Drugs and behviour
Adolescent brain is more responsive to reinforcing techniques of drugs such as nicotene
True
False
What factors would make an adolescent more influenced by tobacco use?
Novelty seeking behavior
Higher hostility rating
Higher aggression rating
All of the above
Smoking help adolescent girls lose weight
True
False
Which receptor does nicotene bind to?
D2
Dopamine
NAChR's Acetylcholine on dopamine Neurons
5-HT
WHat is released with IV and inhaled cigarette smoke?
Seratonin
Dopamine
D2's
None of the above
What is central to reinforcing effects of drugs?
Dopamine
Serotonin
NAcc
Acetylcholine
When do withdrawel symptoms of nicotine occur?
1-2 hours
Immediately
3-4 hours
30 minutes
Unlike other drugs this drug causes nAChR up-regulation
Coffee
Pain killers
Nicotene
Meth
Out of the 6-11 mg of nicotine found in cigs how many are delivered to smoker
Less than 1 mg
5-6 mg
2-4 mg
1-3 mg
How does nicotine enter the lungs?
Chemicals
Tar
Blood
Smoke
How long until nicotene is delivered to the brain?
Immediately
8-20 seconds
2 minutes
5 minutes
Nicotine exposure to an adolescent brain produces lifelong changes to serotonin system associated with mood, sleep, anxiety, and despression.
True
False
Chronis high dose nicotine in adolescent brain = reduced sttention span and reduced inhibition
True
False
Due to ease of passage through the blood brain barrier, what percentage of alcohol reaches the brain almost immediately?
10
20
50
90
If a drug easily passes the blood brain barrier, it will have difficulty passing the blood placenta barrier.
True
False
About ____% alcohol consumed absorbed from stomach, remaining is absorbed in the upper portion of the small intestine.
10
20
50
90
What are the three main factors in speed of absorption of alcohol?
Concentration of alcohol, type of alcohol, rate of consumption
Carbonation, type of alcohol, rate of consumption
Concentration of alcohol, body weight, rate of consumption
Concentration of alcohol, carbonation, rate of consumption
Alcohol is distributed wherever there is _________ in the body.
Blood
Water
Acetylcholine recepters
Dopamine
Alcohol is a central nervous system (CNS) depressant.
True
False
CNS depressant effects inked to alcohols actions at _______ receptors, has inhibitory effects on the neuron, making it more difficult for neuronal firing to occur.
Acetylcholine
D2
GABA
5-HT
Reinforcing effects of alcohol come from action of ________neruons in NAcc.
Dopamine
GABA
5-HT
Acetylcholine
Most alcohol is metabolized by what organ?
Kidney
Liver
90% of Alcohol is metabolized into?
Water
Waste
Ethanol
Actylaldehyde
Alcohol works by
Zero order kinetics
First order kinetics
Zero order kinetics means
More drug, faster metabloism
Metabolism independent of concentration of drug
Oxidation fo alcohol occurs at ______mg per hour per kg.
10
25
50
100
If someone is an alcholic you should recommend they not take?
Sleeping pills (barbituates)
Cocaine
Caffeine
Oxycotin
Who would metobilze alcohol slower?
Women
Men
Alcohol is a vasodilator?
True
False
As BAC increases what hormone decreases?
Antidiuresis
Dopamine
Antidiuretic (ADH)
Serotonin
What is Antidiuresis?
Release of water
Retention of water
Metabolizing of alcohol
Release of waste
Testicular atrophy, erectile dysfunction, and impaired reproductive function in women are effects of chronic abusers of which drug?
Oxycotin
Meth
Cocaine
Alcohol
What are congeners?
Natural products of fermentation process
Neurons
Chemicals found in cigarettes
Blood thickening agents
Almost no congeners found in which type of alcohol?
Vodka
Bourbon
Beer
Wine
Alcohol promotes accumalation of body fat by reducing breakdown of dietary fats
True
False
Liver fuelled by fatty acids, when alcohol present, alcohol used as fuel instead causing buildup of fatty acids.
True
False
Poor diet low in thiamine (vitamin B1) combined with excess alcohol reducing thiamine absorption is a cause of what disease?
Cirhosis
Wernicke-korsakoffs syndrom
Alcohol dementia
Liver disease
Most cannabis strains derived from which plant?
