answers

    Why are noncatecholamines suitable for oral use compared to catecholamines?

    <p>They are resistant to metabolism by enzymes</p> Signup and view all the answers

    What is the significance of the amine component in catecholamines?

    <p>It is involved in their metabolism by enzymes</p> Signup and view all the answers

    How do indirect adrenergic agonists exert their effects?

    <p>By affecting norepinephrine activity</p> Signup and view all the answers

    What distinguishes the two classes of adrenergic agonists, catecholamines and noncatecholamines?

    <p>Their duration of action</p> Signup and view all the answers

    What is meant by a catechol group in catecholamines?

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

    Study Notes

    Catecholamine-Containing Solutions

    • Catecholamine-containing solutions turn pink or brown over time due to oxidation.

    Half-Lives of Adrenergic Agonists

    • Noncatecholamines have longer half-lives compared to catecholamines because they are less susceptible to enzyme degradation.

    Adrenergic Agonists

    • Salbutamol is a highly selective adrenergic agonist, acting at β2 receptors only.
    • α1 receptor activation is associated with vasoconstriction.
    • β2 receptor activation in the uterus is used for therapeutic application, such as tocolysis.
    • β2 receptor activation in diabetics can cause hypokalemia.
    • Dopamine receptor activation in the kidneys increases renal blood flow and Na+ excretion.
    • β1 receptor activation stimulates heart rate.
    • β1 receptor activation increases contractility and heart rate.
    • Noncatecholamines are less polar than catecholamines due to the absence of a catechol group.

    Mechanism of Action

    • Indirect adrenergic agonists, such as amphetamines, work by promoting norepinephrine release, blocking norepinephrine reuptake, and inhibiting norepinephrine inactivation.
    • Direct adrenergic agonists, such as salbutamol, act directly on adrenergic receptors.

    Characteristics of Catecholamines

    • Catecholamines are unable to cross the blood-brain barrier due to their high polarity.
    • Catecholamines are metabolized by the enzyme catechol-O-methyltransferase (COMT).
    • The catechol group (3,4-dihydroxyphenyl) is a structural component common to all catecholamines.
    • Catecholamines are not suitable for oral use due to their susceptibility to enzyme degradation.
    • The amine component in catecholamines is responsible for their biological activity.

    Differences between Catecholamines and Noncatecholamines

    • The main difference between catecholamines and noncatecholamines is the presence of a catechol group, which affects their polarity and susceptibility to enzyme degradation.

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    Description

    Test your knowledge about adrenergic agonists and their mechanisms of action. Explore the effects of direct and indirect activation of adrenergic receptors by drugs like dopamine, epinephrine, isoproterenol, and ephedrine.

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