CNS Drugs and Neuron Function
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Questions and Answers

Which part of the neuron is responsible for initiating messages?

  • Terminus
  • Dendrites
  • Cell body
  • Axon hillock (correct)
  • Which type of neuron has more than 2 processes off the cell body?

  • Pseudo-unipolar
  • Motor
  • Multipolar (correct)
  • Bipolar
  • How many processes does a bipolar neuron have off the cell body?

  • 1
  • 0
  • 2 (correct)
  • 3
  • What is the function of the dendrites in a neuron?

    <p>Receive messages</p> Signup and view all the answers

    Where is the nucleus of a neuron located?

    <p>Cell body</p> Signup and view all the answers

    Which type of neuron has only 1 process off the cell body?

    <p>Pseudo-unipolar</p> Signup and view all the answers

    What is the terminus of a neuron responsible for?

    <p>Carrying messages down</p> Signup and view all the answers

    Which part of the neuron carries messages down to the terminus?

    <p>Axon hillock</p> Signup and view all the answers

    What is the structural class of a neuron with more than 2 processes off the cell body?

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

    How many processes does a pseudo-unipolar neuron have off the cell body?

    <p>1</p> Signup and view all the answers

    Which glial cell is responsible for regulating the neuronal micro-environment and has a role in the blood-brain barrier (BBB)?

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

    Which glial cell is found only in the central nervous system (CNS) and is responsible for myelinating cells around axons of neurons?

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

    Which glial cell is found only in the peripheral nervous system (PNS) and is responsible for myelinating cells around axons of neurons?

    <p>Schwann cells</p> Signup and view all the answers

    Which glial cell is responsible for secrete and circulating cerebrospinal fluid (CSF)?

    <p>Ependymal cells</p> Signup and view all the answers

    Which type of transport requires energy directly from ATP and moves substances against the concentration gradient?

    <p>Primary active transport</p> Signup and view all the answers

    Which ion pump is important in establishing ionic gradients across the membrane of cells, including neurons?

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

    Which ion has a higher concentration in the intracellular fluid compared to the extracellular fluid?

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

    Which equation is used to calculate the equilibrium potential of an ion?

    <p>Nernst equation</p> Signup and view all the answers

    Which leak channels have the greatest influence on the resting membrane potential in neurons?

    <p>Potassium leak channels</p> Signup and view all the answers

    What term is used to describe the period of time following an action potential when the neuron cannot fire?

    <p>Absolute refractory period</p> Signup and view all the answers

    Which of the following is true about neurotransmitters?

    <p>Neurotransmitters can be turned off via reuptake into a presynaptic cell or glial cell.</p> Signup and view all the answers

    What are the two types of receptors mentioned in the text?

    <p>Ionotropic and metabotropic receptors</p> Signup and view all the answers

    Which type of receptor is ligand-gated?

    <p>Ionotropic receptors</p> Signup and view all the answers

    What are EPSPs and IPSPs?

    <p>EPSPs are depolarizing changes in the membrane potential and IPSPs are hyperpolarized changes in the membrane potential.</p> Signup and view all the answers

    What is temporal summation?

    <p>Summation in time</p> Signup and view all the answers

    What is spatial summation?

    <p>Summation in space</p> Signup and view all the answers

    When presynaptic receptors increase activity of voltage-gated Ca2+ channels, what occurs?

    <p>Presynaptic facilitation</p> Signup and view all the answers

    When presynaptic receptors decrease activity of voltage-gated Ca2+ channels, what occurs?

    <p>Presynaptic inhibition</p> Signup and view all the answers

    What are auto-receptors?

    <p>Receptors located on a neuron that bind the neurotransmitter released by that neuron</p> Signup and view all the answers

    Which type of receptor is G-protein coupled?

    <p>Metabotropic receptors</p> Signup and view all the answers

    Which enzyme is primarily responsible for the metabolism of many antiepileptic drugs (AEDs)?

    <p>CYP enzymes</p> Signup and view all the answers

    Which antiepileptic drug is least likely to cause cognitive effects?

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

    Which antiepileptic drug is primarily used for chronic neuropathic pain and anxiety?

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

    Which antiepileptic drug is a GPR55 antagonist and blocks the binding of LPI to GPR55 receptors?

