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Alcohol increases synaptic levels of dopamine in the nucleus accumbens by
Inhibiting GABA neurons in the VTA and Increasing the production and release of endogenous opioids in the VTA
Which of the following is NOT a cellular effect of chronic alcohol use?
Upregulation of GABA receptors
Why is THC less reinforcing than opioids and other highly abused drugs?
THC is only a partial agonist at the CB1 receptor
Which of the following has been found in brain imaging studies of long-term cannabis users?
All of the above:
Reduced gray matter volume in several brain areas
Down-regulation of central CB1 receptors in many areas of the brain
DA system abnormalities
The main descending pathway that modifies pain information from the spinal cord involves which structure
PAG
Studies of reinforcement suggest that opioid drugs produce their effects by inhibiting
Gaba
How is Salvinorin A different from most of the other psychedelic drugs?
It is a k-opioid agonist
PCP and ketamine are
Uncompetitive antagonists at NMDA receptors
Which of the following is not an abnormality found in the brain of patients with schizophrenia?
Increased connectivity between brain regions
Which model of schizophrenia was suggested by the fact that amphetamine users experience psychotic symptoms that could be reversed by DA antagonists?
Dopamine hypothesis
The effectiveness of antipsychotic drugs is due to
Dopamine receptor antagonism
Which of the following best describes reactive depression
A depression that occurs after a troubling life event, such as divorce
Which statement about risk factors for mood disorders is true?
The genetic factors involved in mood disorders indicate that an individual may be more susceptible to a disorder, not that they will definitely develop it
Studies on the acute and chronic effects of antidepressants on serotonin have shown that
The autoreceptors are activated acutely, causing a decrease in synthesis and release of 5-HT
Which class of antidepressant drugs elevates the amount of monoamine neurotransmitters available for release?
MAOIs
Eating while drinking alcohol _________ its absorption by __________ enzymatic breakdown.
Decreases, increasing
The first step in the metabolism of alcohol is its conversion to
Acetaldehyde
Which of the following is NOT a chronic cellular effect of alcohol?
Increased dopamine cell firing
Alcohol is an _______ at GABA receptors, and an __________ at glutamate receptors
Agonist, Antagonist
Acutely, alcohol __________ dopamine transmission in the mesolimbic tract and __________ endogenous opioid synthesis and release
Increases, increases
Korsakoff’s syndrome is caused by
Damage to the thalamus from chronic vitamin B1 deficiency
Oral administration of marijuana
Results in a longer duration of action of the drug
Which statement regarding CB1 cannabinoid receptors is false?
It is an ionotropic receptor
_______ increases regional brain activation and blood flow in some brain regions, while _______ has the opposite effect.
THC; CBD
The development of tolerance to cannabis
Both A and D: Involves down-regulation of CB1 receptors & Occurs in response to heavy chronic cannabis use
Match the Brain Region to the effect of THC
Amygdala →
Basal Ganglia →
Hypothalamus →
Nucleus Accumbens →
Hippocampus →
Amygdala → Panic/paranoia
Basal Ganglia → Slowed Reaction
Hypothalamus → Increased Appetite
Nucleus Accumbens → Euphoria
Hippocampus → Impaired Memory
All of the following are acute effects of the class of drugs called narcotic analgesics except
Diarrhea
One common effect of increasing opiate dose is
Euphoria
Opiates are dangerous at high doses due mostly to
The suppression of the brainstem’s respiratory center.
Which of the following is false regarding endogenous opioids and opioid receptors?
Both A and D are false: They stimulate neurotransmission in two ways & Endogenous opioids are never co-released with other neurotransmitters
Match the brain region to the acute opioid effect
Periaqueductal Gray →
VTA / NAc →
Brain Stem →
Amygdala / Limbic System →
Periaqueductal Gray → Analgesia
VTA / NAc → Euphoria
Brain Stem → Respiratory depression
Amygdala / Limbic System → Dulling of Negative Emotions
Which of the following is not a psychedelic drug?
5-HT (serotinin)
What is the mechanism of action psychedelic mushrooms?
