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Notes on 81 of 95 objectives.

Pharmacology

10 mins read · 9 questions

Describe nicotinic (NN) transmission in autonomic ganglia.

12 mins read · 19 questions

Describe ganglion stimulants (nicotine) and blockers (hexamethonium, trimetaphan, mecamylamine), and predict their effects on each organ from its dominant autonomic tone.

9 mins read · 11 questions

Describe the synthesis (choline acetyltransferase), vesicular storage, release and hydrolysis (acetylcholinesterase, butyrylcholinesterase) of acetylcholine.

11 mins read · 11 questions

Identify the sites for drug action at the cholinergic synapse with an example drug for each: choline uptake (hemicholinium), vesicular storage (vesamicol), release (botulinum toxin), hydrolysis (reversible and irreversible anticholinesterases) and receptors.

9 mins read · 5 questions

Classify muscarinic receptors (M₁–M₅) by location, G-protein coupling, effector mechanism and function.

12 mins read · 19 questions

Describe muscarinic agonists (acetylcholine, methacholine, carbachol, bethanechol, pilocarpine): effects and uses.

12 mins read · 8 questions

Describe muscarinic antagonists (atropine, hyoscine, ipratropium, tropicamide, oxybutynin): effects, uses and adverse effects; recognise anticholinergic toxicity.

13 mins read · 20 questions

Describe organophosphate poisoning and its management with atropine and pralidoxime.

10 mins read · 13 questions

Describe noradrenaline synthesis (tyrosine hydroxylase as the rate-limiting step), vesicular storage (VMAT), release and inactivation (uptake 1/NET, uptake 2, MAO, COMT).

13 mins read · 16 questions

Identify pre- and post-junctional sites for drug action: α-methyltyrosine, reserpine, neuron-blocking drugs (guanethidine), α₂-autoreceptors, uptake inhibitors (cocaine, tricyclic antidepressants), and MAO and COMT inhibitors.

13 mins read · 18 questions

Explain false transmitters (methyldopa → α-methylnoradrenaline) and indirectly acting sympathomimetic amines (tyramine, amphetamine, ephedrine), including the tyramine–MAOI interaction.

9 mins read · 17 questions

Classify adrenoceptors (α₁, α₂, β₁, β₂, β₃) by location, G-protein coupling, second messenger and response.

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