Pharmacology Analgesics Quiz
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Questions and Answers

Which drug is an example of a non-selective COX inhibitor?

  • Paracetamol
  • Bethanechol
  • Ibuprofen (correct)
  • Pilocarpine

What is the function of mydriasis?

  • Stimulation of salivary glands
  • Constriction of pupils
  • Dilation of pupils (correct)
  • Regulation of heart rate

Which type of receptors do parasympathetic nerves have?

  • Adrenergic receptors
  • Muscarinic receptors (correct)
  • Dopaminergic receptors
  • Nicotinic receptors

What is the primary function of Nm receptors?

<p>Mediate skeletal muscle contraction (B)</p> Signup and view all the answers

Which type of receptors are G protein-coupled receptors?

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

Which drug is an example of a non-selective COX inhibitor?

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

What is the primary function of Nm receptors?

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

What is the function of mydriasis?

<p>Dilation of pupils (D)</p> Signup and view all the answers

Which type of receptors do parasympathetic nerves have?

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

Which type of receptors are G protein-coupled receptors?

<p>$eta$-adrenergic receptors (C)</p> Signup and view all the answers

Flashcards

Non-selective COX inhibitor example

Ibuprofen is a drug that inhibits both COX-1 and COX-2 enzymes.

Mydriasis function

Widening of the pupils of the eyes.

Parasympathetic receptors

Muscarinic receptors are the receptors that parasympathetic nerves use.

Nm receptors function

Nm receptors mediate skeletal muscle contraction.

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G protein-coupled receptor example

An example is the $eta$-adrenergic receptors.

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Function of Nm receptors

NM receptors are involved in skeletal muscle contraction.

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$eta$-adrenergic receptors

A type of G protein-coupled receptor, related to adrenaline.

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Muscarinic receptors

Receptors for acetylcholine, often targeted by parasympathetics.

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Skeletal muscle contraction

The process by which skeletal muscles shorten.

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Pupil dilation

Widening of the pupils.

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Study Notes

Opioid Analgesics

  • Classified as narcotics or morphine-like analgesics

Non-Opioid Analgesics

  • Classified as NSAIDs (Non-steroidal Anti-inflammatory Drugs) or non-narcotic/aspirin-like analgesics
  • NSAIDs inhibit COX (Cyclooxygenase) enzymes, which convert arachidonic acid into prostaglandins
  • Non-selective NSAIDs inhibit both COX-1 and COX-2, leading to decreased prostaglandin production
  • Selective COX-2 inhibitors, such as meloxicam and celecoxib, only inhibit prostaglandin production

NSAIDs and Ulcers

  • NSAIDs can cause ulcers due to decreased prostaglandin PGE2, which regulates mucus secretions

Paracetamol

  • Analgesic but poor anti-inflammatory
  • Belongs to the P-aminophenol derivatives class

Diclofenac

  • Associated with liver dysfunction and failure

Renal Failure

  • NSAIDs can cause renal failure due to dilation of GFR (Glomerular Filtration Rate)

Aspirin

  • Causes Reye's syndrome
  • Toxicity treated with sodium bicarbonate or dialysis in extreme cases
  • Low dose inhibits TXA2 (Thromboxane A2)
  • Irreversible inhibition of COX, unlike ibuprofen

COX-2 Inhibitors

  • Cause platelet aggregation

Safest NSAID

  • Naproxen has the safest cardiovascular risk profile

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Description

Test your knowledge of opioid and non-opioid analgesics, including their mechanisms of action and side effects. This quiz covers the effects of COX inhibitors, the differences between opioid and non-opioid analgesics, and the properties of specific drugs like paracetamol.

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