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Kaplan Section 1 Chapter 2 Pharmacodynamics

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Question
Answer
What are agonists?   Drugs that ACTIVATE receptors  
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What are full vs. partial agonists?   Full agonists produce a maximal response. Partial agonists cannot and are less effective.  
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Potentiation of an agonist shifts the dose-response curve to L or R?   Left  
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Antagonism of an agonist shifts the dose-response curve to L or R?   Right  
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What is the ED50?   The dose of a drug that is effective in 50% of the patient population  
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A steep slope for a cumulative dose response curve means what?   There is little variability in drug response in a given population. The less steep the slope, the greater the variability in patient sensitivity to the effects of a drug.  
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What is the TD50?   The dose that is toxic to 50% of the patient population.  
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What is the LD50?   The dose that is lethal to 50% of the patient population.  
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What is the therapeutic index?   Evaluates the relative safety of a drug.  
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A drug with a lower therapeutic index means what?   That the doctor needs to be more careful in the dosing of the drug for a patient because there is only a small therapeutic window in terms of the dosing.  
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What happens when an agonist binds to a Gs receptor?   activation of adenylyl cyclase --> increase in cAMP  
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Mnemonic to remember the G-protein-coupled ANS receptors.   Kiss and kick til you're sick of sex. qiss qiq siq sqs = a1 a1 B1 B2, M1 M2 M3, D1 D2 H1, H2 V1 V2  
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What happens when Gi receptors are stimulated?   inhibition of adenylyl cyclase --> decrease in cAMP  
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What happens when Gq receptors are stimulated?   activation of phospholipase C  
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What happens when endothelial cells release NO?   NO --> activation of guanylyl cyclase --> increases cGMP in smooth muscle --> myosin light chains are dephosphorylated --> myosin can't interact with actin --> vasodilation  
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