Nursing Pharmacology Chapter 22: Serotonin Pharmacology
Practice Questions
Click on the correct answer.
Serotonin is formed from:
- tyrosine
- L-tryptophan
- glutamine
- glutamic acid
- dopamine
Most of the serotonin in the body its found in:
- mast cells
- cardiac cells
- enterochromaffin cells
- liver cells
- the lungs
The neurotransmitter serotonin may be involved in:
- carcinoid syndrome
- depression
- anxiety
- migraine headaches
- all of the above
Serotonin is metabolized primarily by:
- catechol-O-methyltransferase
- monoamine oxidase
- deaminases
- sulfotransferases
- excreted in the urine mainly unchanged
Coupling mechanism for most serotonin receptors:
- ion channels
- G proteins
Serotonin effects on the gastrointestinal tract:
- increased tone; increased peristalsis
- decreased tone; decreased peristalsis
Over production and release of serotonin in carcinoid tumor most likely will cause of this effect on the gastrointestinal tract:
- constipation
- diarrhea
Bezold-Jarisch reflex (chemoreceptor reflex) involves:
- tachycardia blocked by phentolamine (Regitine)
- bradycardia blocked by atropine
- activation of 5 HT1 receptors
- hypertension
- none of the above
Serotonin receptor type most likely involved in mediating the vomiting reflex:
- 5-HT1
- 5-HT2
- 5-HT3
Particularly in patients with carcinoid syndrome, serotonin elevation may cause this effect on bronchiolar smooth muscle:
- bronchodilation
- bronchoconstriction
- none of the above; serotonin in this case will have limited affects on bronchiolar smooth muscle
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