PHL 518 2ndMidterm (3 pages) 2nd semester 1427-28/2006-07 Dr. Amal Fatani Dr. Nayira Abdel Baky King Saud University College of Pharmacy Dept. of Pharmacology Student Name Student No. I-Choose the correct answer(s): 1-Scorpions have been divided into two broad ecological categories: " equilibrium" and "oportunistic"depending on a-Their type of environment b-Their life history strategies c- Both a & b 2-As a consequence of the blocking effects of scorpion toxins on K+ channels, the action potential across excitable cell membranes becomes : a- Prolonged b-Shortened c-Not affected 3-The neurological manifestations which present after scorpion envenomation has been due to: a-Hypertensive encephalopathy b-Brain ischemia c-Direct action of scorpion venom on the central nervous system. 4-Scorpion α-toxin a-Slow or inhibit the Na+ current activation b-Slow or inhibit the K+ current inactivation c- Slow or inhibit the Na+ current inactivation 5-Scorpion toxins have been shown to modulate the activity of: a-Voltage-dependent potassium channels b-Ryanodine receptor/Ca2+-release channels c- Ca2+-activated K+channels 6- The following are drugs acting on sodium channels EXCEPT: a-Propafenone hydrochloride b-Mepivacaine c-Cilnidipine 1 II-Complete the following: 1-The Na+ channel and K+ channel toxins mediate …………. actions that can cause intense and persistent ……………. of autonomic nerves with consequent ……………..of autonomic neurotransmitters. 2-Scorpions belong to the family Buthidae, from which the genus……………, ………………..., ………………, Buthotus and Heterometrus are located in the Old World, mainly North Africa, Middle East and India . 3-Of the many types of transmembrane K+ channels, which mostly affected by scorpion venom, are those activated by a rise in …………… 4-Charybdotoxin, which is a minor component of Leiurus quinquestriatus scorpion venom, block the large conductance………………………… in skeletal muscle T-tubules and cultured mammalian kidney cell 5-Scorpion venom toxins cause both …………….and……………….. Pulmonary edema . The first type has been attributed to acute left ventricular failure and increased pulmonary vascular permeability induced by vasoactive substances released upon the venom sting 6-…………………is a long-acting calcium channel blocker act mainly on L-type Ca2+ channel, while …………………….is L/N-type Ca2+ channel blocker 7-Separation of venom components was performed either by high performance liquid chromatography (HPLC) or ………………………… III-Indicate if the following statements are TRUE or FALSE and correct the false: ( )1-Leiurus quinquestriatus and Androctonus crassicauda of the family Buthidae are known as the “yellow scorpion” . ----------------------------------------------------------------------------------------( )2-In Saudi Arabia, scorpions species or subspecies mainly belonging to two families, the Buthidae and the Scorpionidae. ----------------------------------------------------------------------------------------- 2 ( )3-Venom from scorpions all over the world that belong to Androctonus, Buthus, Centruroides, Leiurus quinquestriatus, and Tityus species of the Scorpionidae family is highly toxic. ----------------------------------------------------------------------------------------( )4-Venom neurotoxic proteins or peptides interacting non specifically with various ionic channels in excitable membranes. ----------------------------------------------------------------------------------------( )5-Toxins containing 60–70 amino acid residues are mainly active on K+ channels. While short chain toxins composed of 30–40 amino acid residues are mostly active on Na+ or Cl- channels. ----------------------------------------------------------------------------------------( )6-All scorpions venom are complex mixture of a wide array of substances including mucopolysaccharides, hyaluronidase, phopholipase, serotonin , histamine, protease inhibitors, histamine releasers and polypeptidyl compounds. ----------------------------------------------------------------------------------------( )7-Scorpion envenomation can produce neurological manifestations ranging from simple hypothermia to severe neurological manifestations as coma and/or convulsions. ----------------------------------------------------------------------------------------( )8-The ryanodine receptor, plays a key role in excitation contraction coupling of muscle tissues. ----------------------------------------------------------------------------------------( )9- The role of antivenom in the treatment of scorpion stings remains controversial and the effectiveness of antivenom treatment depends on the potency of the antivenom. ----------------------------------------------------------------------------------------- Good Luck 3