Cholinergic Transmission Quiz
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Questions and Answers

Which step in cholinergic transmission is the rate-limiting step?

  • ACh Storage
  • ACh Release
  • ACh Synthesis (correct)
  • Presynaptic autoreceptor activation
  • Where are the subtypes of nicotinic receptors found?

  • Brain, ganglia, adrenal medulla, and neuromuscular junction (correct)
  • CNS, autonomic ganglia, parasympathetic postganglionic endings, and sweat glands
  • CNS, parasympathetic postganglionic endings, endothelium of blood vessels, and sweat glands
  • CNS, autonomic ganglia, medulla, and neuromuscular junction
  • What type of receptors are found on the endothelium of many blood vessels?

  • Adrenergic receptors
  • Cholinergic receptors
  • Muscarinic receptors (correct)
  • Nicotinic receptors
  • What is the general pharmacological effect of muscarinic agonists?

    <p>They activate muscarinic receptors</p> Signup and view all the answers

    Which ion permeability is increased by the activation of the nicotinic ACh ion channel system?

    <p>Na+</p> Signup and view all the answers

    What is the role of presynaptic autoreceptors in cholinergic transmission?

    <p>They inhibit release of ACh</p> Signup and view all the answers

    Which step in cholinergic transmission is driven by exchange with H+?

    <p>ACh Storage</p> Signup and view all the answers

    Where do the subtypes of muscarinic receptors occur?

    <p>CNS, parasympathetic postganglionic endings, endothelium of blood vessels, and sweat glands</p> Signup and view all the answers

    What is the general pharmacological effect of muscarinic antagonists?

    <p>They reduce the effects of ACh</p> Signup and view all the answers

    What controls the nicotinic ACh ion channel system?

    <p>Ligand gating</p> Signup and view all the answers

    Which type of cholinesterase inhibitor interacts with the anionic site of the phosphorylated enzyme and regenerates the enzyme by displacing the dialkylphosphate residue?

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

    What is the primary enzyme responsible for acetylcholine metabolism at cholinergic synapses?

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

    Which type of cholinesterase inhibitor is found in plasma, liver, and glia and can also hydrolyze acetylcholine?

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

    Which type of cholinesterase inhibitor forms a carbamylated enzyme complex with a lifetime of approximately 20 minutes?

    <p>Slowly reversible inhibitors</p> Signup and view all the answers

    Which type of cholinesterase inhibitor interacts with Gq and leads to an increase in intracellular Ca2+ stores and smooth muscle contraction?

    <p>Muscarinic Receptors M1, 3, 5</p> Signup and view all the answers

    Which type of cholinesterase inhibitor regulates ion channels, specifically increasing K+ permeability and resulting in hyperpolarization and a decrease in heart rate?

    <p>Muscarinic Receptors M2, 4</p> Signup and view all the answers

    Which type of cholinesterase inhibitor is irreversible and interacts only with the esteratic site of the enzyme, leading to permanent inactivation?

    <p>Organophosphate inhibitors</p> Signup and view all the answers

    Which type of cholinesterase inhibitor is a peripheral and CNS inhibitor of AChE?

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

    Which type of cholinesterase inhibitor is a peripheral inhibitor of AChE?

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

    Which type of cholinesterase inhibitor is used to treat organophosphate toxicity and interacts with the anionic site of the phosphorylated enzyme?

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

    Which autoimmune disorder involves a loss of voltage-sensitive calcium channels on the presynaptic motor nerve terminal?

    <p>Lambert-Eaton</p> Signup and view all the answers

    Which autoimmune disease affects the postsynaptic neuromuscular junction and is characterized by fatigable weakness of skeletal muscles?

    <p>Myasthenia Gravis</p> Signup and view all the answers

    Which type of muscles tend to be affected first in Myasthenia Gravis?

    <p>Smaller muscles</p> Signup and view all the answers

    What are the major pharmacodynamic properties of competitive NMJ blockers?

    <p>Highly polar, quaternary compounds with poor oral bioavailability</p> Signup and view all the answers

    How are nondepolarizing and depolarizing NMJ blockers different in terms of pharmacokinetics?

    <p>Nondepolarizing blockers are rapidly metabolized at the synapse, while depolarizing blockers are not</p> Signup and view all the answers

    What drug class is used to reverse the effects of NMJ blockers by increasing the concentration of ACh at NMJ synapses?

    <p>AChE inhibitors</p> Signup and view all the answers

    What is the mechanism of action of sugammadex in reversing the effects of NMJ blockers?

    <p>It sequesters NMJ blockers in the blood</p> Signup and view all the answers

    How does genetic variation affect the metabolism of succinylcholine?

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

    What is the duration of paralysis following administration of succinylcholine in individuals with partial deficiency in plasma cholinesterase enzyme activity?

    <p>Between 5 minutes and 1 hour</p> Signup and view all the answers

    What percentage of the general population carries two pseudocholinesterase gene allele mutations that can produce clinically significant effects from succinylcholine?

    <p>Less than 0.1%</p> Signup and view all the answers

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