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Kaplan Qbank USMLE



Author6 Posts
  #1

There was a Q where they give acetylcholine to an animal at low dose and it exerts vasodilation but at high dose this cause vasoconstriction.

In the explanation the wrote the following "Because PANS does not innervate the vasculatue, stimulation of PANS does not cause vasodilation.Therefore, the vasodilation is a pharmacological phenomenon and not physiological action.After acectylcholine is given high dose, it exerts a ganglionic stimulating effect and results in vasoconstriction"

I understand that the action of A.choline is via release of NO and EDRF after stimulation of M recepors.Then guanylyl cyclase is activated and relaxation of the smooth vasculature muscle.

But why and how at high dose A.choline exerts a vasoconstrictive action? Any body has a clue


  #2

ACh acts on both Muscarinic and Nicotinic receptors. The affinity of ACh for Nicotinic receptors is low which is thereby increased in high doses. Muscarinic receptors when activated induces the parasympathetic response and the Nicotinic receptors when activated induce a sympathetic response. So in normal doses the ACh activates a muscarinic receptor while in high doses both Nicotinic and Muscarinic receptors will be acitvated.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #3

Thank you.I missed this point.This telle me I need to go back to ANS again!




  #4

Everyday u will come across something which will make u feel to go back to ur books. wink. Happens to me all the time.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #5

thanks
this ach reversal as ach stimulate adrenal medulla which release adr ,noradr
and st sym ganglia that release noradr

thanks for all

  #6

Alaa_abes, this is the pointI am missing, coul you elaborate on this please?Thanks







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