Dissociative Anesthetics Quiz
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Questions and Answers

Which hallucinogen is the most potent according to the text?

  • Psilocybin
  • DMT
  • Mescaline
  • LSD (correct)
  • When do the psychedelic effects of hallucinogens typically begin after ingestion?

  • Immediately
  • 30 to 90 minutes (correct)
  • 2 to 3 hours
  • 15 to 30 minutes
  • How long can a LSD 'trip' last according to the text?

  • 6 to 12 hours (correct)
  • 1 to 2 hours
  • 12 to 24 hours
  • 3 to 6 hours
  • What is the critical mechanism of action in generating hallucinations in humans according to the text?

    <p>5-HT2A receptor activation</p> Signup and view all the answers

    Why can animal models not reliably study hallucinogens according to the text?

    <p>They cannot assess a change of consciousness</p> Signup and view all the answers

    What are some negative effects of hallucinogens mentioned in the text?

    <p>Acute anxiety and panic</p> Signup and view all the answers

    What therapeutic benefits of hallucinogenic drugs have clinical studies shown according to the text?

    <p>Treating anxiety and smoking cessation</p> Signup and view all the answers

    What is being studied for potential benefits in relation to hallucinogens according to the text?

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

    What is uncertain and may influence the evidence for the benefits of microdosing psychedelic substances according to the text?

    <p>The placebo effect</p> Signup and view all the answers

    Which receptor subtype does LSD bind with high affinity according to the text?

    <p>5-HT receptor subtypes</p> Signup and view all the answers

    What is the least potent hallucinogen according to the text?

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

    In what timeframe does DMT, when smoked, peak and disappear according to the text?

    <p>Peaks over a few minutes and disappears within an hour</p> Signup and view all the answers

    What is the main compound of LSD?

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

    Which hallucinogenic drug is found in 'magic mushrooms'?

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

    Which hallucinogenic drug is found in several species of cactus, including the Peyote cactus?

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

    When was LSD first synthesized?

    <p>1938</p> Signup and view all the answers

    Who 're-discovered' the use of psilocybin in the 1930s?

    <p>Harvard botanist Richard Schultes</p> Signup and view all the answers

    Which drug has been associated with influential figures such as Kary Mullis, Steve Jobs, Francis Crick, and Michel Foucault?

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

    In which year did LSD's non-medical (illicit) use explode with the hippie culture?

    <p>1967</p> Signup and view all the answers

    What is Ayahuasca?

    <p>An orally active tryptamine-based hallucinogen prepared from specific plant species</p> Signup and view all the answers

    What was LSD first marketed for in 1947?

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

    What is the main effect of hallucinogens like LSD, psilocybin, and mescaline?

    <p>Spiritually uplifting effects</p> Signup and view all the answers

    What is the orally active tryptamine-based hallucinogen rapidly diffusing into mainstream culture?

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

    What is the relationship between LSD and psilocybin?

    <p>LSD is a prodrug of psilocybin</p> Signup and view all the answers

    What is the primary mechanism of action for both PCP and ketamine?

    <p>Noncompetitive antagonism of NMDA receptors</p> Signup and view all the answers

    How did PCP become known as 'angel dust'?

    <p>As a result of its illicit street use</p> Signup and view all the answers

    What is the primary street name for ketamine?

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

    Which health issues are associated with chronic use of both PCP and ketamine?

    <p>Urological problems</p> Signup and view all the answers

    What has ketamine been recommended for in pediatric procedures?

    <p>As an anesthetic</p> Signup and view all the answers

    What is the primary mechanism of ketamine's antidepressant action?

    <p>Agonism of NMDA receptors on GABAergic interneurons</p> Signup and view all the answers

    When do ketamine's antidepressant effects typically emerge after intravenous administration?

    <p>Approximately four hours</p> Signup and view all the answers

    How often are patients often maintained on regimens of ketamine for its antidepressant effects?

    <p>Once every two weeks to two months</p> Signup and view all the answers

    What cognitive effect is produced by the therapeutic dose of ketamine?

    <p>Transient cognitive dysfunction similar to schizophrenia</p> Signup and view all the answers

    What is the consequence of too high of a dose of ketamine for its antidepressant effects?

    <p>Loss of its antidepressant effects</p> Signup and view all the answers

    What has ketamine been found to have similar effects to in terms of inducing rapid BDNF production and increased synaptogenesis?

    <p>Traditional antidepressants</p> Signup and view all the answers

    What is the primary effect of ketamine on stress-induced neuronal atrophy and dendritic arborization?

