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

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

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

What is the role of presynaptic autoreceptors in cholinergic transmission?

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

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

<p>ACh Storage (B)</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 (C)</p> Signup and view all the answers

What is the general pharmacological effect of muscarinic antagonists?

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

What controls the nicotinic ACh ion channel system?

<p>Ligand gating (B)</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 (C)</p> Signup and view all the answers

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

<p>Acetylcholinesterase (C)</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 (B)</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 (D)</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 (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Pyridostigmine (C)</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 (A)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Smaller muscles (B)</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 (A)</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 (C)</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 (D)</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 (B)</p> Signup and view all the answers

How does genetic variation affect the metabolism of succinylcholine?

<p>It increases the duration of action (D)</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 (C)</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% (C)</p> Signup and view all the answers

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