Sativa
Indica
Sinsemilla
Combination of sativa and indica
Which has the greater THC:CBD ration?
Sativa
Indica
What is formed from resin scraped off marihuana leaves?
THC
Hashish
CBD
Salvia
1) natural compounds directly synthesized from opium 2) derivative compounds synthesized from morphine 3) derivative compounds synthesized from codeine or thebaine 4) drugs synthesized entirely in lab......what drugs categories am I explaining?
Marijuana
Nicotine
Opioids
Oxycotin
Name an opioid made of natural compounds extracted from opium.
Morphine
Codeine
Thebaine
All of the above
Name an opioid derived from compounds synthesized from morphine.
Codiene
Heroin
Oxycodone
Demerol
Name an opioid derived from compunds synthesized from codein or thebaine.
Oxycodone
Heroin
Demerol
Morphine
Name an opioid synthesized entirely in a lab
Methadone
Demerol
Both A and B
None of the above
Due to international control of turkish poppy fields mexican black tar heroin appeared around what time?
1965
1975
1985
1995
Aroudn the same time as mexican black tar heroin, powdered fentanyl was being sold as china white, what was the major outcome of this?
Overdose deaths due to increased potency of china white
Mexican black tar was no longer wanted therfr no longer smuggled
Increased drug charges
Canada closed its borders to mexico
Today 94% of the worlds heroin originates from the opium crop in which country?
Canada
Afghanistan
Mexico
Turkey
Percocet came to the country in 1976 what is it?
Heroin and tylenol
Oxycodone and morphine
Heroin and oxycodone
Oxycodone and acetaminophen
In 1995 what was introduced as a safe opioid alternative
Morphine
Heroin
Oxycontin
Codeine
What is Analgesia?
Sleepiness
Pain numbing
Inability to sleep
Euphoria
When was oxycontin pulled from the market?
1995
2000
2012
2015
What has Ontario and Nova Scotia implemented to fight drug abuse in Canada?
Prescription Drug Registry
Stricter laws
Banning drugs
Rehab treatments
Most Opioids have difficulty passing the blood brain barrier to to poor ________ solubility.
Fat
Water
What is used in ERs to treat overdose of opioids? Specifically morphine?
Acetaminophen
Codeine
Oxyneo
Naloxone
In 173 scientists discovered that we have __________ receptors in our brain.
GABA
Dopamine
Morphine
ACHRS
MU, Delta, Kappa, and opioid are all
Neurons
Opioid receptors
Types of opioids
Fraternity houses
Between 1975 and early 1980s three natural occuring ____________ like molecules discovered : Enkepahlins, beta-endorphins, and dynorphins
GABA
Alcohol
Opioid
Morphine
Which receptor does morphine at act?
Mu
Delta
Kappa
Opioid-like
Which receptor does Oxycodone act at?
Mu
Delta
Kappa
Opioid -like
Enkerphalins, beta-endorphins, and dynorphins collectively known as endorphins naturally bind to ___________ receptors.
Gaba
Opiate
NAcc
5-HT
Which opioid receptor is most responsible for opiate drugs discussed in class?
Mu
Delta
Kappa
Opiate-like
While all opiates act on MORs those with the biggest attraction tend to have the strongest effect.
True
Falses
Opioid tolerance can produce hyperalgesia (Pain producing)
True
False
Which drug is not water soluble which means in cannot be injected and minimally effective through mucus membranes?
Nicotene
Alcohol
Morphine
Cocaine
Freebase cocaine can be
Smoked
Injected
Snorted
Swallowed
Crack is cocaine treated with _______
Baking soda
Tylenol
Ocycotin
Bleach
Cocaine is more potent when
Smoked
Snorted
What is the term for psychoactive drugs that arise from modifications to the chemical structure of existing drugs?
Hybrids
Designer drugs
Lab drugs
Psychotics
Give an examples of a designer drug?
Oxycodone
Cocaine
Synthetic cannabis
Cigarettes
What was one of the first designer drugs (1874) released as an alternatve to morphine?
Diacetylmorphine
Morphone
Oxycontin
Heroin
What is PCP?
Designer drug phenicyclidine
DOM
STP
Opiate
In 1978 60 minutes named this drug as americas number 1 drug problem
PCP/angel dust/ phenicyclidine
Heroin
Cocaine
Oxycotin
Most synthetic opioids are based on which molecule?