    <p>Reversal of atrophy and normalization of dendritic arborization</p> Signup and view all the answers

    Explain the origin and meaning of the term 'psychedelic' as proposed in 1956.

    <p>The term 'psychedelic' was proposed in 1956, combining 'mind' (psyche) and 'manifest' (delos), to mean 'mind-manifesting'. It was intended to convey a sense of clarity, euphony, and being uncontaminated by other associations.</p> Signup and view all the answers

    List and briefly describe the five criteria for classifying a substance as a hallucinogenic drug.

    <p>The five criteria for classifying a substance as a hallucinogenic drug are: 1. Main effect is on thought, perception, and mood; 2. Minimal intellectual or memory impairment; 3. Stupor or psychostimulation is not an integral part of drug action; 4. Autonomic side effects are not disabling; 5. Criteria 5 is missing from the provided text.</p> Signup and view all the answers

    What is the significance of the quote 'What a long, strange trip it’s been' in relation to hallucinogenic drugs?

    <p>The quote 'What a long, strange trip it’s been' from the song 'Truckin’, Grateful Dead' is often associated with the psychedelic experience, reflecting the profound and unconventional nature of the journey induced by hallucinogenic drugs.</p> Signup and view all the answers

    Explain the main effect of hallucinogenic drugs and how it distinguishes them from other substances.

    <p>The main effect of hallucinogenic drugs is their impact on thought, perception, and mood, setting them apart from other substances. Additionally, they are characterized by minimal intellectual or memory impairment, lack of stupor or psychostimulation as an integral part of drug action, and non-disabling autonomic side effects.</p> Signup and view all the answers

    Explain the differences in onset and duration of 'trips' between LSD and DMT according to the text.

    <p>LSD 'trips' can last 6 to 12 hours, while DMT, when smoked, is felt within seconds, peaks over a few minutes, and disappears within an hour.</p> Signup and view all the answers

    What is the critical mechanism of action in generating hallucinations in humans according to the text?

    <p>Activation of 5-HT2A receptors is the critical mechanism of action in generating hallucinations in humans.</p> Signup and view all the answers

    According to the text, why can animal models not be reliably used to study hallucinogens?

    <p>Animal models cannot be reliably used to study hallucinogens, as they cannot assess a change of consciousness or discriminate drug effects successfully.</p> Signup and view all the answers

    What are some potential therapeutic benefits of hallucinogenic drugs mentioned in the text?

    <p>Clinical studies have shown potential therapeutic benefits of hallucinogenic drugs in treating conditions such as anxiety and smoking cessation.</p> Signup and view all the answers

    What does the text say about the abuse potential and dependence of hallucinogenic drugs?

    <p>Hallucinogens do not have high abuse potential, and dependence occurs in a very small number of users.</p> Signup and view all the answers

    What are some negative effects of hallucinogens mentioned in the text?

    <p>Negative effects of hallucinogens can include acute anxiety, panic, flashbacks, and long-term psychotic reactions in some users.</p> Signup and view all the answers

    What is being studied for potential benefits in relation to hallucinogens according to the text?

    <p>Microdosing of hallucinogens, such as LSD, is being studied for potential benefits, but evidence from placebo-based trials does not look promising.</p> Signup and view all the answers

    According to the text, what is uncertain and may influence the evidence for the benefits of microdosing psychedelic substances?

    <p>The evidence for the benefits of microdosing psychedelic substances is uncertain and may be influenced by the placebo effect.</p> Signup and view all the answers

    Explain the differences in potency between LSD and mescaline according to the text.

    <p>LSD is the most potent, while mescaline is the least potent hallucinogen.</p> Signup and view all the answers

    What is the structure of most hallucinogenic drugs mentioned in the text?

    <p>Most hallucinogenic drugs have either a serotonin-like or a catecholamine-like structure.</p> Signup and view all the answers

    According to the text, what is the onset time for the psychedelic effects of hallucinogens?

    <p>Psychedelic effects of hallucinogens typically begin 30 to 90 minutes after ingestion.</p> Signup and view all the answers

    What receptors does LSD bind with high affinity according to the text?

    <p>LSD binds with high affinity to at least eight different 5-HT receptor subtypes.</p> Signup and view all the answers

    What are some examples of hallucinogenic drugs mentioned in the text?

    <p>Mescaline, psilocybin, and LSD</p> Signup and view all the answers

    What is the origin of mescaline and its historical use?

    <p>Mescaline is found in several species of cactus, including the Peyote cactus, and has been used for religious and healing rituals by Native Americans for thousands of years.</p> Signup and view all the answers

    Who 're-discovered' the use of psilocybin and when?