After ingestion, psilocybin is converted to psilocin, which is the psychoactive agent.
What is responsible for the unusually long length of an LSD “trip”?
After receptor binding, a lid-like structure formed from the receptor protein temporarily traps the drug in the binding pocket.
PCP and ketamine act on the postsynaptic cell by
Acting as an uncompetitive antagonist at the NMDA receptor.
A secondary consequence of NMDA receptor antagonism is _______ presynaptic glutamate release, which may result from _______ of receptors on inhibitory GABAergic interneurons that innervate the cortical neurons.
increased; blockade
Which hypothesis was developed after it was shown that the effects of high doses of ketamine are similar to symptoms of schizophrenia?
A major factor in schizophrenia is hypoactivity of the glutamatergic system, particularly NMDA receptor signaling.
Self-administration studies in animals have shown that
Both PCP and ketamine are highly reinforcing for several species.
A change observed in the brains of people with schizophrenia is
Disorganized arrangement of hippocampal cells.
Which model of schizophrenia integrates the neurochemical data with the neuroanatomical findings concerning the disorder?
The neurodevelopmental model
Which of the following is associated with the neurodevelopmental model of schizophrenia?
High mesolimbic DA activity following mesocortical cell loss may explain the dramatic positive symptoms of schizophrenia.
Which statement about glutamate and DA in regard to symptoms associated with schizophrenia is true?
Insufficient glutamate at the NMDA receptor may be a precursor to DA dysfunction and may explain increases in mesolimbic DA and decreases in PFC function.
Match the antipsychotic drug effect to the DA pathway it is related to
Effects on positive symptoms →
Effects on cognitive and negative symptoms →
Motor side effects →
Neuroendocrine side effects →
Effects on positive symptoms → Mesolimbic Pathway
Effects on cognitive and negative symptoms → Mesocortical Pathway
Motor side effects → Nigrostriatal Pathway
Neuroendocrine side effects → Tuberohypophyseal Pathway
The effectiveness of antipsychotic drugs in reducing positive symptoms is due to:
Dopamine receptor antagonism.
Which of the following is true regarding the monoamine hypothesis of depression?
Depression is associated with low levels of monoamines
Most antidepressants ________ 5-HT by __________ reuptake through SERT.
Increase, blocking
Which of the following is NOT part of the neuropathology associated with depression?
Increased volume of the hippocampus
Which of the following is evidence of serotonin dysfunction in depression?
Both B and C: Individuals 5-HT receptor knockout mice have depression-like symptoms & Most antidepressant medications increase 5-HT
The definition of a drug is always the same, regardless of context.
False
A drug is an exogenous substance.
True
A psychoactive drug is a drug that
affects thinking, mood, or behavior
Drug tolerance refers to:
the diminished effect with repeated use
Which of the following scenarios represents an example of instrumental drug use?
taking morphine to relieve back pain after surgery
Humans have 12 pairs of cranial nerves that all serve motor functions
false
Match the following brain areas with their function:
hippocampus -
limbic system -
basal ganglia -
cerebellum -
medulla -
hippocampus - involved in memory formation
limbic system - Group of structures involved in the regulation of emotions and the emotional interpretation of environmental stimuli
basal ganglia - Group of structures that controls smooth, voluntary movements
cerebellum - important for motor planning and learning
medulla - Coordinates basic life support systems including respiratory rhythms
Match the following lobe of the brain to one of its functions:
frontal -
parietal -
temporal -
occipital -
frontal - planning and signaling movements
parietal - somatosensory (touch and pain)
temporal - hearing, language
occipital - early stage vision
The nervous system is made up of cells called
neurons
Understanding the properties of individual neurons is essential to understanding the relationship between brain and behavior.
true
Myelin is made from
glial cells
Electrical signals within a single neuron typically flow in more than one direction.
false
Which part of the neuron typically serves as the input region?
dendrites
The structure of a neuron is unrelated to its function
false
A membrane potential is the difference in electrical charge between
The inside and outside of a cell
Potassium ions have a _____ charge and are in excess _______ the cell; sodium ions have a _____ charge and are in excess _______ the cell.
