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Questions and Answers
Which function is associated with the endocannabinoid system in the context of memory?
Which function is associated with the endocannabinoid system in the context of memory?
CB1 receptors are primarily found in the periphery of the body.
CB1 receptors are primarily found in the periphery of the body.
False (B)
What fatty acid serves as the precursor for endocannabinoids?
What fatty acid serves as the precursor for endocannabinoids?
Arachidonic acid
Anandamide is broken down by __________ in the postsynaptic neuron.
Anandamide is broken down by __________ in the postsynaptic neuron.
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Match the following components of the endocannabinoid system with their primary functions:
Match the following components of the endocannabinoid system with their primary functions:
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What effect does a decrease in D2 receptors have on pleasure from stimulants?
What effect does a decrease in D2 receptors have on pleasure from stimulants?
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Craving occurs when drug-cue associations invoke the A process.
Craving occurs when drug-cue associations invoke the A process.
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What type of treatment uses another drug with a similar effect to replace an addictive drug?
What type of treatment uses another drug with a similar effect to replace an addictive drug?
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The __________ is desensitized to natural rewards but sensitized to drug cues.
The __________ is desensitized to natural rewards but sensitized to drug cues.
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Match the pharmacotherapy treatment with its purpose:
Match the pharmacotherapy treatment with its purpose:
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Which brain structure is primarily involved in habit formation?
Which brain structure is primarily involved in habit formation?
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Antidrug vaccines work by increasing the amount of addictive drug that reaches the brain.
Antidrug vaccines work by increasing the amount of addictive drug that reaches the brain.
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What is the role of the amygdala in the context of addiction?
What is the role of the amygdala in the context of addiction?
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What is the primary psychoactive compound found in cannabis?
What is the primary psychoactive compound found in cannabis?
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Cannabis has been cultivated for over 600 years.
Cannabis has been cultivated for over 600 years.
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What are the names of the two receptors identified for THC?
What are the names of the two receptors identified for THC?
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The average person metabolizes approximately _____ mL of 100 proof alcohol in one hour.
The average person metabolizes approximately _____ mL of 100 proof alcohol in one hour.
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Match the following medical uses with their corresponding drugs:
Match the following medical uses with their corresponding drugs:
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What is the term used to describe the phenomenon where cannabis inhibits the release of neurotransmitters?
What is the term used to describe the phenomenon where cannabis inhibits the release of neurotransmitters?
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Binge drinking is defined as achieving a blood alcohol concentration (BAC) of 0.8 or above in one hour.
Binge drinking is defined as achieving a blood alcohol concentration (BAC) of 0.8 or above in one hour.
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What physiological system is most notably affected by chronic alcohol consumption, leading to increased glutamate receptors?
What physiological system is most notably affected by chronic alcohol consumption, leading to increased glutamate receptors?
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Alcohol is primarily metabolized by the enzyme _____ in the liver.
Alcohol is primarily metabolized by the enzyme _____ in the liver.
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Match the following drugs to their uses in alcohol treatment:
Match the following drugs to their uses in alcohol treatment:
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Which of the following is a non-psychoactive compound found in cannabis?
Which of the following is a non-psychoactive compound found in cannabis?
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The opponent process theory suggests that the B process becomes more prominent with repeated exposure to a stimulus.
The opponent process theory suggests that the B process becomes more prominent with repeated exposure to a stimulus.
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What is the main focus of pharmacotherapy in treating Alcohol Use Disorder (AUD)?
What is the main focus of pharmacotherapy in treating Alcohol Use Disorder (AUD)?
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Which stage of sleep is characterized by slow wave sleep?
Which stage of sleep is characterized by slow wave sleep?
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The hypothalamus sends signals to the cortex to regulate sleep stages.
The hypothalamus sends signals to the cortex to regulate sleep stages.
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What is the primary neurotransmitter system targeted by most OTC sleep aids?
