The Antihistamines

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Questions and Answers

Which of the following is a normal protective response from the body to injury or invasion?

  • Inflammation (correct)
  • Hypersensitivity
  • Antihistamines
  • Local hormones

Which of the following is NOT an autocoid?

  • Histamine
  • Prostaglandins
  • Nitric oxide
  • Adrenaline (correct)

Where are local hormones produced?

  • In the bloodstream
  • Near the site of synthesis (correct)
  • Specific endocrine glands
  • In the immune system

What is the duration of action for local hormones?

<p>Short-lived (C)</p> Signup and view all the answers

True or False: Local hormones are produced only in specific endocrine glands.

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

What term describes undesirable reactions produced by the immune system, such as allergies?

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

Which of the following local hormones is involved in the regulation of blood vessel constriction and dilation?

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

What is the primary site of action for autocoids?

<p>Tissues where they are formed (D)</p> Signup and view all the answers

Autocoids are metabolized locally and have a brief duration of action. What does this mean?

<p>Autocoids are rapidly eliminated from the body. (C)</p> Signup and view all the answers

Which of the following is NOT an example of an autocoid?

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

Which enzyme is responsible for the release of arachidonic acid in asthma?

<p>Phospholipase A2 (C)</p> Signup and view all the answers

Which of the following is NOT an inflammatory mediator released in asthma?

<p>Serotonin (5-HT) (C)</p> Signup and view all the answers

What is NOT the role of leukotrienes in asthma?

<p>Inhibit the release of arachidonic acid (C)</p> Signup and view all the answers

Which enzyme is responsible for the synthesis of prostaglandins from arachidonic acid?

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

True or False: Bronchoconstrictors promote mucus secretion.

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

Which enzyme is involved in the synthesis of leukotrienes from arachidonic acid?

<p>5-lipoxygenase (C)</p> Signup and view all the answers

Which of the following mediators is NOT involved in promoting bronchoconstriction in asthma?

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

True or False: Inflammatory changes in asthma can lead to increased mucus secretion and recruitment of immune cells.

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

Histamine is primarily synthesized and stored in which of the following cells?

<p>Granules of mast cells and basophils (A)</p> Signup and view all the answers

Where is histamine synthesis highest in the body?

<p>Lung, skin, and GI tract (C)</p> Signup and view all the answers

Which of the following is NOT involved in histamine synthesis?

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

What is one of the primary roles of histamine in the body?

<p>Initiating an inflammatory response (C)</p> Signup and view all the answers

True or False: Histamine is only released during allergic reactions.

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

Histamine is responsible for the symptoms of which of the following conditions?

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

Which cells in the gastric mucosa are responsible for synthesizing histamine?

<p>Enterochromaffin-like (ECL) cells (C)</p> Signup and view all the answers

Which histamine receptor mediates gastric acid secretion?

<p>H2 (B)</p> Signup and view all the answers

Which histamine receptor is primarily involved in inhibiting neurotransmitter release?

<p>H3 (C)</p> Signup and view all the answers

Which histamine receptor is found in immune cells and suggests a role in inflammation and involved in histamine-induced chemotaxis??

<p>H4 (B)</p> Signup and view all the answers

Which histamine receptor is the target of drugs used to treat heartburn?

<p>H2 (C)</p> Signup and view all the answers

Which histamine receptor antagonist may be useful in the treatment of narcolepsy, ADHD, Alzheimer's, and schizophrenia?

<p>H3 (D)</p> Signup and view all the answers

Which histamine receptor is primarily involved in mediating inflammatory and allergic reactions?

<p>H1 (B)</p> Signup and view all the answers

Which histamine receptors are widely expressed and are the targets of many clinically relevant drugs?

<p>H1 and H2 (A)</p> Signup and view all the answers

What are some of the side effects associated with H2 receptor antagonists, such as Cimetidine?

<p>Diarrhea, constipation, drowsiness, and muscle aches (A)</p> Signup and view all the answers

Histamine binding to which receptor type in the lungs leads to bronchoconstriction and asthma-like symptoms?

<p>H1 (A)</p> Signup and view all the answers

Which tissue exhibits erythema (red skin) due to increased blood flow resulting from histamine binding to H1 receptors?

<p>Vascular smooth muscle (C)</p> Signup and view all the answers

Histamine binding to H1 receptors in which tissue leads to the contraction and separation of endothelial cells, resulting in edema and wheal response?

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

Histamine binding to H1 receptors in peripheral nerves leads to the sensitization of afferent nerve terminals, resulting in which clinical manifestations?

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

Minor increases in heart rate and contractility can result from histamine binding to which receptor type in the heart?

<p>H2 (B)</p> Signup and view all the answers

Increased gastric acid secretion is a result of histamine binding to which receptor type in the stomach?

<p>H2 (B)</p> Signup and view all the answers

Histamine acts as a neurotransmitter in the central nervous system (CNS) by binding to which receptor types?

<p>H1 and H3 (A)</p> Signup and view all the answers

Histamine binding to H4 receptors in white blood cells leads to which clinical manifestation?

<p>Pro-inflammatory (A)</p> Signup and view all the answers

Which of the following is a pathological process mediated by histamine H1 receptor activation?

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

Which of the following is a symptom caused by histamine H1 receptor activation in the lungs?

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

Which type of hypersensitivity reaction is caused by the production of IgE antibodies against innocuous environmental antigens?

<p>Type 1 hypersensitivity reaction (D)</p> Signup and view all the answers

Stimulation of the H1 receptor leads to the release of which substances?

<p>Inflammatory cytokines and eicosanoids (A)</p> Signup and view all the answers

H1 receptor activation mediates which immune and inflammatory pathological processes?

<p>Atopic dermatitis and allergic rhinitis (C)</p> Signup and view all the answers

Type 1 hypersensitivity reactions are allergic reactions that result from the production of which antibodies?

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

H1 receptor stimulation leads to the activation of which proinflammatory transcription factor?

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

Which severe and potentially life-threatening allergic reaction is mediated by H1 receptor activation?

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

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