Epilepsy and Anti-Epileptic Drugs
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Questions and Answers

What is the effect of benzodiazepines on the GABAA receptor in the absence of GABA?

  • Increases the affinity of GABA for its binding site
  • Has no effect (correct)
  • Inhibits the action of GABA
  • Enhances the membrane currents induced by GABA

What is the minimum number of subunits required to form a functional GABAA receptor?

  • 4
  • 6
  • 5 (correct)
  • 3

What is the binding site for benzodiazepines on the GABAA receptor?

  • Transmembrane domain of g subunits
  • Intracellular domain of b subunits
  • C-terminal domain of d subunits
  • Extracellular domain of a subunits (correct)

What is the effect of activating the a1 subunit BZD site on the GABAA receptor?

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

What is the number of known a subunits in the GABAA receptor?

<p>6 (B)</p> Signup and view all the answers

What is the effect of GABA on the GABAA receptor in the presence of benzodiazepines?

<p>Increases the affinity of benzodiazepines for their binding site (D)</p> Signup and view all the answers

What is observed when use-dependent Na channel blockers are applied to mouse spinal cord neurons in culture?

<p>Decrease in channel inactivation (B)</p> Signup and view all the answers

What is the characteristic of monogenic epilepsy?

<p>Associated with other major signs such as developmental delay and cognitive impairment (B)</p> Signup and view all the answers

What is the consequence of GABA-T (GABA transaminase) and SSADH mutations?

<p>Epilepsy fits due to extensive CNS abnormalities (A)</p> Signup and view all the answers

What is the main application of the kindling phenomenon in the field of neuroscience?

<p>Developing and testing anti-epileptic drugs (D)</p> Signup and view all the answers

What is the effect of a use-dependent Na or Ca channel blocker on firing rate control?

<p>Decrease in frequency of firing (D)</p> Signup and view all the answers

What is the primary mechanism of action of barbiturates and benzodiazepines in suppressing neuronal excitability?

<p>Enhancing the activity of inhibitory ion channels gated by GABA (B)</p> Signup and view all the answers

What is the primary function of the GABAB receptor in the brain?

<p>Inhibiting cAMP production through Gi (A)</p> Signup and view all the answers

What is the characteristic of idiopathic epilepsies?

<p>Have a complex genetic basis (D)</p> Signup and view all the answers

What is the name of the syndrome associated with monogenic epilepsy?

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

What is the percentage of synapses in the brain that involve the neurotransmitter GABA?

<p>30% (D)</p> Signup and view all the answers

Which of the following anti-epileptic drugs acts by blocking voltage-dependent Na or Ca channels?

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

What is the name of the agonist that acts on the GABAB receptor?

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

What is the mechanism of action of vigabatrin on GABA?

<p>Inhibiting GABA transaminase (C)</p> Signup and view all the answers

What is the primary mechanism of action of benzodiazepines in treating seizures?

<p>Prolonging the opening of GABA-activated Cl- channels (C)</p> Signup and view all the answers

Which type of seizures is ethosuximide specifically used to treat?

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

What is the mechanism of action of carbamazepine and phenytoin?

<p>Blocking voltage-gated sodium channels (B)</p> Signup and view all the answers

What is the effect of tiagabine on GABA concentration?

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

What is the characteristic of the binding of carbamazepine and phenytoin to voltage-gated sodium channels?

<p>State-dependent (A)</p> Signup and view all the answers

Which of the following anticonvulsant drugs acts by enhancing the opening of K+ channels of the KCNQ type?

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

What is the mechanism of action of sodium valproate in terms of voltage-gated sodium channels?

<p>Weak blocking action (C)</p> Signup and view all the answers

Which anticonvulsant drug is associated with fetal abnormalities?

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

Which of the following anticonvulsant drugs is thought to act as an antagonist of AMPA receptors?

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

Which anticonvulsant drug binds to a synaptic vesicle protein called SV2A?

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

What is the molecular target of gabapentin and pregabalin?

<p>The a2d-subunit of voltage-gated Ca2+ channels (C)</p> Signup and view all the answers

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