What is the primary neurotransmitter system targeted by most OTC sleep aids?
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REM deprivation causes __________.
REM deprivation causes __________.
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Match the medication to its classification:
Match the medication to its classification:
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Which of the following is NOT a common treatment for insomnia?
Which of the following is NOT a common treatment for insomnia?
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Higher body temperature decreases the likelihood of REM sleep.
Higher body temperature decreases the likelihood of REM sleep.
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What effect does a rise in body temperature have on sleep?
What effect does a rise in body temperature have on sleep?
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What is the primary goal of Electroconvulsive Therapy (ECT)?
What is the primary goal of Electroconvulsive Therapy (ECT)?
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Tricyclic antidepressants were originally developed for treating depression.
Tricyclic antidepressants were originally developed for treating depression.
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What neurotrophic factor is commonly associated with depression?
What neurotrophic factor is commonly associated with depression?
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High levels of __________ are negatively correlated with neuroplasticity in the brain.
High levels of __________ are negatively correlated with neuroplasticity in the brain.
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Match the types of antidepressants with their characteristics:
Match the types of antidepressants with their characteristics:
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Which treatment option may result in memory loss as a side effect?
Which treatment option may result in memory loss as a side effect?
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Increased dendritic branching can enhance the brain's neuroplasticity.
Increased dendritic branching can enhance the brain's neuroplasticity.
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What significant side effect is associated with the use of Monoamine Oxidase Inhibitors (MAOIs)?
What significant side effect is associated with the use of Monoamine Oxidase Inhibitors (MAOIs)?
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What is the primary function of the suprachiasmatic nucleus (SCN)?
What is the primary function of the suprachiasmatic nucleus (SCN)?
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The anterior hypothalamus is crucial for wakefulness.
The anterior hypothalamus is crucial for wakefulness.
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Name two neurotransmitters released by the locus coeruleus to control wakefulness.
Name two neurotransmitters released by the locus coeruleus to control wakefulness.
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Caffeine acts as an __________ receptor antagonist.
Caffeine acts as an __________ receptor antagonist.
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Match the sleep-related conditions with their descriptions:
Match the sleep-related conditions with their descriptions:
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Which of the following drugs is a partial Mu agonist used for pain relief?
Which of the following drugs is a partial Mu agonist used for pain relief?
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The release of histamine and orexin from the hypothalamus promotes sleep.
The release of histamine and orexin from the hypothalamus promotes sleep.
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What is the lethal dose of caffeine for most individuals?
What is the lethal dose of caffeine for most individuals?
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The activity of dopamine, norepinephrine, glutamate, and acetylcholine is suppressed by __________.
The activity of dopamine, norepinephrine, glutamate, and acetylcholine is suppressed by __________.
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What role does GABA play in the regulation of wakefulness?
What role does GABA play in the regulation of wakefulness?
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Flashcards
Endocannabinoid Function
Endocannabinoid Function
Endocannabinoids regulate various bodily functions, including pain perception, sensory processing, motor skills, memory, cognition, appetite, and the immune system.
Endocannabinoid Synthesis
Endocannabinoid Synthesis
Endocannabinoids are made and released as needed, directly from fatty acids, rather than being stored.
Endocannabinoid Receptors
Endocannabinoid Receptors
Endocannabinoids bind to specific receptors in the brain (CB1) and immune system (CB2).
Endocannabinoid Inactivation
Endocannabinoid Inactivation
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Endocannabinoid Synaptic Transmission
Endocannabinoid Synaptic Transmission
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Incentive Salience
Incentive Salience
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B Process
B Process
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Withdrawal/Negative Affect Stage
Withdrawal/Negative Affect Stage
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Preoccupation/Anticipation Stage
Preoccupation/Anticipation Stage
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Hypofrontality
Hypofrontality
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Agonist Treatment
Agonist Treatment
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Antagonist Treatment
Antagonist Treatment
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Antidrug Vaccines
Antidrug Vaccines
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Retrograde Message
Retrograde Message
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Delta-9-Tetrahydrocannabinol (THC)
Delta-9-Tetrahydrocannabinol (THC)
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Cannabidiol (CBD)
Cannabidiol (CBD)
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What are the two main receptors for THC?