Positive, inside, positive, outside
Na+ ions are continually forced into neurons by
Both B and C: Their high external concentration & The negative resting potential
At resting potential, potassium is
Both B and D: driven into the cell by electrostatic forces & driven out of the cell by its concentration gradient
Which of the following is a passive process that acts to distribute ions evenly in neural tissue?
A and B only: diffusion & electrostatic pressure
The brief period of time immediately after the initiation of an action potential when it is absolutely impossible to initiate another one in the same neuron is called the
absolute refractory period
Action potentials do not go backwards because
Na+ channels become inactivated
Which action would depolarize a neuron?
increasing how much sodium can get into the cell
A drug that blocks the voltage-gated sodium channel in a neuron's membrane will...
block the action potential
Which action would hyperpolarize a neuron?
A and B only: Allowing more K+ to leave the cell & increasing how much chloride can get into the cell
An action potential typically begins at the
axon hillock
The all-or-none property of the action potential refers to
The action potential either occurs completely or not at all, regardless of stimulus strength above the threshold.
The downstroke (falling phase) of the action potential is due to:
The opening of voltage-gated potassium (K⁺) channels and the efflux of potassium ions.
Neurotransmitters are often stored in
Vesicles in the terminals of the presynaptic neuron
Entry of ______ into the axon terminals allows vesicles to fuse with the presynaptic membrane and release ______ into the synapse
Ca2+, neurotransmitters
What makes EPSPs excitatory?
EPSPs increase the probability of firing because they depolarize the postsynaptic membrane
EPSPs are
All of the above:
Graded responses
Postsynaptic responses
Transmitted decrementally
Depolarizations
After release, neurotransmitters are removed from the synapse by
A and B only: Reuptake & Enzymatic degradation
If a neurotransmitter binds to a ligand-gated ion channel and Na+ channels are opened, what type of postsynaptic response will be recorded?
EPSP
Which of the following is False regarding metabotropic receptors?
They directly affect ion channels after NT binding
Every time a neuron receives an excitatory input, it fires an action potential.
False
Which neurotransmitter system is associated with diffuse modulatory signaling and plays a crucial role in regulating mood, pain, and sleep?
Serotonin system
Which of the following is True regarding small molecule neurotransmitters and neuropeptides?
neuropeptides can be co-localized with small molecule neurotransmitters
Match the diffuse modulatory neurotransmitter system with the location of its cell bodies
Dopamine
Norepinephrine
Serotonin
Acetylcholine
Dopamine - substantia nigra, ventral tegmental area
Norepinephrine - locus ceruleus
Serotonin - Raphe nuclei
Acetylcholine - Basal forebrain
A drug that reduces the amount of NT synthesizing enzymes would be an
antagonist
Which of the following neurotransmitters belong to the catecholamine group?
dopamine
Drugs that facilitate the activity of the synapses of a particular neurotransmitter are said to be _______ of that neurotransmitter
agonist
Drugs that bind to a neurotransmitter’s receptors on the postsynaptic membrane without activating them are
antagonists
Prozac is an antidepressant drug that blocks reuptake of serotonin thereby
increasing the amount of serotonin in the synapse
Drugs administered _______ become bioavailable the most rapidly.
intravenously (IV)
Factors that influence drug absorption include
all of the above:
stomach content
solubility of a drug
area of absorbing surface
Which of the following is NOT a factor that influences drug bioavailability?
the therapeutic effects of a drug
Which of the following routes of administration typically requires the highest drug dose to achieve a desired psychoactive effect, due to lower bioavailability?
oral
________ is the most important route for drug elimination
urine
Tolerance decreases the likelihood of withdrawal symptoms.
false
Most drugs of abuse increase serotonin release in the ventral tegmental area (VTA).
false
Food and Cocaine increase dopamine levels to the same extent.
false
Which of the following neural circuits is NOT thought to be involved with drug abuse and addiction?
All of the above ARE thought to be involved with addiction