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The Nervous System and the Identification and Consequences of Damage

Drugs, brain function and dependency

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on Parkinson's disease and levodopa, the ways drugs alter synaptic transmission, how heroin, cannabis, methamphetamine and alcohol act at synapses, overdose, the dopamine reward pathway, tolerance, physical and psychological dependency, relapse, and the consequences of dependency.

What you need to know

Answer each one before you reveal it.

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Key term

Which neurones degenerate in Parkinson's disease, and in which part of the brain?

Key term

Give three motor symptoms of Parkinson's disease.

Key term

Why is levodopa given to a patient with Parkinson's disease rather than dopamine itself?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Which neurones degenerate in Parkinson's disease, and in which part of the brain?

    Model answer

    The dopamine-secreting neurones of the substantia nigra, in the midbrain, degenerate.

  2. 2

    Give three motor symptoms of Parkinson's disease.

    Model answer

    Patients show a tremor at rest, slowness of movement and muscular rigidity.

  3. 3

    Why is levodopa given to a patient with Parkinson's disease rather than dopamine itself?

    Model answer

    Dopamine cannot cross the blood-brain barrier, whereas levodopa can and is then converted into dopamine inside the brain, where it replaces what the dying neurones no longer make.

  4. 4

    Why does treatment for Parkinson's disease become less effective over several years?

    Model answer

    The dopamine-secreting neurones continue to die, so fewer are left to convert levodopa into dopamine and to store and release it.

  5. 5

    State four general ways in which a drug can alter transmission at a synapse.

    Model answer

    A drug may mimic the neurotransmitter at its receptor, block the receptor, prevent reuptake of the transmitter, or inhibit the enzyme that breaks it down.

  6. 6

    Which natural transmitters does heroin mimic, and at which receptors?

    Model answer

    Heroin mimics the endorphins and enkephalins by binding to opioid receptors in the brain and spinal cord.

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