What are the two main receptors for THC?
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Anandamide
Anandamide
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Pharmacokinetics of THC
Pharmacokinetics of THC
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Half-life of THC
Half-life of THC
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Depot Binding of THC
Depot Binding of THC
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Medical Uses of THC
Medical Uses of THC
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Alcohol Absorption
Alcohol Absorption
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Alcohol Distribution
Alcohol Distribution
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Zero Order Metabolism of Alcohol
Zero Order Metabolism of Alcohol
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Alcohol's Effects on Glutamate
Alcohol's Effects on Glutamate
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Alcohol's Effects on GABA
Alcohol's Effects on GABA
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Alcohol's Effects on Opioids
Alcohol's Effects on Opioids
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EEG Rhythms in Sleep
EEG Rhythms in Sleep
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Slow Wave Sleep
Slow Wave Sleep
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REM Sleep and Body Temperature
REM Sleep and Body Temperature
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Insomnia Types
Insomnia Types
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OTC Sleep Aids
OTC Sleep Aids
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Z Drugs for Insomnia
Z Drugs for Insomnia
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Suvorexant (Belsomra)
Suvorexant (Belsomra)
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Scopolamine: Anticholinergic Effects
Scopolamine: Anticholinergic Effects
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What determines wakefulness?
What determines wakefulness?
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Reticular Formation
Reticular Formation
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Basal Forebrain
Basal Forebrain
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Locus Coeruleus
Locus Coeruleus
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Hypothalamus & Wakefulness
Hypothalamus & Wakefulness
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Hypothalamus & Sleep
Hypothalamus & Sleep
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Orexin Neurons
Orexin Neurons
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Suprachiasmatic Nucleus (SCN)
Suprachiasmatic Nucleus (SCN)
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Caffeine: Mechanism
Caffeine: Mechanism
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Caffeine: Effects on the Body
Caffeine: Effects on the Body
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MDD Symptoms
MDD Symptoms
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Cortisol's Role in Depression
Cortisol's Role in Depression
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BDNF and Depression
BDNF and Depression
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Structural Changes in Depression?
Structural Changes in Depression?
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ECT: Shocking the Brain
ECT: Shocking the Brain
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Tricyclic Antidepressants
Tricyclic Antidepressants
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MAOIs: Inhibiting Brain Enzymes
MAOIs: Inhibiting Brain Enzymes
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Antidepressant Normalization
Antidepressant Normalization
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Study Notes
Endocannabinoid System and Cannabis
- Endocannabinoids: Lipid-soluble molecules made and released on demand
- Functions: Analgesia, sensory processing, motor coordination, memory, cognition, appetite, immune system regulation
- Synthesis: From arachidonic acid (a fatty acid)
- Receptors: CB1 (central nervous system, including basal ganglia, cerebellum, hippocampus, cortex, and spinal cord), and CB2 (peripheral, primarily immune system)
- Inactivation: Uptake by endocannabinoid membrane transporter; broken down by FAAH (anandamide) or MGL (2-AG)
- Synaptic Transmission: Diffuse across synapse, bind to presynaptic receptors, inhibit neurotransmitter release (retrograde signaling)
Cannabis
- Sources: Cannabis sativa and Cannabis indica (hemp)
- History: Native to Asia, cultivated for ~6,000 years, historically used in American colonies
- Active Compounds: ~400 compounds, including psychoactive (e.g., Delta-9-tetrahydrocannabinol (THC), identified in 1964) and non-psychoactive (e.g., Cannabidiol (CBD), Cannabinol (CBN))
Timeline
- 1964: THC identified as an active component of marijuana.
- 1988: CB1 receptor identified.