Morphine
Fentanyl
Codeine
Oxycotone
What was the first designer drug to be emergency schedules by drug enforcement agency?
PCP
Morphine
Oxycotin
MDMA
What is Analogue law?
Different levels of drug banning
Any drug similar in chemical makeup to a banned drg is also banned
Cannot make a drug that has banned drug in its ingredients
Any drug posession is illegal.
Canada has analogue law.
True
False
Which drug was "not sold for human conspumption" and therefor legal and commonly sold over the internet?
Morphine
PCP
Heroin
Bath salts
Originally developed in 1947, this opioid analgesic is a slight variant of demerol
Bath salt
PCP
Morphine
MPPP
In 1976 which MPPP was created by a grad student and ended up producing parkinsons disese in many users due to the temperature used to manufacture which impurity formed?
MPPP
MPTP
5-HT
None of the above
MPTP is metabolized in MPP+ which selectively lesions the:
CNS
Substantia Nigra
Neurons
GABA receptors
Bath salts contain substituted ________
Drugs
Cathinones
Opioids
Crack crystals
Krokodil is __________ which is a derivative of___________?
Desopmorphine:morphine
Oxycotin:oxycodene
THC:Marijuana
Krokodil/desomorphin was patented in 1932, where?
Canada
US
Mexico
Switzerland
Abuse of homemade desomorphin aose in siberia in 2003 due to?
Cheap manufacturing
Russian crackdown on heroin
Russia cloing its borders
Russian crackdown on opiates
What is a common side affect of krokodil/desopmorphin?
Necrotizing fasciitis
Swelling of blood vessels
Overdose
Loss of hair
Mescaline, psilocybin, lysergic acid diethylamide are all:
Designer drugs
Opiates
Hallucinogens
Antipsychotics
Hallucinogens wre orignally rimararily used for?
Recreation
Tourism
Mystic/religious rituals
Painkillers
Which Hallucinogen has uses dating back 5000 years?
Peyote
Heroin
Psilocybin
Mescaline
In 1938 who discovered LSD
A grad student
Albert hoffman
Drs hoffer and osmond
LSD was originally manufactured to stimulate recovery from anasthetic in hospitals by stimulating respiratory and circulatory functions
True
False
Give an example of a serotonergic hallucinogen that affects serotonin and produces vivid visual hallucinations and additional effects on consciusness
PCP
Psilocybin
MDMA
Stropine
Give and example of a methylated amphetamine hallucinogen that affects dopamine, norepinephrine AND serotonin and produces altered mood and consciousness with little or no senesory change
PCP
Psilocybin
MDMA
Ketamine
Give and example of a anticholinergic hallucinagen that affect acetylcholine and produces dreamlike trance with little or no memory of experience
Atropine
PCP
MDMA
LSD
Give an example of a dissociative anesthetic hallucinogen that affects glutamate and produces surgical anesthesia.
PCP
Atropine
LSD
MDMA
Which type of hallucinogenic therapy produced long lasting peronsality change, behavior change and symptom releif
Psycholytic therapy
Psychedelic therapy
Saskatchewan group, drs hoffer and osmond offered which drug to doctors and nurses at regina hospital to better understand their patients
PCP
LSD
Krokodil
Kerotonin
LSD was used succesfully to treat?
Psychosis
Alcoholism
Opiate withdrawl symptoms
Cancer
Psilocybin is showing signs of being able to treat
Alcohol dependence
Smokers
All of the above
The use of psilocybin, LSD, and ketamine to treat common problems such as dependency is due to.
GABA receptors
CNS
5-HT
Dopamine
Which drug was introduced in 1953 as a hospital anesthetic that didnt affect heart rate?
LSD
PCP
Cocaine
Ketamine
Someone comes into the ER clearly on drugs and complaining that their arm is the sixe of a car, what drug have they taken?
PCP
Ketamine
Peyote
LSD
What does nAChR stand for?
Nicotonic acetylcholine receptors
NAcc Receptors
CNS receptor
Acetylcholine receptor
Which disassociative halluconogen was used as an emrgency anesthetic in in vietnam?
PCP
LSD
Ketamine
Peyote
If a patient had face burns what drug would a doctor choose to use as an anesthetic?
