Regis College - PSYCH 643 Week 3 4 6 8 10
13 100% VERIFIED ANSWERS 2023/2024
What are the 4 dopaminergic pathways of the brain? - ---ASNWERS---Nigrostriatal
pathway
Mesolimbic Pathway
Mesocortical Pathway
Tuberoinfundibular Pathway
Tuberoinfundibular Pathway:
Roles?
How are they implicated in the pathophysiology schizophrenia?
,What role do they have in regards to adverse effects of medications? - ---
ASNWERS---Tuberoinfundibular Pathway: regulation of prolactin release;
dopamine blockade causes an increase in prolactin levels, which results in
galactorrhea, amenorrhea, and low libido. Serotonin blockade increases
dopamine release, less risk of hyperprolactinemia.
Mesocortical Pathway:
Roles?
How are they implicated in the pathophysiology schizophrenia?
What role do they have in regards to adverse effects of medications? - ---
ASNWERS---Mesocortical Pathway: dopamine deficits results in negative Sx and
cognitive Sx; dopamine blockade can worsen negative and cognitive Sx; serotonin
blockade increases dopamine release and improves negative Sx
Mesolimbic Pathway:
Roles?
How are they implicated in the pathophysiology schizophrenia?
What role do they have in regards to adverse effects of medications? - ---
ASNWERS---Mesolimbic Pathway: dopamine overactivity results in positive Sx;
dopamine blockade improves positive Sx; serotonin blockade is not strong enough
to cause dopamine release
, Nigrostriatal pathway
Roles?
How are they implicated in the pathophysiology schizophrenia?
What role do they have in regards to adverse effects of medications? - ---
ASNWERS---Nigrostriatal pathway: normal role is control of motor movements;
the dopamine blockage results in certain extrapyramidal Sx; serotonin blockage
increases DA release, which lessens extrapyramidal Sx
What is their mechanism of action of 1st Generation (Typical) Antipsychotics? - ---
ASNWERS---Block dopamine receptors in mesolimbic, nigrostriatal, and
tuberoinfundibular dopamine tracts (these DON'T work on the mesocortical tract,
which is why they don't alleviate negative symptoms).
They also may block alpha 1 receptors (can cause orthostatic hypotension),
muscarinic (M1) receptors (responsible for anticholinergic effects), and histamine
(H1) receptors (causes weight gain).
1st gen APs - What symptoms of schizophrenia do they alleviate? - ---ASNWERS---
Positive
Name 2 high-potency 1st gen AP drugs - ---ASNWERS---High potency:
Fluphenazine (Prolixin) & Haloperidol (Haldol)
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