Exam 11: The Opioids

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Describe the basic components of Himmelsbach's model of tolerance and withdrawal and provide physiological evidence that supports his ideas.

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Cite evidence showing that dopamine plays a key role in the reinforcing value of opiates. Identify two dopamine brain areas that are particularly important in this role. Researchers have recently proposed that dopamine is not required for this rewarding effect. Explain this statement.

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_______ is the natural ligand for the δ\delta -receptor.

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What is the rationale for the development of dual µ-receptor/NOP-R agonists? What research findings suggest these agents have clinical potential as analgesics?

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Describe the more recent buprenorphine treatments for opioid withdrawal. What are the advantages of these newer types of treatments?

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How do the different constitutive states of the µ-receptor affect different pain signaling pathways, specifically the beta arrestin protein signaling pathway and G-protein mediated signaling? What were the results of studies on these pain signaling pathways in mice and humans?

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How has MEG technology helped to distinguish between fast and slow pain systems?

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Which preparation was initially used to study the effects of pharmacological agents on the opiate receptor?

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Which statement about the history of opium is true?

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Since 1999, overdose deaths involving opioids have increased by more than _______, with the majority of this increase due to deaths related to _______ use.

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Which statement about pain perception and opiate action at supraspinal levels is false?

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Which of the following is not an advantage of buprenorphine maintenance compared to methadone maintenance?

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A model of the neurobiology of opiate reinforcement suggests that opiates produce their effects by inhibiting _______ neurons.

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Distinguish between naturally occurring opiates, synthetic opiates, semisynthetic opiates, and endogenous opioids. Provide examples of each.

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Both "early" and "late" pain are associated with neural activity in the

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Treatment programs for people addicted to opiates

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Nociceptors detect

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Which drug would be considered a partial agonist?

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Some researchers believe that opiates exert their effects on reinforcement by affecting cell bodies in the _______ that release _______.

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The naturally occurring opiates include

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