PCP
LSD
Ketamine
Peyote
Extreme dissociation and depersonalization accompanied by auditory and visual hallucinations is known as
Khole effect
Psilocybin overdoes
Peyote effects
Hallucinogen effect
What are the three broad categories of therapeutic products
Precription drugs, over the counter drugs, and natural health products
Analgesic, hallucinogen, inhibitor
Inhibitor, excitory, baseline
TPD drug approval phase 1
Tested on a small group to assess safety, dosage, and identify side effects
Usually tested on 1000+ peopl to compare it to commonly used treatments
Trials after drug is approved to learn best way to use it, long term benefits and risks
Usually tested on 100+ people to learn how it works on specific diseases or conditions
TPD drug approval phase 2
Tested on a small group to assess safety, dosage, and identify side effects
Usually tested on 1000+ peopl to compare it to commonly used treatments
Trials after drug is approved to learn best way to use it, long term benefits and risks
Usually tested on 100+ people to learn how it works on specific diseases or conditions
TPD drug approval phase 3
Tested on a small group to assess safety, dosage, and identify side effects
Usually tested on 1000+ peopl to compare it to commonly used treatments
Trials after drug is approved to learn best way to use it, long term benefits and risks
Usually tested on 100+ people to learn how it works on specific diseases or conditions
TPD drug approval phase 4
Tested on a small group to assess safety, dosage, and identify side effects
Usually tested on 1000+ peopl to compare it to commonly used treatments
Trials after drug is approved to learn best way to use it, long term benefits and risks
Usually tested on 100+ people to learn how it works on specific diseases or conditions
Drug marketing- generic drugs must demonstrate:
Same chemical makeup
Bioequivalence
Same dosage
Same side effects
Epilepsy foundation issued a statement about switching medication to generic brand due to :
Bioequivalence
Bioavailability
Side effects
Dosage
Drug used to treat mental illness/psychiatric disorders
Psychotherapeutic drugs
Hallucinogens
Prescription drugs
Natural health products
Hippocrates was incorrect in his theory about psychosis but opened ideas that psychosis was biological based what was his theory
Demons/spiritual
Imbalance of four humors
Brain malfunction
Drug related
When did the first truly successful psychotherapeutic drugs come about?
1890s
1920s
1950s
1970s
What was the first psychotherapeutic drug?
Chlorpromazine
PCP
ECT
Ketamine
Who first introduced using chlorpromazine as an antipsycotic drug
Henry laborit
Henry hoffman
Henry douglas
Henry osmond
Who conducted the first systematic trial of chlorpromazine in psychotic patients?
Henry leborit
Henry hoffman
Heinz lehmann
Heinz osmond
First generation antipsychotics such as chlorpromazine acted priimarily at ____________ receptors and were used primarily for schizophrenia
5-ht
Dopamine
Seratonin
GABA
A repetitiive tic like movement which can be caused by first generation antipsychotics:
Parkinsons
Tardive dyskinesia
Analgesia
Smacking of lips
With second generation (atypical) antipsychotics they acted on dopamine receptors but on a wider vareity of them which led to greater effectiveness on wider range of people and also different side effects such as
Sleepiness
Tardive dyskinesia nonexistent
Weight loss
Headaches
Clozapine (a second gen antipsychotic) associated with loss of white blood cells decline in immune function called:
Tardive dyskineasia
Agranulocytosis
Parkinsons
AIDS
IN 2009 which thrid generation antipsychotic was introduced?
Ketmine
PCP
Aripiprazole (abilify)
Clozapine
US has the highest rate of anti depressant use per capita
True
False
MAO-I, TCA, SSRI, and SNRI are all
Antidepressant drug categories
Antisychotic drug categories
Antipsychotic drug receptors
Antidepressant drug receptors
MAO-I first antidepressant drug accidentally found bcause orignally sed to treat TB?
Iproniazid
Chlorpromazine
Prozac
Fentanyl
MAO-I stands for
MAO receptor
Monoamine oxidase inhibitor
MAO-I stopped being used due to
Side effects
Cheese effect (tyramine)
Ineffectiveness
Which class of antidepressants inhibits reuptake of serotonin and norepinephrine?
MAO-I
TCA
SSRI
SNRI
Which class of antifepressants causes mania or hypomania in 25% of patients?
MAO-I
TCA
SSRI
SNRI
As of 2010 which SSRI antidepressant is the third most prescribed
Prozac
Duloxetine(cymbalta)
Effexor
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