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

    Which drug has the most evidence for safe use in pregnancy?

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

    Which drug can worsen myoclonic epilepsy in infants?

    <p>Valproic acid</p> Signup and view all the answers

    Which drug has fewer adverse cognitive effects compared to carbamazepine or topiramate?

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

    Which drug is known to have a higher risk of causing hyponatremia compared to carbamazepine?

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

    Which drug is NOT associated with the adverse effect of somnolence?

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

    Which drug is a low threshold calcium channel inhibitor and is the drug of choice for absence seizures?

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

    Which drug targets a synaptic vesicle protein and decreases the release of excitatory neurotransmitters?

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

    Which part of the brain is thought to be the origin of seizures in epilepsy?

    <p>Cerebral cortex</p> Signup and view all the answers

    Which type of seizure is characterized by impaired consciousness and often associated with an aura?

    <p>Complex partial seizures</p> Signup and view all the answers

    Which part of the cerebral cortex is involved in simple partial seizures?

    <p>Post-central gyrus</p> Signup and view all the answers

    What are some manifestations of simple partial seizures?

    <p>All of the above</p> Signup and view all the answers

    Which of the following anti-seizure drugs is known to be teratogenic and has a black box warning?

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

    Which anti-seizure drug is recommended as a first-line choice for women of childbearing age, but requires folic acid supplementation due to its anti-folate effect?

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

    Which anti-seizure drugs are known to cause weight gain?

    <p>Gabapentin, Pregabalin, Valproic acid</p> Signup and view all the answers

    Which anti-seizure drugs should be avoided in patients with kidney stones?

    <p>Topiramate, Zonisamide</p> Signup and view all the answers

    Which medication has the lowest risk during pregnancy?

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

    What should be done with medication dose at delivery?

    <p>Reduce the dose</p> Signup and view all the answers

    Which medication should be given to those taking inducers of Vitamin K?

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

    What should be monitored postpartum?

    <p>Seizure frequency</p> Signup and view all the answers

    Which factor decreases fertility in individuals with epilepsy?

    <p>Polycystic ovary syndrome</p> Signup and view all the answers

    What factors favor medication withdrawal in individuals with epilepsy?

    <p>Seizure-free for 2-4 years</p> Signup and view all the answers

    Which antiepileptic medication is used for absence seizures and bipolar disorder?

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

    Which antiepileptic medication can cause hepatotoxicity and hyperammonemia?

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

    Which antiepileptic medication is an inhibitor that increases GABA levels?

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

    Which antiepileptic medication is an inducer used for focal temporal lobe epilepsy and trigeminal neuralgia?

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

    Study Notes

    Antiepileptic Medications: Key Facts and Counseling Points

    • Valproate (Depakote) is an inhibitor that increases GABA levels and is used for absence seizures and bipolar disorder.
    • Common adverse effects of Valproate include drowsiness, weight gain, hair loss, and polycystic ovarian syndrome.
    • Valproate has a therapeutic range of 50-100mg/L and may cause hepatotoxicity and hyperammonemia.
    • Lamotrigine levels can be lowered by oral contraceptives, which may increase seizure activity during the placebo week.
    • Topiramate (Topamax) is an antiepileptic medication that enhances inhibition and inhibits excitation.
    • Common adverse effects of Topiramate include drowsiness, changes in taste, weight loss, and cognitive impairment.
    • Zonisamide (Zonergan) is similar to Topiramate and is used as an adjunctive therapy for partial seizures.
    • Adverse effects of Zonisamide include dizziness, confusion, anorexia, diarrhea, and weight loss.
    • Phenytoin (Dilantin) is an antiepileptic medication that increases GABA response and decreases repetitive firing.
    • Common adverse effects of Phenytoin include drowsiness, nystagmus, ataxia, and cognitive dysfunction.
    • Phenytoin can cause irreversible neurotoxicity at high levels and has a risk of Stevens-Johnson Syndrome.
    • Carbamazepine (Tegretol) is an inducer that is used for focal temporal lobe epilepsy and trigeminal neuralgia.

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    Description

    Test your knowledge on the basics of CNS drugs and their effects on the neuron with this introductory pharmacology quiz. Explore the structure and function of neurons, including the cell body, axons, dendrites, and axon hillock, and learn about how messages are transmitted within the nervous system.

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