NEUROTRANSMITTERS – FUNCTIONS & MECHANISM OF ACTION IN CNS

NEUROTRANSMITTERS – FUNCTIONS & MECHANISM OF ACTION IN CNS

Q. 1 5-HIAA (Hydroxyindoleacetic Acid) is a metabilite of which of the following neurotransmitters?

 A Noradrenaline

 B

Serotonin

 C

GABA

 D

Glutamine

Q. 1

5-HIAA (Hydroxyindoleacetic Acid) is a metabilite of which of the following neurotransmitters?

 A

Noradrenaline

 B

Serotonin

 C

GABA

 D

Glutamine

Ans. B

Explanation:

Serotonin (5-HT) is metabilised the key enzyme Mono Amino Oxidase (MAO) and one of the main metabolite of clinical significance is 5-HIAA.

The CSF levels of 5-HIAA (Hydroxyindoleacetic Acid) is low in patients who committed suicide, in depression and violence.

It is considered to be associated with poor impulse control. It can be used to predict violent suicide. It is not known to be reduced in OCD.

Ref: Kaplan & Sadock’s Synopsis of Psychiatry, By Benjamin J Sadock, M.D., Harold I. Kaplan, Virginia A Sadock, M.D, 10th Edition, Page : 265

Q. 2 Which of the following neurotransmitters are implicated in both mania and depression?

 A

GABA & dopamine

 B

Serotonin and Nor epinephrine

 C

Serotonin and dopamine

 D

Nor epinephrine and GABA

Ans. B

Explanation:

Increase of Norepinephrine (noradrenaline) and serotonine levels causes mania and reverse cause depression.

Hence, the treatment of depression involves increasing serotonin levels and noradrenaline levels.

Antidepressants could trigger mania or hypomania due to excessive increase in the neurotransmitters in prone individuals.

Mania or hypomania induced by anti-depressants is called Bipolar III.


Q. 3

All of the following neurotransmitters are excitatory and inhibitory in function,:

 A

Glycine

 B

Glutamine

 C

Aspartate

 D

NO

Ans. A

Explanation:

Glycine has both excitatory and inhibitory effects in the CNS.

When it binds to NMDA receptors, it makes them more sensitive to the actions of glutamate.

It is also responsible in part for direct inhibition, primarily in the brainstem and spinal cord.

Like GABA, it acts by increasing Cl- conductance. Its action is antagonized by strychnine.
 
Glutamate and aspartate are found in very high concentrations in brain, and both amino acids have powerful excitatory effects on neurons in virtually every region of the CNS.

NO acts as a signal by which postsynaptic neurons communicate with presynaptic endings to enhance release of glutamate.
 
Ref: Barrett K.E., Barman S.M., Boitano S., Brooks H.L. (2012). Chapter 7. Neurotransmitters & Neuromodulators. In K.E. Barrett, S.M. Barman, S. Boitano, H.L. Brooks (Eds), Ganong’s Review of Medical Physiology, 24e.  

 


Q. 4 Panic attack is associated with a disturbance in all of the following neurotransmitters except:

 A

Serotonin

 B

GABA

 C

Glutamate

 D

Dopamine, CCK, pentagastrin

Ans. C

Explanation:

Ans:C-Glutamate

  • Panic disorder is associated with noradrenaline (norepinephrine), cholecystokinin (CCK)- pentagastrin /tetrapeptide (administration or agonism of both); GABA (antagonism) and serotonin (decrease). 
  • The neurotransmitters serotonin, dopamine, norepinephrine, and gamma-aminobutyric acid (GABA) are specifically believed to be linked to mood and anxiety disorders.
  • These neurotransmitters are in charge of regulating various body functions and emotions.

Q. 5

Excitatory Neurotransmitters are :

 A

Acetyl choline

 B

Glycine

 C

GABA

 D

Glutamine

Ans. D

Explanation:

D i.e. Glutamate



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