    <p>Harvard botanist Richard Schultes 're-discovered' the use of psilocybin in the 1930s.</p> Signup and view all the answers

    When was LSD first synthesized?

    <p>LSD was synthesized in 1938.</p> Signup and view all the answers

    What is the relationship between LSD and psilocybin?

    <p>LSD is a prodrug, with its main compound being psilocybin, which is metabolized into the actual psychoactive agent psilocin.</p> Signup and view all the answers

    What is the primary compound of LSD?

    <p>LSD's main compound is psilocybin, which is metabolized into the actual psychoactive agent psilocin.</p> Signup and view all the answers

    What is the orally active tryptamine-based hallucinogen rapidly diffusing into mainstream culture?

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

    What is the main effect of hallucinogens like LSD, psilocybin, and mescaline?

    <p>They produce unusual perceptual and cognitive distortions, and have been used for their novel, stimulating, and spiritually uplifting effects.</p> Signup and view all the answers

    What is the significance of hallucinogens in modern society?

    <p>Hallucinogens have played significant roles in cultural, scientific, and therapeutic contexts, with their effects and potential continuing to be explored in modern society.</p> Signup and view all the answers

    What is the primary mechanism of LSD's psychoactive action?

    <p>LSD is a prodrug, with its main compound being psilocybin, which is metabolized into the actual psychoactive agent psilocin.</p> Signup and view all the answers

    How has the non-medical use of LSD evolved over time?

    <p>Non-medical (illicit) use of LSD exploded with the hippie culture in the 1960s, leading to a ban in 1967 and the drug's association with the War on Drugs and mandatory minimums.</p> Signup and view all the answers

    What influential figures have been associated with LSD?

    <p>Kary Mullis, Steve Jobs, Francis Crick, and Michel Foucault.</p> Signup and view all the answers

    Explain the historical development and clinical use of Phencyclidine (PCP).

    <p>Phencyclidine (PCP) was developed as an anesthetic but caused atypical responses such as catatonic-like states and motor rigidity, leading to its clinical use being stopped in 1965.</p> Signup and view all the answers

    Describe the street supply sources and alternative names for Ketamine.

    <p>Ketamine is usually sold on the street as 'K,' 'special K,' or 'cat Valium,' and its street supply often comes from medical or veterinary sources.</p> Signup and view all the answers

    Discuss the abuse potential and health issues associated with chronic use of both PCP and ketamine.

    <p>Both PCP and ketamine are noncompetitive antagonists of NMDA receptors and have high abuse potential, with chronic use leading to various health issues such as urological problems and memory deficits.</p> Signup and view all the answers

    Examine the therapeutic uses and effects of Ketamine.

    <p>Ketamine has been recommended as an anesthetic agent for pediatric procedures and has been found to alleviate depression rapidly in treatment-resistant patients, with effects lasting weeks.</p> Signup and view all the answers

    Explain the mechanism of action behind Ketamine's antidepressant effects.

    <p>Ketamine's antidepressant mechanism of action primarily depends on the antagonism of NMDARs on GABAergic interneurons, preventing GABA release and allowing for the release of glutamate, leading to downstream effects.</p> Signup and view all the answers

    Discuss the cognitive effects and dosing considerations of Ketamine.

    <p>Ketamine's therapeutic dose produces transient cognitive dysfunction similar to cognitive symptoms of schizophrenia, and too high of a dose loses its antidepressant effects.</p> Signup and view all the answers

    Examine the neuroadaptive state induced by Ketamine and its similarity to traditional antidepressants.

    <p>Ketamine has been found to have similar effects to traditional antidepressants in inducing rapid BDNF production, increased synaptogenesis, and spine density, with a neuroadaptive state occurring much faster.</p> Signup and view all the answers

    Describe the timeline for the emergence of Ketamine's antidepressant effects after intravenous administration.

    <p>Ketamine's antidepressant effects typically emerge approximately four hours after intravenous administration, and patients are often maintained on regimens of once every two weeks to two months.</p> Signup and view all the answers

    Discuss the reported psychological effects and therapeutic benefits of Ketamine.

    <p>Ketamine has been reported to help people disconnect from their bodies and thoughts, with rapid alleviation of depression symptoms in a significant percentage of treatment-resistant patients.</p> Signup and view all the answers

    Explain the relationship between stress-induced neuronal atrophy and Ketamine's effects.

    <p>Ketamine has been found to reverse stress-induced neuronal atrophy and normalize dendritic arborization and spine density, with effects similar to traditional antidepressants.</p> Signup and view all the answers

    Examine the street supply sources and alternative names for PCP.

