Organic Pharmaceutical Chemistry II: Cholinergic Drugs
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Questions and Answers

Which neurotransmitter is primarily responsible for sympathetic postganglionic synapses?

  • Serotonin
  • Dopamine
  • Acetylcholine
  • Noradrenaline (correct)
  • What is one effect of parasympathetic stimulation mediated by acetylcholine?

  • Lowered blood pressure (correct)
  • Dilation of the pupils
  • Increased heart rate
  • Inhibited peristalsis
  • Which of the following is NOT a function associated with sympathetic stimulation?

  • Raises blood pressure
  • Increased blood flow to the skin (correct)
  • Stimulates heartbeat
  • Inhibits peristalsis
  • Which of the following is true about acetylcholine (ACh) in the context of both the sympathetic and parasympathetic systems?

    <p>It is involved in both preganglionic sympathetic and both ganglionic connections.</p> Signup and view all the answers

    What is one of the effects of acetylcholine in the gastrointestinal (GI) tract during parasympathetic stimulation?

    <p>Increased blood flow to the GI tract</p> Signup and view all the answers

    Which effect is associated with sympathetic nervous system activation?

    <p>Conversion of liver glycogen into glucose</p> Signup and view all the answers

    Which of the following neurotransmitters is mainly associated with the preganglionic neurons in the sympathetic nervous system?

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

    What physiological change occurs when noradrenaline is released during sympathetic stimulation?

    <p>Dilates trachea and bronchi</p> Signup and view all the answers

    What is the primary function of cholinergic agents?

    <p>They mimic or block the action of acetylcholine.</p> Signup and view all the answers

    Which type of receptor does acetylcholine bind to that functions as an ion channel?

    <p>Nicotinic receptor</p> Signup and view all the answers

    What structural feature do nicotinic receptors possess?

    <p>A pentameric structure with five subunits</p> Signup and view all the answers

    What initiates the opening of the central pore in nicotinic receptors?

    <p>Conformational change from neurotransmitter binding</p> Signup and view all the answers

    Which statement accurately describes muscarinic receptors?

    <p>They regulate functions of organs via G-protein coupled receptors.</p> Signup and view all the answers

    What role do muscarinic receptors play in the body?

    <p>They maintain homeostasis of the organism.</p> Signup and view all the answers

    What is a characteristic feature of the binding site in nicotinic receptors?

    <p>It is negatively charged to attract quaternary ammonium groups.</p> Signup and view all the answers

    Which of the following accurately describes the action potential generated by nicotinic receptors?

    <p>It is the result of cation influx following receptor activation.</p> Signup and view all the answers

    Study Notes

    Organic Pharmaceutical Chemistry II

    • This lecture is about Cholinergic Drugs and Related Agents.
    • Acetylcholine (ACh) is the neurotransmitter in the parasympathetic and sympathetic nervous systems.
      • It is also found in the neuromuscular junction and the central nervous system (CNS).
    • Parasympathetic stimulation causes:
      • Slowing of the heart rate.
      • Lowering of blood pressure.
      • Constriction of the pupils.
      • Increased blood flow to the skin and viscera.
      • Peristalsis of the GI tract.
    • Sympathetic stimulation causes:
      • Stimulates heartbeat.
      • Raises blood pressure.
      • Dilates the pupils.
      • Dilates the trachea and bronchi.
      • Stimulates the conversion of liver glycogen into glucose.
      • Shunts blood away from the skin and viscera to the skeletal muscles, brain, and heart.
      • Inhibits peristalsis in the GI tract.
      • Inhibits contraction of the bladder and rectum.
    • Cholinergic agents either mimic or block the action of ACh.
    • Cholinergic receptors are divided into two classes:
      • Nicotinic receptors
      • Muscarinic receptors

    Nicotinic Receptors

    • These receptors are ionotropic, meaning they themselves are ion channels.
    • They are made up of five subunit polypeptide chains (pentameric structures).
      • Two of these chains are identical (2α).
      • The other chains are β, γ, and δ (ε).
    • The α chains contain a binding site for the quaternary ammonium group of ACh.
    • When stimulated by ACh or nicotine, the receptor's shape changes, which opens the ion channel and allows cations to flow through.
      • This causes depolarization and the generation of an action potential.

    Muscarinic Receptors

    • These receptors play a role in the regulation of organs in the autonomic nervous system to maintain homeostasis.
    • They activate guanosine triphosphate (GTP)-binding proteins (G-proteins).
    • Muscarinic receptor subtypes are located in the CNS and peripheral nervous system.

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    Description

    This quiz focuses on cholinergic drugs and their effects on the nervous system, including their roles in parasympathetic and sympathetic stimulation. Topics covered include acetylcholine, its functions, and the physiological responses it triggers in various body systems.

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