- 1991: CB2 receptor identified.
- 1992: Anandamide and 2-AG (endogenous THC) identified.
Pharmacokinetics of THC
- Half-life: ~30 hours.
- Depot binding: Causes “reverse tolerance”.
- Metabolism: Liver enzymes metabolize THC into active (11-hydroxy-THC) and inactive (carboxy-THC) metabolites; carboxy-THC detectable in urine tests.
Medical Uses of THC
- Analgesia: Suppresses pain transmission in the spinal cord, often effective for inflammatory pain (acts on CB2 receptors). e.g. Sativex = THC + CBD
- Appetite stimulation: Marinol (used for cancer/AIDS)
Alcohol
-
Pharmacokinetics: Easily absorbed through all membranes, quickly enters the bloodstream, crosses the blood-brain barrier.
-
Metabolism: ~15% by gastric alcohol dehydrogenase (liver); women have less activity than men, average person metabolizes ~10 mL of 100 proof alcohol / hr
-
Excretion: ~5% through lungs.
-
Pharmacodynamics:
- Glutamate: Suppresses NMDA receptor function, reduces glutamate release (chronic use increases NMDA receptors).
- GABA: GABA agonist (chronic use decreases chloride influx).
- Opioids: Induces opioid release, inducing dopamine release.
- Cannabinoids: Stimulates anandamide production.
Alcohol Tolerance
- Acute: Occurs with single exposure.
- Metabolic: Alcohol dehydrogenase increases in the liver.
- Pharmacodynamic: NMDA receptors increase (glutamate), and chloride influx decreases (GABA).
- Behavioral: Includes alcoholism and alcohol use disorder (AUD).
Goals of AUD Pharmacotherapy
- Prevent/Treat Withdrawal Seizures: Long-acting benzodiazepines (Diazepam), anticonvulsants (Lamotrigine, Topiramate).
- Prevent Relapse: Disulfiram (Antabuse), calcium carbimide (Temposil), naltrexone (ReVia, Trexan).
- Treat Comorbid Conditions: e.g., major depression, PTSD (difficult to treat).
Binge Drinking
- Definition: Drinking resulting in a BAC of 0.8 or above in 2 hours (not very high).
- Effects: Increased inflammation, oxidative stress, excitotoxicity, HPA axis activity; decreased trophic support, neurogenesis, white matter reduction.
Addiction (Opponent Process Theory)
- Opponent Process Theory: Explains that repeated exposure to a stimulus (A process), produces an opposing response (B process) that increases in intensity and duration with repetition.
- Addiction Application: Tolerance is the adaptation of the A process, withdrawal is the increased B process, and the drug becomes less rewarding over time.
Addiction (Brain Disease Model)
- Stages and Underlying Circuitry:
- Binge/Intoxication: Basal ganglia (striatum), reward pathway.
- Withdrawal: Limbic system (amygdala), stress system (HPA axis).
- Preoccupation/Anticipation: Prefrontal cortex, stress system, insula, basal ganglia.
- Incentive Salience: Drug-cue associations lead to dopamine release in response to cues, not the drug itself, and strengthen cravings.
Pharmacotherapy of Addiction
- Agonist: Replace addictive drug with a similar-effect drug, e.g., methadone for heroin.
- Partial Agonist: Prevents withdrawal and cravings, e.g., varenicline (Chantix) for nicotine.
- Antagonist: Blocks effects of addictive drug, e.g., naloxone for opioids.
- Aversive: Induces negative reaction when addictive drug is taken, e.g., disulfiram (Antabuse) for alcohol.
- Antidrug Vaccines: Injects synthetic molecules that trigger an immune response against the drug.
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Description
Explore the intricate relationship between the endocannabinoid system and cannabis. This quiz covers endocannabinoids' functions, their synthesis, receptors involved, and the historical context of cannabis cultivation. Test your knowledge of cannabis compounds and their effects on the human body.