    <p>In 1967, PCP became an illicit street drug known as 'angel dust' or 'hog,' and its street supply usually comes from medical or veterinary sources.</p> Signup and view all the answers

    Discuss the development and clinical use of Ketamine as a safer alternative to PCP.

    <p>Ketamine was developed as a safer alternative to PCP, used as an anesthetic for certain procedures and by veterinarians as a sedative and immobilizing agent.</p> Signup and view all the answers

    Study Notes

    Dissociative Anesthetics: PCP and Ketamine

    • Phencyclidine (PCP) was developed as an anesthetic but caused atypical responses such as catatonic-like states and motor rigidity, leading to its clinical use being stopped in 1965.
    • In 1967, PCP became an illicit street drug known as "angel dust" or "hog," and its street supply usually comes from medical or veterinary sources.
    • Ketamine was developed as a safer alternative to PCP, used as an anesthetic for certain procedures and by veterinarians as a sedative and immobilizing agent.
    • Ketamine is usually sold on the street as "K," "special K," or "cat Valium," and its street supply often comes from medical or veterinary sources.
    • Both PCP and ketamine are noncompetitive antagonists of NMDA receptors and have high abuse potential, with chronic use leading to various health issues such as urological problems and memory deficits.
    • Ketamine has been recommended as an anesthetic agent for pediatric procedures and has been found to alleviate depression rapidly in treatment-resistant patients, with effects lasting weeks.
    • Ketamine's antidepressant mechanism of action primarily depends on the antagonism of NMDARs on GABAergic interneurons, preventing GABA release and allowing for the release of glutamate, leading to downstream effects.
    • Ketamine has been found to reverse stress-induced neuronal atrophy and normalize dendritic arborization and spine density, with effects similar to traditional antidepressants.
    • Ketamine's antidepressant effects typically emerge approximately four hours after intravenous administration, and patients are often maintained on regimens of once every two weeks to two months.
    • Ketamine has been reported to help people disconnect from their bodies and thoughts, with rapid alleviation of depression symptoms in a significant percentage of treatment-resistant patients.
    • Ketamine's therapeutic dose produces transient cognitive dysfunction similar to cognitive symptoms of schizophrenia, and too high of a dose loses its antidepressant effects.
    • Ketamine has been found to have similar effects to traditional antidepressants in inducing rapid BDNF production, increased synaptogenesis, and spine density, with a neuroadaptive state occurring much faster.

    Dissociative Anesthetics: PCP and Ketamine

    • Phencyclidine (PCP) was developed as an anesthetic but caused atypical responses such as catatonic-like states and motor rigidity, leading to its clinical use being stopped in 1965.
    • In 1967, PCP became an illicit street drug known as "angel dust" or "hog," and its street supply usually comes from medical or veterinary sources.
    • Ketamine was developed as a safer alternative to PCP, used as an anesthetic for certain procedures and by veterinarians as a sedative and immobilizing agent.
    • Ketamine is usually sold on the street as "K," "special K," or "cat Valium," and its street supply often comes from medical or veterinary sources.
    • Both PCP and ketamine are noncompetitive antagonists of NMDA receptors and have high abuse potential, with chronic use leading to various health issues such as urological problems and memory deficits.
    • Ketamine has been recommended as an anesthetic agent for pediatric procedures and has been found to alleviate depression rapidly in treatment-resistant patients, with effects lasting weeks.
    • Ketamine's antidepressant mechanism of action primarily depends on the antagonism of NMDARs on GABAergic interneurons, preventing GABA release and allowing for the release of glutamate, leading to downstream effects.
    • Ketamine has been found to reverse stress-induced neuronal atrophy and normalize dendritic arborization and spine density, with effects similar to traditional antidepressants.
    • Ketamine's antidepressant effects typically emerge approximately four hours after intravenous administration, and patients are often maintained on regimens of once every two weeks to two months.
    • Ketamine has been reported to help people disconnect from their bodies and thoughts, with rapid alleviation of depression symptoms in a significant percentage of treatment-resistant patients.
    • Ketamine's therapeutic dose produces transient cognitive dysfunction similar to cognitive symptoms of schizophrenia, and too high of a dose loses its antidepressant effects.
    • Ketamine has been found to have similar effects to traditional antidepressants in inducing rapid BDNF production, increased synaptogenesis, and spine density, with a neuroadaptive state occurring much faster.

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    Description

    Test your knowledge of dissociative anesthetics with this quiz on PCP and ketamine. Learn about their history, street names, pharmacological effects, and therapeutic uses, including their potential for treating depression. Understand the mechanisms of action, side effects, and the latest research findings related to these drugs.

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