Drugs Affecting the Nervous System
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Questions and Answers

Which of the following statements is true regarding the direction of impulses in an associative neuron?

  • Associative neurons carry impulses from the CNS to muscles and glands.
  • Associative neurons carry impulses from sensory neurons to motor neurons. (correct)
  • Associative neurons carry impulses from the CNS to sensory neurons.
  • Associative neurons carry impulses away from the CNS to muscles and glands.
  • What is the function of the myelin sheath in a neuron?

  • To increase the speed of signal transmission (correct)
  • To generate a signal for the transmission of information
  • To provide structural support for the neuron
  • To receive information from other neurons
  • Which of the following parts of the neuron plays a role in the transmission of nerve impulses across the synapse?

  • Cell body
  • Dendrites
  • Axon
  • Terminal end fibres (correct)
  • Which of the following describes the role of neurotransmitters in the synapse?

    <p>To carry the message across the synapse (C)</p> Signup and view all the answers

    Which of the following is NOT a component of the Central Nervous System (CNS)?

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

    Which branch of the nervous system is responsible for involuntary responses such as heart rate and digestion?

    <p>Autonomic Nervous System (ANS) (C)</p> Signup and view all the answers

    What is the function of the meninges?

    <p>To protect and support the CNS (B)</p> Signup and view all the answers

    Which of the following statements about the Autonomic Nervous System (ANS) is TRUE?

    <p>The ANS has two divisions: the Sympathetic and Parasympathetic Nervous Systems. (A)</p> Signup and view all the answers

    Which of the following neurotransmitters acts as a postganglionic neurotransmitter in the sympathetic nervous system?

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

    Which of the following is NOT a direct effect of stimulating the sympathetic nervous system?

    <p>Increased digestive activity (D)</p> Signup and view all the answers

    Beta-2 agonists, commonly used in asthma medications, work by:

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

    Which of the following is the correct order of events in the sympathetic nervous system pathway?

    <p>NT &gt; Ganglion (short) &gt; Next NT &gt; Effector organ/gland (long) (B)</p> Signup and view all the answers

    Which of the following receptors is primarily responsible for vasoconstriction in blood vessels?

    <p>Alpha-1 (A)</p> Signup and view all the answers

    A drug that blocks the action of acetylcholine at the neuromuscular junction would be classified as a:

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

    Which of the following is NOT a characteristic of the parasympathetic nervous system?

    <p>Increased heart rate (C)</p> Signup and view all the answers

    The parasympathetic nervous system is known as the _____ system due to its primary neurotransmitter.

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

    Which of the following effects is most likely caused by an alpha-2 agonist drug?

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

    The concept of 'affinity' in pharmacology refers to:

    <p>The strength of the binding between a drug and its receptor (A)</p> Signup and view all the answers

    Which type of drug would be most likely to cause pupil dilation?

    <p>Alpha 1 agonist (D)</p> Signup and view all the answers

    Which of the following medications is commonly used for the treatment of status epilepticus?

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

    What is the primary mechanism of action for sympatholytics?

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

    Which of the following drugs is an example of a beta blocker used to treat glaucoma?

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

    What is the primary mechanism of action of Diazepam (Valium®)?

    <p>Enhancement of GABA activity (B)</p> Signup and view all the answers

    Which medication is characterized by a narrow therapeutic range and SHOULD NOT be used in cats?

    <p>Potassium Bromide (C)</p> Signup and view all the answers

    Which of the following is a potential adverse side effect of using an alpha blocker?

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

    Which of the following medications is considered an adjunct treatment for refractory epilepsy?

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

    What is the classification of drugs that block the breakdown of acetylcholine?

    <p>Indirect-acting parasympathomimetics (D)</p> Signup and view all the answers

    Which of these medications is associated with a potential side effect of increased appetite?

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

    Which of the following drugs is used to treat urinary retention by stimulating bladder contraction?

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

    Which of the following is a common adverse side effect associated with anticholinergic drugs?

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

    Which of the following medications is often used for euthanasia in high doses?

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

    What is the primary use of drugs like pilocarpine and metoclopramide?

    <p>Control of vomiting (A), Reduction of intraocular pressure (B)</p> Signup and view all the answers

    Which drug is commonly used for sedation and anti-emetic purposes?

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

    Which of the following medications is known to have a lower margin of safety compared to other antiepileptic drugs (AEDs)?

    <p>Potassium Bromide (A), Phenobarbital (D)</p> Signup and view all the answers

    Which of the following drugs can be used to reverse the effects of an alpha 2 agonist such as xylazine?

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

    What is the primary purpose of monitoring liver function in patients receiving Phenobarbital?

    <p>To detect potential side effects (B)</p> Signup and view all the answers

    Which of the following is NOT a true statement about anticonvulsant medications?

    <p>They can be stopped abruptly without any adverse consequences (D)</p> Signup and view all the answers

    Which of the following is a potential side effect associated with Acepromazine Maleate?

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

    Which drug is a benzodiazepine derivative?

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

    Which drug can be used to reverse the effects of Dexmedetomidine?

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

    What is the primary use of Doxapram?

    <p>Stimulation of respiration (A)</p> Signup and view all the answers

    Which of these drugs is NOT a controlled substance?

    <p>T-61 (D)</p> Signup and view all the answers

    What is a potential side effect of benzodiazepine derivatives?

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

    Study Notes

    Drugs Affecting the Nervous System

    • Neurons: Basic units of the nervous system, act as message carriers. Three types:
      • Sensory: Carry impulses to the central nervous system (CNS).
      • Associative: Carry impulses between neurons.
      • Motor: Carry impulses away from the CNS.

