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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