    Nervous System Function

    • Direction of Message (Action Potential):

      • Dendrites: Receive & transmit impulses to the cell body.
      • Cell Body: Contains the nucleus, maintaining the cell's life.
      • Axon: Carries impulses away from the cell body to muscle cells, organs, or other nerves.
      • Myelin Sheath: Speeds impulse conduction.
      • Terminal End Fibres: Transmit the message to the synapse.
    • Synapse: The space between neurons or a neuron and a muscle/gland. Neurotransmitters (NTs) carry the message across the synapse.

    Physiology & Function

    • Purpose of the Nervous System: To receive stimuli and transmit information to initiate an appropriate response.

    • Components:

      • Central Nervous System (CNS): Brain and spinal cord.
      • Peripheral Nervous System (PNS):
        • Cranial Nerves: Originate from the brain.
        • Spinal Nerves: Originate from the spinal cord; include sensory and motor nerves (voluntary).
        • Somatic Nervous System (SoNS): Controls voluntary muscle responses.
        • Autonomic Nervous System (ANS): Controls involuntary responses (smooth and cardiac muscles, glands).
          • Sympathetic (SNS) and Parasympathetic (PSNS) divisions.
    • CNS: Encased in meninges (3 layers), contains the cerebral spinal fluid (CSF) for cushioning and nourishment.

    Peripheral Nervous System Info

    • Cranial Nerves: How many? Sensory and motor functions.
    • Spinal Nerves: Paired;
      • Dorsal: Sensory impulses from periphery.
      • Ventral: Motor impulses from the spinal cord to muscle, gland, or neuron.
    • Sympathetic Nervous System: Sympathetic trunk between T1-T3.
      • Pathway: Neurotransmitter (NT) > ganglion (short) > next NT > effector organ/gland (long).
      • Key Neurotransmitters: Preganglionic - acetylcholine, Postganglionic - norepinephrine, epinephrine.
    • Sympathetic Nervous System Continued: Fight/flight/freeze/fret response, including effects on eyes and lungs.
    • Cranial/Sacral origins: pathway: NT > Ganglion (long) > Next NT > effector organ/gland (short). Key Neurotransmitter = Acetylcholine

    Neurotransmitter Action and Drug Effects

    • NTs and Receptor Effects: Neurotransmitters act on specific receptors, causing various effects in target tissues. Examples include effects on blood vessels, the heart, and the respiratory system.

    • Drug Effects at Receptors: Drugs can act as agonists (mimicking natural neurotransmitters) or antagonists (blocking natural neurotransmitters) by binding to receptors. Effectiveness depends on drug affinity and receptor number.

      • Alpha 1 and 2 agonists → effects on skeletal/smooth muscle
      • Beta 1 and 2 agonists → effects on the heart
      • Dopaminergic agonists → effects on the coronary, renal, and mesenteric blood vessels.

    Parasympathetic Nervous System

    • Organization: Cranial-sacral origins. Pathway: NT > ganglion (long) > next NT > effector organ/gland (short).

    • Key Neurotransmitter: Acetylcholine.

    Drugs Affecting ANS

    • Sympathomimetics (adrenergic drugs) - mimic effects of sympathetic NTs.
    • Sympatholytics (adrenergic blocking drugs) - block sympathetic NTs
    • Parasympathomimetics (cholinergic drugs) - mimic effects of parasympathetic NTs.
    • Parasympatholytics (anti-cholinergic drugs) - block parasympathetic NTs

    Specific Drugs and Their Uses/Effects

    • Numerous specific drugs (e.g., epinephrine, norepinephrine, dopamine, acetylcholine, etc.) and their effects are discussed in detail.

    Adverse Side Effects

    • Adrenergics/ Sympathomimetics: Tachycardia, hypertension, nervousness, cardiac arrhythmia, and pulmonary edema.
    • Adrenergic Blocking/ Sympatholytics: Bradycardia, hypotension, worsening heart failure, and bronchoconstriction.
    • Parasympathomimetics: Bradycardia, hypotension, heart block, lacrimation, diarrhea, vomiting, increased GI activity, and intestinal rupture.
    • Parasympatholytics: Drowsiness, disorientation, tachycardia, photophobia, constipation, anxiety, and burning at injection site.

    CNS Drug Classes

    • Anticonvulsants (AEDs): Reduce seizure frequency and severity.

      • Phenobarbital: Drug blood levels monitored regularly.
      • Diazepam: Short acting; used for status epilepticus.
    • Tranquilizers, Sedatives, & Anti-anxiety: Effects involve sedation, anti-emetic action, or reduced excitation in animals.

    • Stimulants: Primarily used for respiratory depression/arrest (e.g., Doxapram)

    • Euthanasia Agents: Controlled drugs that induce unconsciousness and cessation of vital functions (e.g., pentobarbital).

    Additional Information

    • Bethanechol, pilocarpine, atropine, glycopyrrolate, and other drugs and their uses for different conditions.
    • Drug interactions, dosages, and monitoring.
    • Different types of nervous system drugs are mentioned, with cautions/warnings on some.

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    Description

    This quiz explores the fundamentals of the nervous system, focusing on the roles of different types of neurons and the process of message transmission. Understand how neurotransmitters function across synapses and the significance of action potentials in the nervous system. Test your knowledge on the physiological aspects and their implications for drug effects on the nervous system.

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